Correction to "Do caregiver interventions improve outcomes in relatives with dementia and mild cognitive impairment?Cheng等人(2022年)所作的 "全面系统回顾和荟萃分析"。

IF 4.3 3区 材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC ACS Applied Electronic Materials Pub Date : 2024-09-01 Epub Date: 2024-07-25 DOI:10.1037/pag0000840
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引用次数: 0

摘要

报告了 Sheung-Tak Cheng、Kin-Kit Li、Peggy P.L. Or 和 Andrés Losada 的 "护理干预是否能改善痴呆症和轻度认知障碍患者亲属的预后?A comprehensive systematic review and meta-analysis"(《心理学与老龄化》,2022 年 12 月,第 37 卷[8],929-953 页)中的错误。在原文中,表 6 第一栏中有两个标签不正确。第一个推荐干预应该是 "具有心理治疗成分的教育(心理教育-b)",第一个中度推荐干预应该是 "可能具有心理成分的教育(心理教育-a)"。尽管用词不当,但从最右边一栏的描述中可以清楚地看出干预类型的性质。本文网络版已作更正。(原文摘要如下,载于 2022-76749-001 号记录)。一些综述表明,非药物干预对痴呆症和轻度认知障碍患者的非正式照顾者有益。这些益处可能会通过提高护理能力、减轻护理者的负担和抑郁以及减少负面情绪传染等方式传递给护理对象(CRs)。然而,目前还缺乏有关这些对护理对象影响的大规模研究。我们检索了 PsycINFO、CINAHL(含全文)、MEDLINE 和 PubMed(从开始到 2020 年底),发现有 142 篇文章报道了使用 CR 结果对照顾者进行干预的随机对照试验 (RCT)。研究发现,干预措施可以减少一般的神经精神症状(NPS),特别是行为和情绪障碍,提高认知能力和生活质量,延迟入院时间和死亡率,其中护理协调/病例管理、包含心理治疗成分的教育干预(心理教育-b)和直接培训 CR(有护理者参与)是更有效的干预措施。获益的种类取决于干预的类型。心理教育-b、护理协调/个案管理和 CR 培训降低了 NPS。CR 培训和护理协调/个案管理分别提高了认知能力和生活质量。多组分干预和暂休(基于一项研究)推迟了入院时间。然而,效果一般较小或非常小。结合现有的关于照护者成果的研究结果,提出了照护者支持的三方支架模式。该模式由三个部分组成:(a) 护理协调/个案管理(即增强型常规护理),(b) 心理教育-b,以及 (c) CR 培训。本文讨论了未来的发展方向,即制定共识指南、登记干预手册以及以家庭为中心、灵活实施的项目。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
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Correction to "Do caregiver interventions improve outcomes in relatives with dementia and mild cognitive impairment? A comprehensive systematic review and meta-analysis" by Cheng et al. (2022).

Reports an error in "Do caregiver interventions improve outcomes in relatives with dementia and mild cognitive impairment? A comprehensive systematic review and meta-analysis" by Sheung-Tak Cheng, Kin-Kit Li, Peggy P. L. Or and Andrés Losada (Psychology and Aging, 2022[Dec], Vol 37[8], 929-953). In the original article, two of the labels in the first column of Table 6 were incorrect. The first Recommended intervention should have been "Education with psychotherapeutic components (psychoeducation-b)," and the first Moderately recommended intervention should have been "Education with probable psychological components (psychoeducation-a)." Despite the misnomers, the nature of the intervention type can be clearly discerned from the description in the far-right column. The online version of this article has been corrected. (The following abstract of the original article appeared in record 2022-76749-001). Some reviews suggest benefits of nonpharmacological interventions for informal caregivers of people with dementia and mild cognitive impairment. These benefits may transfer to the care-recipients (CRs) through increased caregiving capability, reduced burden and depression among caregivers, and decreased negative mood contagion. However, large-scale review on these effects on the CRs is lacking. We searched PsycINFO, CINAHL with Full Text, MEDLINE, and PubMed from inception to end of 2020 and found 142 articles that reported randomized controlled trials (RCTs) of caregiver interventions using CR outcomes. Interventions were found to reduce neuropsychiatric symptoms (NPS) in general and behavioral and mood disturbance specifically, enhance cognition and quality of life, and delay institutionalization and mortality, with care coordination/case management, educational intervention with psychotherapeutic components (psychoeducation-b), and direct training of the CR (with caregiver involvement) being the more potent interventions. The kinds of benefit depend on the types of intervention. NPS was reduced by psychoeducation-b, care coordination/case management, and CR training. Cognition and quality of life were enhanced by CR training and care coordination/case management, respectively. Institutionalization was delayed by multicomponent interventions and respite (based on one study). However, the effects were generally small to very small. Together with existing findings on caregiver outcomes, a tripartite scaffolding model of caregiver support is proposed. The model is composed of three components: (a) care coordination/case management (i.e., enhanced usual care), (b) psychoeducation-b, and (c) CR training. Future directions in terms of developing consensual guidelines, a registry of intervention manuals, and family-centered programs with flexibility in delivery are discussed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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