{"doi":"10.1089/jpm.2022.0395","title":"Moderating Effect of Work on Burden and Hospice Family Caregiver Well-Being","abstract":"Background:Hospice family caregiving is often physically and emotionally taxing, but it is unclear how employment status impacts hospice caregiver burden and well-being. Objective(s):To examine the relationship between caregiver burden and well-being, and the moderating role of employment status (i.e., working, not working). Design, Setting/Subjects:This was a secondary data analysis of baseline data from a longitudinal observational study of family caregivers of home hospice cancer patients in the United States. Descriptive statistics, correlations, hierarchical linear regressions, and moderation analyses were used. Measurements:Baseline data included demographics, preparedness for caregiving, perceived burden, and well-being (i.e., global health, positive affect and well-being, anxiety, depression). Results:The majority of the 90 participants were White (86.7%), married (71.1%), and college educated (85.6%). The mean age was 58.27 ± 14.22, 53.3% cared for a spouse, and 56.6% worked full or part time. After controlling for demographics, and using employment status as a moderator, greater caregiver burden was significantly associated with lower global health (β = −0.82 [−1.22 to −0.42], p < 0.001), positive affect and well-being scores (β = −0.69 [−1.03 to −0.36], p < 0.001), and higher depression (β = 0.24 [0.12–0.37], p < 0.001) and anxiety scores (β = 0.22 [0.07–0.37], p < 0.005). Employment status significantly moderated the relationship between burden and global health (β = 0.65 [0.22 to 1.08], p < 0.005), and burden and positive affect and well-being (β = 0.45 [0.06 to 0.84], p < 0.05). At high levels of burden, workers had greater well-being than nonworkers. Conclusion(s):More burdened hospice caregivers may experience worse well-being, especially among nonworking caregivers. Employment may be a protective factor for highly burdened hospice family caregivers.","journal":"Journal of Palliative Medicine","year":2023,"id":376537,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":3,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.8619,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":260603,"name":"Megan Hebdon","orcid":"0000-0003-1916-5043","position":1,"is_corresponding":false},{"id":426342,"name":"Anna C. Beck","orcid":"0000-0003-0592-9540","position":2,"is_corresponding":false},{"id":714451,"name":"Kristin G. Cloyes","orcid":"0000-0003-2139-7716","position":3,"is_corresponding":false},{"id":613765,"name":"Kathi Mooney","orcid":"0000-0003-3371-5646","position":4,"is_corresponding":false},{"id":406706,"name":"Maija Reblin","orcid":"0000-0003-3108-465X","position":5,"is_corresponding":false},{"id":714449,"name":"Djin Tay","orcid":"0000-0001-5247-0010","position":6,"is_corresponding":false},{"id":1139757,"name":"Evans Appiah Osei","orcid":"0000-0002-6730-4725","position":7,"is_corresponding":false},{"id":487146,"name":"Lee Ellington","orcid":"0000-0002-7035-490X","position":8,"is_corresponding":false},{"id":767115,"name":"Jiayun Xu","orcid":"0000-0002-6363-6028","position":0,"is_corresponding":true}],"reference_count":34,"raw_metadata":null,"created_at":"2026-07-19T01:16:32.368674Z","pmid":"36799950","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}