Effectiveness of interventions for co‐residing family caregivers of people with dementia: Systematic review and meta‐analysis

Background/aim Occupational therapists and health practitioners commonly provide interventions to family caregivers of people with dementia with the aim of relieving burden, depression, and disruptions in health and social support. To date, the effects of multicomponent interventions specifically ta...

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Bibliographic Details
Published in:Australian occupational therapy journal 2018-06, Vol.65 (3), p.208-224
Main Authors: Abrahams, Rebecca, Liu, Karen P. Y., Bissett, Michelle, Fahey, Paul, Cheung, Karen S. L., Bye, Rosalind, Chaudhary, Katrina, Chu, Leung‐Wing
Format: Article
Language:English
Subjects:
Caregiver burden
Caregivers
Counseling
Dementia
dependency burden
emotional depression
Emotions
Evidence-based medicine
Families & family life
family caregivers
Health
health status
Intervention
Medical personnel
Mental depression
Meta-analysis
Occupational therapists
Occupational therapy
Social support
Social workers
Support groups
Systematic review
Therapists
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Summary:Background/aim Occupational therapists and health practitioners commonly provide interventions to family caregivers of people with dementia with the aim of relieving burden, depression, and disruptions in health and social support. To date, the effects of multicomponent interventions specifically targeting these four important outcomes has not been established. The aim of this study was to evaluate the effectiveness of multicomponent interventions on four outcomes for co‐residing family caregivers of people with dementia. Methods A comprehensive database search of the literature was performed using CINAHL, MEDLINE, PubMed, PsycINFO, OTseeker, EMBASE and the Cochrane library. Randomised control trials (RCTs) that included multicomponent interventions for co‐residing family caregivers addressing burden, depression, health and social support were selected. Relevant articles were critically reviewed and study results were synthesised. Meta‐analysis was conducted separately. Results Twenty‐two of 358 retrieved studies were selected, with 15 studies being included in the meta‐analyses. The multicomponent interventions identified were comprised of a range of different individual strategies. Significant effective results were found for all four specified outcomes. Conclusions Many types of multicomponent interventions appear beneficial on all of the four specified outcomes. The literature presents a trend that multicomponent interventions consisting of a combination of counselling, support groups, education, stress and mood management or telephone support are important strategies within an effective multicomponent intervention.
ISSN:0045-0766
1440-1630
DOI:10.1111/1440-1630.12464