Dementia caregiver interventions in Chinese people: A systematic review

Wu, Bei; Petrovsky, Darina; Wang, Jing; Xu, Hanzhang; Zhu, Zheng; McConnell, Eleanor S.; Corrazzini, Kirsten N.

doi:10.1111/jan.13865

Cited by 23 publications

(23 citation statements)

References 65 publications

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“…74 Consistent with previous meta-analyses conducted in both non-Chinese and Chinese populations, our review showed a general preference of multicomponent interventions in the current literature of dementia caregiving. 29,77,78 It is assumed that multicomponent interventions were more effective than single component interventions. 70,77 However, findings on the effectiveness of multicomponent interventions are not conclusive.…”

Section: Discussionmentioning

confidence: 99%

“…[87][88][89] Implementing interventions at caregivers' homes allowed flexibility for caregivers to use services at any time and stay with their care recipients. 41,78 Paraprofessionals and lay/community health workers have appeared to be effective in promoting health education and service utilization in low-income, underserved, ethnic minorities, as they share similar cultural and linguistic backgrounds of the members and have experiential knowledge of the community. 28,59,67,90 Interventions in Chinese-minority societies also addressed the language barriers to care by providing linguistic adaptations and bilingual services.…”

Section: Discussionmentioning

confidence: 99%

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An international systematic review of dementia caregiving interventions for Chinese families

Saw

2020

Int J Geriat Psychiatry

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Older Asians and Chinese are among the least studied populations in the dementia caregiving literature. This review seeks to critically synthesize the literature on intervention characteristics, components and tailoring strategies for dementia family caregivers in Chinese communities globally. Methods: Five electronic databases (PsychINFO, PubMed, CINAHL, ScienceDirect and Google Scholar) were searched for articles published between 1980 and July 2018. The protocol of this review was registered with PROSPERO (CRD42019132800). Results: Twenty-nine unique interventions across 39 papers met inclusion criteria. Results from descriptive and thematic syntheses revealed that most interventions were psychoeducational, CBT-based, multicomponent, structured, and less than a year in duration. Disease education, management of behavioral and psychological symptoms of dementia, stress coping techniques, and referral to community resources were frequently included in interventions. Community-, culture-and language-focused strategies were used to tailor interventions. The most common tailoring strategies were: (a) using community networks and media for outreach and recruitment; (b) making translations and language adaptations to the intervention materials; and (c) focusing on trust and therapeutic alliance. Most interventions produced desired outcomes, particularly reducing caregiver burden and increasing self-efficacy. Conclusions: To our knowledge, this is the first review to date that systematically synthesized the characteristics and tailoring of dementia caregiving interventions for Chinese families globally. Current findings suggest that most interventions are effective, although many only superficially address Chinese culture. Future research should incorporate Chinese values and cross-cultural challenges into caregiving interventions for deep-level adaptations that could potentially be more effective to engage and support Chinese caregivers.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

An international systematic review of dementia caregiving interventions for Chinese families

Saw

2020

Int J Geriat Psychiatry

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“…Future studies might consider studying the mediating and the moderating effects of positive thinking on care-recipients challenging behavior problems. In fact, the systematic review conducted by Wu and colleagues [49], showed that most of the interventions showed a potential to improve the health and well-being of dementia caregivers and care recipients. In addition, the study conducted by Hughes and colleagues [50], concluded that addressing the potentially modifiable unmet caregiver needs can reduce caregiver burden.…”

Section: Resultsmentioning

confidence: 99%

Factor Structure and Psychometric Properties of Cognitive-Behavioral Scales in Caregivers of Persons with Dementia

Bekhet¹,

Garnier‐Villarreal²

2018

Int J Psychol Psychoanal

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Background/Purpose: Caregiving can be costly to dementia caregivers' well-being. Assessing the factor structure and psychometric properties of Cognitive-Behavioral Scales in dementia caregivers is an essential step in addressing the gap in the current state of research. Specifically, it is essential to determine first whether the factorial structure of the three measures used in this study namely, the Positive Thinking Skills Scale, the Revised Memory and Behavior Problems Checklist, and the Zarit Burden Interview are good representation of the data by studying the good model fit. Next, evaluating the reliability of each factor of the three measures used are essential to learn about the precision of the factors. Lastly, it is vital to study the factor correlation and its relevance to the theory used to determine the validity of the factors. Methods: A descriptive, correlational, cross-sectional design in a convenience sample of 100 caregivers. Results: Results indicated that the factorial structure of the three scales is a good representation of the data; an acceptable reliability of each factor of the three measures; and the factors correlated as expected and showed their relevance to the underlying theory. Conclusions: Future studies might consider studying the mediating/moderating effects of positive thinking on carerecipients challenging behavior problems. The findings can be used as a guide to provide a positive thinking training intervention among caregivers.

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“…We observed that no articles were published in the top-tier general medical journals, and of the 10 most-cited articles, four articles were randomized controlled trials. Nearly half of the publications related to the health of and intervention for family caregiver of people with dementia were randomized controlled trials, but the review found mixed methodological quality and mixed results in terms of some intervention outcomes [17,18]. Incomplete data reporting, high dropout rates, and recruitment are remaining challenges in study designs in this field [19].…”

Section: Discussionmentioning

confidence: 99%

Research on the health of and interventions for family caregivers of people with dementia: a bibliometric analysis of research output during 1988–2018

et al. 2020

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Background: Dementia is a serious and growing health problem, and since most people with dementia live at home, caring responsibilities generally fall on family members. Caregivers are often inadequately supported by formal health services and have poorer psychological and physical health. Our study aimed to compare the contributions of publications from different countries, institutions and authors and present a bibliometric analysis to determine the hotspots and trends in research concerning the health of and interventions for family dementia caregivers. Methods: Studies published during 1988-2018 were extracted from the Science Citation Index Expanded of the Web of Science. Each abstract of publications was evaluated to obtain the basic information. A bibliometric analysis was used to evaluate the number or cooperation networks of publications, countries, institutions, journals, citations, authors, references, and keywords. The resulting articles were analyzed descriptively, and the publication keywords were visualized using VOSviewer. Results: Five hundred forty-two articles were identified. The annual number of relevant publications has steadily increased since approximately 2006. The USA has the highest number of publications (36.2%), followed by the UK (12.9%). China entered the field late, but research conducted in China has rapidly developed. The most productive institution, journal, and author in this field are University College London, the Journal of the American Geriatrics Society, and Orrell M from the UK, respectively. A co-occurrence analysis of the keywords reveals a mainstream research focus on burden, depression, quality of life, and corresponding interventions for people with dementia caregivers. The keywords "psychosocial intervention", "long-term", "e-learning/online", "communication", and "qualitative research" reflect the latest hotspots, appearing in approximately 2017-2018. Conclusion: Our study details the performance statistics, main topics and trends research on the health of and interventions for dementia caregivers from 1988 to 2018 and provides a comprehensive analysis.

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Dementia caregiver interventions in Chinese people: A systematic review

Cited by 23 publications

References 65 publications

An international systematic review of dementia caregiving interventions for Chinese families

An international systematic review of dementia caregiving interventions for Chinese families

Factor Structure and Psychometric Properties of Cognitive-Behavioral Scales in Caregivers of Persons with Dementia

Research on the health of and interventions for family caregivers of people with dementia: a bibliometric analysis of research output during 1988–2018

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