scholarly journals Caregivers' Loss of the Dyadic Experience After Their Care Partner's Death

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 315-315
Author(s):  
Harleah Buck
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Family Caregivers ◽  
Thematic Analysis ◽  
Turbulence Theory ◽  
Relational Uncertainty ◽  
Dyadic Relationship ◽  
Relational Turbulence ◽  
Affective Process

Abstract One emerging dyadic concept is the experience of family caregivers when their care partner dies and their dyadic relationship comes to an end. This study qualitatively examined and characterized the loss of the dyadic experience for the caregiver after the death of their care partner. Data was accrued as part of a randomized clinical trial in 29 older hospice caregivers. Iterative thematic analysis focused on dyadic processes before, during and post death. Using two relational parameters from Relational Turbulence Theory resulted in a preliminary characterization of a new concept - dyadic dissolution as a cognitive and affective process whereby a remaining member of a dyad experiences relational uncertainty and partner interference while adapting (or not) to the death of their care partner. Findings suggest that asking several open-ended questions about the dyadic relationship will enable assessment for any continuing impact of relational uncertainty and partner interference on bereaved caregivers.

scholarly journals Caregivers’ Loss of the Dyadic Experience after Their Care Partners’ Death

2021 ◽  
pp. 019394592199042
Author(s):  
Harleah G. Buck ◽  
Karen Lyons ◽  
Philip Barrison ◽  
Paula Cairns ◽  
Tina Mason ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Family Caregivers ◽  
Thematic Analysis ◽  
Turbulence Theory ◽  
Relational Uncertainty ◽  
Dyadic Relationship ◽  
Relational Turbulence ◽  
Care Partners ◽  
Affective Process

Little is known about the experience of family caregivers when their care partner dies and their dyadic relationship comes to an end. This study qualitatively examined and characterized the loss of the dyadic experience for the caregiver after the death of their care partner. Data was accrued as part of a randomized clinical trial in 29 older hospice caregivers. Iterative thematic analysis focused on dyadic processes before, during and post death. Using two relational parameters from Relational Turbulence Theory resulted in a preliminary characterization of a new concept—dyadic dissolution as a cognitive and affective process whereby a remaining member of a dyad experiences relational uncertainty and partner interference while adapting (or not) to the death of their care partner. Findings suggest that asking several open-ended questions about the dyadic relationship will enable assessment for any continuing impact of relational uncertainty and partner interference on bereaved caregivers.

Problem-Solving Training for Family Caregivers: A Randomized Clinical Trial

2006 ◽  
Author(s):  
Timothy R. Elliott ◽  
Patricia Rivera ◽  
Jack W. Berry ◽  
Kim Oswald ◽  
Joan Grant ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Problem Solving ◽  
Randomized Clinical Trial ◽  
Family Caregivers

A Longitudinal Test of Relational Turbulence Theory

2020 ◽  
Vol 11 ◽  
Author(s):  
James B. Stein
Keyword(s):  
Structural Equation ◽  
Feedback Loop ◽  
Negative Emotions ◽  
Turbulence Theory ◽  
Relational Communication ◽  
Partial Support ◽  
Relational Uncertainty ◽  
Relational Turbulence ◽  
Equation Modelling ◽  
Uncertainty Relationship

Abstract Relational turbulence theory (RTT) proposes causal relationships across cognitive, emotional and communicative variables. Although many tenets of this theory have been tested individually, there has not yet been a comprehensive, predictive examination of RTT. Using structural equation modelling, this study longitudinally tested several propositions and axioms of RTT. Results are largely in line with many of RTT's predictions. Time 1 relational uncertainty predicted time 2 biased cognitions. Time 1 facilitation from a partner predicted time 2 negative emotions. Negative emotions cross-sectionally related to both the enactment and valence of relational communication episodes. Relational turbulence theory's proposed feedback loop received partial support, such that time 1 communication valence (but not engagement) predicted time 2 partner uncertainty, relationship uncertainty and partner facilitation. Results are discussed in terms of theory expansion and refinement.

scholarly journals A Problem‐Solving Intervention for Hospice Family Caregivers: A Randomized Clinical Trial

2019 ◽  
Vol 67 (7) ◽  
pp. 1345-1352 ◽  
Author(s):  
George Demiris ◽  
Debra Parker Oliver ◽  
Karla Washington ◽  
Kenneth Pike
Keyword(s):  
Clinical Trial ◽  
Problem Solving ◽  
Randomized Clinical Trial ◽  
Family Caregivers

scholarly journals Characterization of Early Disease Status in Treatment-Naive Male Paediatric Patients with Fabry Disease Enrolled in a Randomized Clinical Trial

PLoS ONE ◽  
2015 ◽  
Vol 10 (5) ◽  
pp. e0124987 ◽  
Author(s):  
Frits A. Wijburg ◽  
Bernard Bénichou ◽  
Daniel G. Bichet ◽  
Lorne A. Clarke ◽  
Gabriela Dostalova ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Fabry Disease ◽  
Randomized Clinical Trial ◽  
Disease Status ◽  
Early Disease ◽  
Paediatric Patients ◽  
Treatment Naïve

Benefits of immediate versus delayed palliative care to informal family caregivers of persons with advanced cancer: Outcomes from the ENABLE III randomized clinical trial.

