{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T23:30:07Z","timestamp":1777419007696,"version":"3.51.4"},"reference-count":34,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,8,29]],"date-time":"2022-08-29T00:00:00Z","timestamp":1661731200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Medicine"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Family caregivers play an increasing role in cancer treatment decision\u2010making. We examined bias reported by family caregivers in the support they and their patient received from their healthcare team when making these decisions, including associations with distress.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Analysis of 2021 national survey data of family caregivers of patients with cancer (<jats:italic>N<\/jats:italic>\u00a0=\u00a02703). Bias experienced in decision support was assessed with the item: \u201cHave you felt that the support you and the person with cancer have received for making cancer\u2010related decisions by your doctor or healthcare team has been negatively affected by any of the following?\u201d Check\u2010all\u2010that\u2010apply response options included: age, race, language, education, political affiliation, body weight, insurance type or lack of insurance, income, religion, sexual orientation, and gender\/sex. Chi\u2010square and regression analyses assessed associations between bias and caregiver distress (GAD\u20102, PHQ\u20102).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 2703 caregiver respondents, 47.4% (<jats:italic>n<\/jats:italic>\u00a0=\u00a01281) reported experiencing \u22651 bias(es) when receiving decision support for making cancer\u2010related decisions. Bias was more prevalent among younger caregivers, males, transwomen\/men or gender non\u2010conforming caregivers, racial\/ethnic minorities, and those providing care over a longer time period. The odds of having high anxiety (GAD\u20102 scores\u2009\u2265\u20093) were 2.1 times higher for caregivers experiencing one type of bias (adjusted OR, 2.1; 95% CI, 1.6\u20132.8) and 4.2 times higher for caregivers experiencing \u22652 biases (adjusted OR, 4.2; 95% CI, 3.4\u20135.3) compared to none. Similar results were found for high depression scores (PHQ\u20102 scores\u2009\u2265\u20093).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Nearly half of caregivers involved in their care recipients' cancer\u2010related decisions report bias in decision support received from the healthcare team. Experiencing bias was strongly associated with high psychological distress.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cam4.5182","type":"journal-article","created":{"date-parts":[[2022,8,29]],"date-time":"2022-08-29T07:24:03Z","timestamp":1661757843000},"page":"3567-3576","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Bias reported by family caregivers in support received when assisting patients with cancer\u2010related decision\u2010making"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6764-0254","authenticated-orcid":false,"given":"J. Nicholas","family":"Dionne\u2010Odom","sequence":"first","affiliation":[{"name":"School of Nursing University of Alabama at Birmingham  Birmingham Alabama USA"},{"name":"Division of Gerontology Geriatrics, and Palliative Care School of Medicine University of Alabama at Birmingham  Birmingham Alabama USA"},{"name":"Center for Palliative and Supportive Care University of Alabama at Birmingham  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine A.","family":"Ornstein","sequence":"additional","affiliation":[{"name":"Department of Geriatrics and Palliative Medicine Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andres","family":"Azuero","sequence":"additional","affiliation":[{"name":"School of Nursing University of Alabama at Birmingham  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin 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USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Avery C.","family":"Bechthold","sequence":"additional","affiliation":[{"name":"School of Nursing University of Alabama at Birmingham  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyungmi","family":"Lee","sequence":"additional","affiliation":[{"name":"School of Nursing University of Alabama at Birmingham  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank","family":"Puga","sequence":"additional","affiliation":[{"name":"School of Nursing University of Alabama at Birmingham  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ellen","family":"Miller\u2010Sonet","sequence":"additional","affiliation":[{"name":"CancerCare  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grant R.","family":"Williams","sequence":"additional","affiliation":[{"name":"Division of 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