• Support Care Cancer · Apr 2011

    Caregiver satisfaction with out-patient oncology services: utility of the FAMCARE instrument and development of the FAMCARE-6.

    • Gregory Leigh Carter, Terry J Lewin, Louisa Gianacas, Kerrie Clover, and Catherine Adams.
    • Centre for Brain and Mental Health Research (CBMHR), University of Newcastle, Newcastle, NSW, Australia. gregory.carter@newcastle.edu.au
    • Support Care Cancer. 2011 Apr 1;19(4):565-72.

    PurposeTo evaluate caregivers' experience of oncology services for ambulatory patients and to develop a short instrument (FAMCARE-6) suitable for computerised administration in the clinical setting.MethodsA sample of 234 caregivers recruited from 388 ambulatory oncology patients completed a computerised version of the 20-item family satisfaction with advanced cancer care (FAMCARE) instrument, which was originally developed for use in palliative care settings.ResultsCaregivers reported generally high satisfaction with all aspects of ambulatory oncology services: overall score; mean, 3.96 (SD, 0.67); information giving, 3.88 (0.78); physical patient care, 4.00 (0.71); availability of care, 3.89 (0.77); and psychosocial care, 4.05 (0.72), from a possible score of 5. Factor analyses identified a single factor structure; the items were reduced to six (FAMCARE-6), which yielded a scale with adequate psychometric properties (completion rates over 90% for every item, correlation of 0.7 or above with the factor identified in the individual item factor analysis, and internal reliability of α = 0.85). The overall mean score was 3.91 (SD, 0.73) for the FAMCARE-6.ConclusionsFAMCARE-6 can be used to assess caregiver satisfaction with ambulatory oncology services and may be suitable to be included as part of a computerised screening system for the psychological care of oncology patients.

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