Experiences of prognosis disclosure versus nondisclosure among family caregivers of persons with advanced cancer Journal Article


Authors: Maya, S.; Chittem, M.; Chawak, S.; Parker, P. A.; Banerjee, S. C.
Article Title: Experiences of prognosis disclosure versus nondisclosure among family caregivers of persons with advanced cancer
Abstract: Caregiving in the South Asian context is often assumed by family automatically for the person with cancer (PWC). In this paper, we applied the disclosure decision-making model (DD-MM) to understand the motives behind cancer prognosis disclosure (or not) by caregivers to the PWC. Fifty caregivers participated in semi-structured interviews; and data were analyzed using Framework Approach. For the disclosing caregivers, some of the themes that emerged were consistent with the DD-MM framework while others were not. In particular, the theme "recipient assessment" was part of the DD-MM framework, while others such as unmet communication needs, caregiver self-reflection, and family support were outside of the framework. In contrast, for the non-disclosing caregivers, the reasons for nondisclosure fit very concisely into the DD-MM framework, particularly with information assessment, recipient assessment, and (non) disclosure efficacy. This study has significant implications for development of communication skills trainings around holding family meetings in India.
Journal Title: Death Studies
Volume: 48
Issue: 9
ISSN: 0748-1187
Publisher: Taylor & Francis Group  
Date Published: 2024-01-01
Start Page: 905
End Page: 915
Language: English
DOI: 10.1080/07481187.2023.2293711
PROVIDER: EBSCOhost
PROVIDER: cinahl plus with full text
PMCID: PMC11186974
PUBMED: 38117258
DOI/URL:
Notes: The MSK Cancer Center Support Grant (P30 CA008748) is acknowledge in the PDF -- Corresponding authors is MSK author: Smita C. Banerjee -- Source: CINAHL Plus with Full Text
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  1. Smita Banerjee
    124 Banerjee
  2. Patricia Ann Parker
    91 Parker