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Table 3 Multivariate linear regressions of factors associated with grief

From: Is dying in hospital better than home in incurable cancer and what factors influence this? A population-based study

 

Unadjusted

Adjusted

 

n

M (SD)

B (95 % CI)

β

P value

B (95 % CI)

β

P value

sr2

Grief intensity around time of death (TRIG I)

         

 Place of death

         

  Hospital

158

20.78 (8.25)

Ref.

  

Ref.

   

  Home

162

20.52 (7.91)

−0.25 (–2.03 to 1.52)

−0.02

0.779

−2.44 (–4.50 to –0.39)

−0.15

0.020

0.02

 Relative’s relationship to the patient

         

  Spouse/partner

130

21.85 (8.16)

Ref.

  

Ref.

   

  Son/daughter

134

20.25 (7.58)

−1.61 (–3.55 to 0.33)

−0.10

0.104

−1.89 (–3.86 to 0.08)

−0.12

0.060

0.01

  Brother/sister

15

17.87 (6.32)

−3.99 (–8.29 to 0.31)

−0.11

0.069

−4.83 (–9.09 to –0.56)

−0.13

0.027

0.02

  Other

40

19.45 (9.40)

−2.40 (–5.25 to 0.45)

−0.10

0.098

−3.16 (–6.14 to –0.19)

−0.13

0.037

0.01

 Relative’s presence at time of death

         

  No

94

19.04 (8.51)

Ref.

  

Ref.

   

  Yes

225

21.24 (7.72)

2.19 (0.27 to 4.12)

0.13

0.026

2.41 (0.28 to 4.54)

0.14

0.027

0.02

 Patient’s preference for place of death discussed with family

         

  No

121

19.00 (8.01)

Ref.

  

Ref.

   

  Yes

188

21.57 (8.06)

2.57 (0.73 to 4.42)

0.16

0.006

3.01 (1.11 to 5.03)

0.19

0.002

0.03

Grief intensity at time of questionnaire completion (TRIG II)

         

 Place of death

         

  Hospital

158

43.11 (14.10)

Ref.

  

Ref.

   

  Home

158

45.02 (11.26)

1.91 (–0.92 to 4.73)

0.08

0.185

−3.63 (–6.76 to –0.50)

−0.14

0.023

0.01

 Relative’s relationship to the patient

         

  Spouse/partner

126

49.21 (10.00)

Ref.

  

Ref.

   

  Son/daughter

133

41.92 (11.71)

−7.55 (–9.85 to –5.26)

−0.29

<0.001

−6.69 (–9.98 to –3.40)

−0.26

<0.001

0.04

  Brother/sister

15

40.67 (16.17)

−10.93 (–15.75 to –6.21)

−0.19

<0.001

−6.78 (–13.45 to –0.11)

−0.11

0.046

0.02

  Other

41

36.98 (16.18)

−11.92 (–15.22 to –8.63)

−0.31

<0.001

−12.54 (–17.09 to –7.99)

−0.32

<0.001

0.08

 Relative’s presence at time of death

         

  No

90

38.77 (15.29)

Ref.

  

Ref.

   

  Yes

225

46.11 (10.94)

6.58 (4.36 to 8.81)

0.25

<0.001

4.77 (1.51 to 8.04)

0.17

0.004

0.01

 Relative’s work arrangements in last three months of patient’s life

         

  0 to 3 days off work

58

37.50 (13.52)

Ref.

  

Ref.

   

  4 to 14 days off work

44

45.14 (11.92)

7.64 (2.88 to 12.40)

0.22

0.002

7.07 (2.41 to 11.73)

0.20

0.003

0.02

  15+ days off work

47

50.32 (9.19)

12.82 (8.15 to 17.49)

0.37

<0.001

8.44 (3.64 to 13.23)

0.24

0.001

0.03

  Not working

144

44.97 (12.37)

7.47 (3.77 to 11.18)

0.30

<0.001

3.87 (3.64 to 13.23)

0.15

0.048

0.01

 Patient’s preference for place of death discussed with family

         

  No

123

41.83 (13.86)

Ref.

  

Ref.

   

  Yes

182

45.34 (11.96)

2.80 (0.52 to 5.09)

0.11

0.016

2.88 (0.07 to 5.82)

0.11

0.056

0.01

  1. The TRIG was used to measure grief intensity for the respondent; the first scale asks respondents about their experience at the time of death (TRIG I 8–40 scale, 8 items, measured retrospectively) and the second scale asks about their experience at the time of questionnaire completion (TRIG II 13–65 scale, 13 items; higher scores meaning greater grief intensity; [30]). TRIG I model included 307 bereaved relatives (87.2 %), with more missing amongst hospital deaths than amongst home deaths (16.4 % vs. 9.1 %, P = 0.042). Model statistics: R for regression significantly different than zero, F(9,297) = 4.492, P <0.001; R2 = 0.120, adjusted R2 = 0.093. TRIG II model included 281 bereaved relatives (79.8 %), with no significant differences in the proportion missing amongst hospital deaths and home deaths (22.6 % vs. 17.7 %, P = 0.254). Model statistics: R for regression significantly different than zero, F(12,268) = 8.181, P <0.001; R2 = 0.268, adjusted R2 = 0.235
  2. CI, Confidence interval; B, Unstandardised regression coefficient; β, Standardised regression coefficient; M, mean; sr2, Semipartial correlation; SD, Standard deviation; TRIG, Texas Revised Inventory of Grief