Resilience-enhancing interventions for family caregivers: A systematic review.

IF 1.8 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES Chronic Illness Pub Date : 2024-06-01 Epub Date: 2023-05-31 DOI:10.1177/17423953231174928

Nai-Ching Chi, Soojeong Han, Shih-Yin Lin, Ying-Kai Fu, Zilin Zhu, Lynn Nakad, George Demiris

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Abstract

Objectives: To synthesize interventions designed to enhance resilience in family caregivers (FCs).

Methods: Electronic databases including PubMed, CINAHL, PsycINFO, and Scopus, were searched using index and keyword methods for articles published before January 2020. The review process followed the PRISMA review guidelines. Study quality was assessed using the Mixed Methods Appraisal Tool (MMAT).

Results: Six studies (seven articles) were included in this review. Quantitative evidence supports the benefits of psychoeducation, mindfulness-based intervention, and cognitive behavioral therapy (CBT)-based intervention but not expressive writing in improving in FCs' resilience. Four of the six included studies were randomized controlled trials. All included studies only met 40% to 60% of the MMAT criteria, indicating low to moderate levels of study quality.

Conclusion: This review showed emerging evidence that psychoeducation, mindfulness-based intervention, and CBT-based intervention may improve caregiver resilience. However, it remains unclear which intervention and what dosage is the most effective in promoting FCs' resilience. Due to the small number of relevant studies and a low-to-moderate level of overall study quality, more rigorous clinical trials are needed to strengthen the current limited evidence base for FC resilience interventions.

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增强家庭照顾者复原力的干预措施：系统综述。

目的综述旨在增强家庭照顾者（FCs）复原力的干预措施：使用索引和关键词方法检索了 PubMed、CINAHL、PsycINFO 和 Scopus 等电子数据库中 2020 年 1 月之前发表的文章。审查过程遵循 PRISMA 审查指南。研究质量采用混合方法评估工具（MMAT）进行评估：本综述共纳入六项研究（七篇文章）。定量证据支持心理教育、正念干预和认知行为疗法（CBT）干预对提高功能性障碍者的复原力有益，但不支持表达性写作。所纳入的六项研究中有四项是随机对照试验。所有纳入的研究仅符合40%至60%的MMAT标准，表明研究质量处于中低水平：本综述显示，有新证据表明，心理教育、正念干预和 CBT 干预可提高照顾者的抗逆力。然而，目前仍不清楚哪种干预方式和干预剂量对提高功能障碍患者的抗逆力最有效。由于相关研究数量较少，且整体研究质量处于中低水平，因此需要进行更严格的临床试验，以加强目前有限的功能性抗逆力干预证据基础。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Chronic Illness Multiple-

CiteScore

3.80

自引率

0.00%

发文量

期刊介绍： Chronic illnesses are prolonged, do not resolve spontaneously, and are rarely completely cured. The most common are cardiovascular diseases (hypertension, coronary artery disease, stroke and heart failure), the arthritides, asthma and chronic obstructive pulmonary disease, diabetes and epilepsy. There is increasing evidence that mental illnesses such as depression are best understood as chronic health problems. HIV/AIDS has become a chronic condition in those countries where effective medication is available.