Effects of psychosocial interventions on self‐efficacy of dementia caregivers: a literature review

Tang, Wai Kit; Chan, Chung Yan

doi:10.1002/gps.4352

Cited by 50 publications

(43 citation statements)

References 49 publications

(104 reference statements)

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“…The findings indicated that this programme improved CSE of the caregivers, particularly, in the domain of responding to disruptive behaviours. Our study findings are in line with a review that found that CSE could be improved by the interventions that provide knowledge, skill building, information, case management, and emotional management for dementia caregivers . However, it is important to note that this programme constituted eight 60‐minute sessions, while Tang and Chan recommended six 90‐ to 120‐minute sessions to effectively enhance CSE …”

Section: Discussionsupporting

confidence: 86%

“…Our study findings are in line with a review that found that CSE could be improved by the interventions that provide knowledge, skill building, information, case management, and emotional management for dementia caregivers. 44,45 However, it is important to note that this programme constituted eight 60-minute sessions, while Tang and Chan recommended six 90-to 120-minute sessions to effectively enhance CSE. 44 This programme not only enhanced CSE but also encouraged dementia caregivers to search for positive aspects of providing care.…”

Section: Discussionmentioning

confidence: 99%

“…44,45 However, it is important to note that this programme constituted eight 60-minute sessions, while Tang and Chan recommended six 90-to 120-minute sessions to effectively enhance CSE. 44 This programme not only enhanced CSE but also encouraged dementia caregivers to search for positive aspects of providing care.…”

Section: Discussionmentioning

confidence: 99%

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Impacts of a multicomponent intervention programme on neuropsychiatric symptoms in people with dementia and psychological health of caregivers: A feasibility pilot study

Law

Kwok

2019

Int J Geriat Psychiatry

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Objectives The objectives of this study are to explore the feasibility of a multicomponent intervention programme and to evaluate its impacts on behavioural and psychological symptoms of dementia (BPSD) and psychological health of caregivers. Methods Fifty‐six community‐dwelling people with dementia (PWD) and knee osteoarthritis (OA) and their caregivers were recruited and randomized into the intervention group (IG) or comparison group (CG). Each participant in both groups received an individual physiotherapy session (personalized home exercises and care education) and underwent 8 weeks of a 1‐hour‐structured group exercise session weekly at a day care centre. They were instructed to follow the prescribed home exercise. The IG received a multicomponent programme, combining knee OA‐specific therapeutic exercise with self‐management support, while the CG attended the routine group exercise programme. The attendance rate and reasons for non‐attendance were recorded for evaluating the feasibility. The Chinese versions of the Revised Scale for Caregiving Self‐Efficacy (RSCSE) and the Neuropsychiatric Inventory Questionnaire (NPI‐Q) were measured at the baseline and postintervention. Results Fifty‐four dyads completed the programme with high attendance rate (94.4%). Compared with the CG, caregivers in the IG significantly improved in three domains of RSCSE scores (P ≤ .005) and caregivers' distress (P = .004) after the intervention. However, no effects were observed in terms of BPSD severity in PWD. No adverse events or falls were reported. Conclusion This multicomponent programme is feasible and safe for dementia caregivers and older people with mild‐to‐moderate dementia and knee OA. The programme has beneficial effects on caregiving self‐efficacy and distress of dementia caregivers.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

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Impacts of a multicomponent intervention programme on neuropsychiatric symptoms in people with dementia and psychological health of caregivers: A feasibility pilot study

