Table 4 Step-wise analyses (Best subset) for prediction of family member’s sense of support within the family (dependent variable) during the palliative home care period. Only variables in the five domains (each domain representing a subsystem or suprasystem) with Wald > 2 (see Table 1 and 2) were allowed to be included in the step-wise analyses
Variable domain (relating subsystem or suprasystem) | AIC | Variable | Wald valuea for partial regression coefficients | |||||||
|---|---|---|---|---|---|---|---|---|---|---|
STEP 0 | STEP 1 | STEP 2 | STEP 3 | STEP 4 | STEP 5 | Step 6 | STEP 7 Best subset | |||
IV. Other family members’ support to patient (SUBSYSTEM: Patient – Other family members (than the interviewed family member) | 506.1 | Support to patient from other family members. Relatives or friends (1 (never) - 6 (always)) | 43.97 | 33.71 | 6.30 | 4.58 | 2.74 | 3.24 | 3.30f | |
V. Sense of security in palliative home care (SUPRASYSTEM: Family member - Palliative home care unit) | 518.7 | Care interaction subscale (SEC-Rd; 1 (never) - 6 (always)) | 1.12 | |||||||
Mastery subscale (SEC-R; 1 (never) - 6 (always)) | 0.14 | |||||||||
Patient situation subscale (SEC-R; 1 (never) - 6 (always)) | 14.22 | 11.82 | 9.71 | 9.94 | 8.30 | 10.02 | 9.98f | |||
Time from admittance to palliative care unit (days) | 0.28 | |||||||||
III. Other more distant family members’ support to the interviewed family member (SUBSYSTEM: Family member - Other more distant family member) s | 520.7 | Support to family member from other family members than the closest family (1 (never) - 6 (always)) | 50.24 | 10.06 | 9.48 | 8.72 | 10.06 | 11.71f | ||
II. Patient characteristicsb (SUBSYSTEM: Family member -Closest family) | 523.9 | Demographics | ||||||||
525.8 | Patient’s age (in years) | 0.99e | ||||||||
Patient’s gender: male/female | 1.19 | |||||||||
Patient native born i n Sweden (%) | 0.11 | |||||||||
Patient’s living conditions | ||||||||||
Alone | 1.71 | |||||||||
With wife/husband/co-habitant | 0.48 | |||||||||
With child | 5.04 | 3.44 | 1.83 | |||||||
With other | 0.04 | |||||||||
Geographical distance between housing of patient and family member | ||||||||||
(Same household (1)-More than 1 h distance (6)) | 0.04 | |||||||||
Patient illness | ||||||||||
553.9 | Malignant diagnoses | 0.44 | ||||||||
Respiration | 2.39 | 1.33 | ||||||||
Breast | 0.05 | |||||||||
Gynaecological | 0.63 | |||||||||
Urological | 0.64 | |||||||||
Haematological | 0.26 | |||||||||
Other malignancies | 0.12 | |||||||||
546.9 | Non-malignant diagnosesc | 0.18 | ||||||||
576.0 | Patient having difficulties with memory (1 (never) - 5 (very often)) | 0.07 | ||||||||
Patient having changed behaviour (1 (never) - 5 (very often)) | 4.41 | 2.42 | 0.001 | |||||||
Time since diagnosis (in months) | 0.02 | |||||||||
I. Family member characteristics (SUBSYSTEM Family member-Closest family) | 534.4 | |||||||||
578.7 | Demographics | |||||||||
Age (in years) | 3.11 | 3.33 | 2.59 | 1.23 | ||||||
Gender: male/female | 0.0003 | |||||||||
Married or partner/ single | 5.55 | 2.52 | 0.13 | |||||||
Living conditions | ||||||||||
Alone | 2.61 | 2.74 | 5.07 | 8.13 | 7.29f | |||||
with husband. Wife or cohabitant | 2.48 | 1.86 | ||||||||
with children | 2.32 | 2.26 | 1.50 | |||||||
Have children | 2.41 | 4.38 | 1.00 | |||||||
Native born in Sweden | 0.31 | |||||||||
Education (highest level completed) (No formal education (1)-University 3 yeats or more (6)) | 0.24 | |||||||||
Main occupation | ||||||||||
Employed | 0.04 | |||||||||
Self-employed | 1.07 | |||||||||
Caring for family member with grant | 0.30 | |||||||||
Caring for family member without grant | 0.32 | |||||||||
Old-age pensioner | 4.95 | 2.17 | 2.01 | 1.91 | ||||||
Relation to the patient | ||||||||||
Husband. wife or partner | 1.97 | |||||||||
Child | 3.09 | 4.91 | 2.38 | 3.26 | 3.87f.g | |||||
595.3 | Situation as family member to a severly ill person | |||||||||
Type of support/care the family member provided to the ill person | ||||||||||
Health care | 0.44 | |||||||||
Physical. personal care | 1.51 | |||||||||
Transport | 0.18 | |||||||||
Emotional. social support | 0.003 | |||||||||
Support in home and household | 2.34 | 0.50 | ||||||||
Support with financial management | 0.36 | |||||||||
Financial support | 0.02 | |||||||||
Organise care and support | 0.53 | |||||||||
Extent of support/attendance/care the family member provided to the ill person | ||||||||||
(Around the clock (1) - No need (6)) | 0.07 | |||||||||
Family members’ perception of being a family caregiver | ||||||||||
Negative impact (COPE_NEG) (4–28) | 2.07 | 0.05 | ||||||||
Positive value (COPE_POS) (4–16) | 0.91 | |||||||||
Quality of support (COPE_SUPPORT) (4–16) | 5.59 | 5.46 | 0.13 | |||||||
Possibility of respite if family member needed a break (Easy (1)- No (3)) | 5.37 | 10.66 | 6.61 | 6.40 | 7.67f | |||||
Possibility of respite if family member turned ill (Easy (1)- No (3)) | 0.25 | |||||||||
618.9 | Attachment security | |||||||||
Anxiety dimension (ECR-M16d; 1–7) | 5.24 | 2.15 | 0.07 | |||||||
Avoidance dimension (ECR-M16; 1–7) | 2.01 | 0.34 | ||||||||
638.6 | Health-related quality of life | |||||||||
EQ 5D indexd (−0.594 (worst possible) – 1.00 (best possible)) | 0.21 | |||||||||
General health (from SF-36; 1(excellent) - 5 (bad)) | 0.19 | |||||||||
Quality of life (from WHO QOL 100; 1(very bad) - 5 (very good)) | 2.34 | 1.19 | ||||||||
638.8 | Stress and coping | |||||||||
Nervousness and stress (from PSSd; 1 (never) - 5 (very often)) | 4.22 | 3.54 | 2.03 | 1.12 | ||||||
Too many problems to manage (from PSS; 1 (never) - 5 (very often)) | 0.05 | |||||||||
Worry about private economy (1 (never) - 5 (very often)) | 0.10 | |||||||||
Self-efficacy (from GSEd; 1 (fully disagree) - 4 (fully agree)) | 0.40 | |||||||||
Religious or existential faith that helps (1 (fully disagree) - 4 (fully agree)) | 1.58 | |||||||||