Mediating and moderating roles of individual resilience, caring ability and social support: a cross-sectional study on the association between family resilience and caregiving burden among primary family caregivers of cancer patients in China
Abstract
Objectives This study aimed to evaluate the caregiving burden among primary caregivers of cancer patients, clarify the relationship between family resilience and caregiving burden, and explore the mediation and moderation effects. Design A cross-sectional study design was used. Setting The study was conducted at a specialised tumour hospital in Harbin, China. Participants The study included a sample of 402 primary family caregivers of patients with cancer. Ultimately, 367 participants completed valid questionnaires, yielding a response rate of 91.2%. Outcome measures Participants completed scales evaluating caregiving burden, caring abilities, individual resilience, family resilience and social support. We performed structural equation modelling to analyse mediation and moderation effects. Results Out of 367 responses, approximately 50% of primary family caregivers reported moderate to severe caregiving burden. Family resilience was found to reduce caregiving burden (β=−0.386, p=0.005), while individual resilience fully mediated the relationship between family resilience and caregiving burden (95% CI −0.659 to –0.161). Caring ability moderated both the first and second halves of the mediating path. Furthermore, social support doubly moderated the moderating role of caring ability in both the first and second halves of the mediating path. Conclusions This study demonstrated the mediating role of individual resilience and the moderating roles of caring ability and social…
How strong is the evidence?
Evidence Hub reads this as a cross-sectional, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause. Reported size: 367 participants or records.
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