Law

Kwok

2019

Int J Geriat Psychiatry

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“…Moreover, 4 articles provided reviews of dyadic interventions (involving caregiver and CR together) [39,40,55,60] while 15 covered technology-based (e.g, telephone, internet) interventions [17,22,25,26,28,30,41,42,46,51,54,57,62,64,68]. In addition, 12 "miscellaneous" reviews covered themes that cannot be classified into any of the above categories (e.g., counseling merged with case management, and interventions targeting resilience or grief) [12,18,19,22,40,44,52,53,61,67,70,71]. Two provided general overviews [35,69].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Among the 43 reviews that analyzed burden (including measures of overload, stress and behavioral bother), over half (k = 28) provided support for intervention effects. Burden was found to be reduced by psychoeducation [12,34,37,51,53,58,66], counseling/psychotherapy [12,32,36,53] OT interventions, [16], mindfulness-based interventions [21,33,38], communication training [47], respite/ day care [12,63], home support [20], care coordination/ case management [15,53], physical activity interventions [50], multicomponent interventions [14,31], dyadic interventions [39], technology-based interventions [17,28,46,51,54], and miscellaneous or intervention programs in general [12,19,35,53,61].…”

Section: Burdenmentioning

confidence: 99%

A comprehensive meta-review of systematic reviews and meta-analyses on nonpharmacological interventions for informal dementia caregivers

Cheng

Zhang

2020

BMC Geriatr

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Background: Many reviews with conflicting findings on dementia caregiver interventions have been published. A meta-review was conducted to synthesize the findings of systematic reviews and meta-analyses. Methods: MEDLINE, PsycINFO, CINAHL and Cochrane Library were searched to identify reviews published during 2006-2018. Results: Sixty reviews covering > 500 intervention studies were selected and appraised with Assessment of Multiple Systematic Reviews (AMSTAR) II. The great majority of studies were of low quality according to AMSTAR II, but quality factors appeared unrelated to the conclusions obtained. Depression was most modifiable, with effects found across a spectrum of interventions (psychoeducation, counseling/psychotherapy, occupational therapy, mindfulnessbased interventions, multicomponent interventions, etc.). Evidence of intervention effect was also found for quality of life (psychoeducation), mastery (psychoeducation, occupational therapy and multicomponent interventions) and communication skills (communication training). Null or weak results were found for anxiety, social support and burden. Support groups and respite were generally ineffective. There was no evidence that dyadic programs were better than caregiver-only programs, or that programs delivered individually or in groups would differ in their impacts. The evidence also does not support multicomponent interventions to have broader impacts than single-component programs. Methodological issues in the existing reviews (e.g., selective use of studies to serve different research purposes and inconsistent classification of interventions) were noted and taken into account when interpreting findings. (Continued on next page)Conclusions: This meta-review clarified variations in review methodology and identified a few potent groups of intervention (most notably psychoeducation, psychotherapy, occupational therapy, and multicomponent interventions), although no intervention type had broad effects on caregiver outcomes. We note that improvements are needed in the reporting of intervention studies and in making the classification of interventions more transparent and consistent. We further recommend fewer and larger-scale reviews and more attention to positive outcomes in order to better inform the field. Developing interventions with broader impacts and packaging them to meet caregivers' changing needs in the course of dementia should be a priority for researchers and practitioners.

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Psychosoziale Interventionen im Rahmen des BPSD-Managements

Ebert

2024

Verhaltensstörungen Bei Demenzerkrankungen

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Effects of psychosocial interventions on self‐efficacy of dementia caregivers: a literature review

Abstract: The efficacy of the interventions for self-efficacy and other outcomes for caregivers and PWD were explored. Recommendations on the effects and significance of various psychosocial interventions for caregivers of PWD in enhancing self-efficacy were discussed.

Cited by 50 publications

References 49 publications

Impacts of a multicomponent intervention programme on neuropsychiatric symptoms in people with dementia and psychological health of caregivers: A feasibility pilot study

Impacts of a multicomponent intervention programme on neuropsychiatric symptoms in people with dementia and psychological health of caregivers: A feasibility pilot study

A comprehensive meta-review of systematic reviews and meta-analyses on nonpharmacological interventions for informal dementia caregivers

Psychosoziale Interventionen im Rahmen des BPSD-Managements

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