2014 ◽  
Vol 32 (18_suppl) ◽  
pp. LBA9513-LBA9513 ◽  
Author(s):  
J Nicholas Dionne-Odom ◽  
Andres Azuero ◽  
Kathleen Lyons ◽  
Zhongze Li ◽  
Tor Tosteson ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Palliative Care ◽  
Randomized Clinical Trial ◽  
Family Caregivers ◽  
Advanced Cancer ◽  
Treatment Effects ◽  
Subjective Burden ◽  
Patient Death ◽  
Burden Scale ◽  
Cancer Experience

LBA9513 Background: Family caregivers of individuals with advanced cancer experience significant burden and diminished QOL; few interventions have been found to reduce these outcomes. Methods: Randomized clinical trial conducted from 10/11/2010 to 9/5/2013 of immediate versus delayed (initiated 12 weeks after randomization) entry patients (n=207) and caregivers (n=122) into ENABLE (Educate, Nurture, Advise, Before Life Ends), a phone-based concurrent oncology palliative care intervention. QOL (Caregiver Quality of Life-Cancer, lower scores=better QOL), depression (Center for Epidemiological Study-Depression) and burden (Montgomery Borgatta Caregiver Burden Scale; subjective burden [SB], objective burden [OB]; demand burden [DB]) measures were collected at baseline, 6, 12, 18, and 24 weeks, and every 12 weeks until patient death or study completion. Results: Estimated treatment effects (immediate minus delayed) for caregivers from randomization to 12 weeks were (mean [SE]): -3.1 [2.3] for QOL (P=.17), -4.1 [1.3] for depression (P=.003), -1.0 [0.4] for SB (P=.02), 0.3 [0.6] for OB (P=.60), and -0.5 [0.6] for DB (P=.39). Estimated treatment effects (immediate minus delayed) from intervention initiation to 12 weeks were (mean [SE]): -6.4 [3.4] for QOL (P=.06), -7.4 [2] for depression (P<.001), -1.0 [0.6] for SB (P=.08), -0.6 [0.7] for OB (P=.44), and -0.5 [0.8] for DB (P=.50). Estimated treatment effects (immediate minus delayed) measured backwards from the time of patient’s death were (mean [SE]): of -4.9 [2.6] for QOL (P=.07), -3.8 [1.5] for depression (P=.02), -1.1 [0.4] for SB (P=.01), -0.6 [0.6] for OB (P=.26), and -0.7 [0.6] for DB (P=.22). Conclusions: Caregivers in the immediate group had lower depression, SB, and trends towards better QOL in comparisons up to 12 weeks, following initiation of the intervention in both groups, and in the terminal decline analysis. These results suggest that concurrent oncology palliative care should be initiated as early as possible to maximize benefit to caregivers. Clinical trial information: NCT01245621.

A relational turbulence theory perspective on women’s grief following miscarriage

2020 ◽  
Vol 37 (6) ◽  
pp. 1852-1872 ◽  
Author(s):  
Xi Tian ◽  
Denise Haunani Solomon
Keyword(s):  
Negative Emotions ◽  
Emotional Responses ◽  
Turbulence Theory ◽  
Relational Uncertainty ◽  
Relational Turbulence ◽  
Relationship Qualities ◽  
Conversational Behaviors ◽  
Grief Responses ◽  
Negative Appraisals ◽  
Mothers Experiences

This study used relational turbulence theory to examine (a) how the relational impact of miscarriage corresponded with bereaved mothers’ grief responses and (b) the association between a partner’s supportive conversational behaviors and relationship qualities. The sample included 193 women who had experienced a miscarriage within the previous year. As predicted, relational uncertainty was positively associated with women’s negative appraisals of miscarriage; facilitation from a partner was positively associated with women’s negative emotions; bereaved mothers’ negative appraisals and negative emotional responses covaried; and a partner’s supportive conversational behaviors were positively associated with facilitation from a partner. Contrary to our predictions, interference from a partner was not associated with more intense negative emotions, and a partner’s supportive conversational behaviors were positively associated with relational uncertainty and interference from a partner. The discussion highlights the relational impact of miscarriage on bereaved mothers’ experiences of grief.

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