The TRIO Framework: Conceptual insights into family caregiver involvement and influence throughout cancer treatment decision-making - PubMed (original) (raw)
Review
. 2017 Nov;100(11):2035-2046.
doi: 10.1016/j.pec.2017.05.014. Epub 2017 May 5.
Affiliations
- PMID: 28552193
- DOI: 10.1016/j.pec.2017.05.014
Review
The TRIO Framework: Conceptual insights into family caregiver involvement and influence throughout cancer treatment decision-making
Rebekah Laidsaar-Powell et al. Patient Educ Couns. 2017 Nov.
Abstract
Objective: Family caregivers are regularly involved in cancer consultations and treatment decision-making (DM). Yet there is limited conceptual description of caregiver influence/involvement in DM. To address this, an empirically-grounded conceptual framework of triadic DM (TRIO Framework) and corresponding graphical aid (TRIO Triangle) were developed.
Methods: Jabareen's model for conceptual framework development informed multiple phases of development/validation, incorporation of empirical research and theory, and iterative revisions by an expert advisory group.
Results: Findings coalesced into six empirically-grounded conceptual insights: i) Caregiver influence over a decision is variable amongst different groups; ii) Caregiver influence is variable within the one triad over time; iii) Caregivers are involved in various ways in the wider DM process; iv) DM is not only amongst three, but can occur among wider social networks; v) Many factors may affect the form and extent of caregiver involvement in DM; vi) Caregiver influence over, and involvement in, DM is linked to their everyday involvement in illness care/management.
Conclusion: The TRIO Framework/Triangle may serve as a useful guide for future empirical, ethical and/or theoretical work.
Practice implications: This Framework can deepen clinicians's and researcher's understanding of the diverse and varying scope of caregiver involvement and influence in DM.
Keywords: Conceptual framework; Family caregivers; Medical decision-making; Triadic.
Copyright © 2017 Elsevier B.V. All rights reserved.
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