Mindfulness in Family Caregivers of Persons with Dementia: Systematic Review and Meta-Analysis

Jurado, María del Mar Molero; Fuentes, María del Carmen Pérez; Martín, Ana Belén Barragán; Soriano-Sánchez, José-Gabriel; Ruíz, Nieves Fátima Oropesa; Sisto, María; Linares, José Jesús Gázquez

doi:10.3390/healthcare8030193

Cited by 15 publications

(13 citation statements)

References 38 publications

(62 reference statements)

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“…As a result, individuals naturally increase their ability to cope with adverse emotional events, generating a great sense of emotional balance and well-being [8,9]. Furthermore, this self-awareness in clinical practice reduces stress and burnout symptoms, and increases well-being and compassion among clinicians and patients [16,27,28]. According to empirical research, MBIs contribute to significantly reducing emotional exhaustion [8,9,[15][16][17][18]21], depersonalization [8,9,16,17,20,21], and increase the sense of personal accomplishment in PHCP [8,9,[15][16][17].…”

Section: Introductionmentioning

confidence: 99%

Mindfulness-Based Interventions to Reduce Burnout in Primary Healthcare Professionals: A Systematic Review and Meta-Analysis

et al. 2021

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Mindfulness-based interventions (MBIs) are reported by experimental studies as practical approaches to reduce burnout in primary healthcare professionals (PHCP). However, to date, no research has synthesized the evidence to determine the overall effects of MBIs for reducing burnout in PHCP. We conducted a systematic review and meta-analysis to analyze the effects of MBIs to reduce burnout in PHCP. We searched articles in the PubMed/MEDLINE, Web of Science, Cochrane, and Scopus databases from inception to September 2021 using MeSH terms: “mindfulness”, “burnout”, and “primary healthcare”. Two reviewers extracted the data and assessed the risk of bias. We used a random-effects meta-analysis to calculate the standardized mean differences (SMD) and mean differences (MD) with 95% confidence intervals (CI) of emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA) domains of burnout. Of 61 records, ten were included (n = 417). Overall, the studies were rated as having a high risk of bias and limited quality evidence. MBIs significantly reduced EE (SMD = −0.54, 95%CI: −0.72 to −0.36; MD = −5.89, 95%CI: −7.72 to −4.05), DP (SMD = −0.34, 95%CI: −0.52 to −0.17; MD = −1.96, 95%CI: −2.96 to −0.95), and significantly increased PA (SMD = 0.34, 95%CI: 0.17 to 0.52; MD = 2.05, 95%CI: 1.04 to 3.06). Although further high-quality research is needed, our findings support the implementation of MBIs for reducing burnout in PHCP.

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Section: Introductionmentioning

confidence: 99%

Mindfulness-Based Interventions to Reduce Burnout in Primary Healthcare Professionals: A Systematic Review and Meta-Analysis

et al. 2021

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Section: Ta B L E 1 (Continued)mentioning

confidence: 99%

“…Although systematic reviews and meta-analyses of this topic have been undertaken previously, their results are inconsistent (Liu et al, 2017;Molero Jurado et al, 2020). A review by Molero Jurado et al (2020) showed a significant reduction in caregiver's anxiety and burden. The present study attempted to investigate anxiety and burden of caregivers (Liu et al, 2017) and performed subgroup analysis of the effects of the intervention's delivery duration on depression, which was not attempted in previous reviews (Collins & Kishita, 2019;Liu et al, 2017;Molero Jurado et al, 2020).…”

Section: Ta B L E 1 (Continued)mentioning

confidence: 99%

A meta‐analysis of mindfulness‐based interventions for improving mental health and burden among caregivers of persons living with dementia

Saragih,

Batubara,

Sharma

et al. 2023

Worldviews Ev Based Nurs

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BackgroundMindfulness‐based interventions are becoming increasingly popular and are effective in lowering depressive symptoms and caregiver burden. However, the overall efficacy of therapies in stress and anxiety management is unreported, and no study to date has performed a subgroup analysis to investigate the intervention dose response of outcomes.AimsTo quantitatively identify the effectiveness of mindfulness‐based interventions for caregivers of persons living with dementia.MethodsA comprehensive literature search of six databases was undertaken from the date of inception to June 18, 2023. The DerSimonian–Laird model with random effects was used to examine the overall effect and its heterogeneity in the studies. Version 2 of the risk of bias (RoB 2) tool was employed to analyze the publication bias of each randomized study. Funnel and forest plots were created to represent the findings.ResultsThirteen randomized trials were included in the meta‐analysis. Mindfulness‐based interventions significantly reduced stress and anxiety of caregivers of persons living with dementia. In addition, interventions provided for ≥8 weeks were beneficial in reducing depression in caregivers. However, mindfulness‐based interventions did not offer significant benefits in reducing depression or caregiver burden immediately after the intervention.ConclusionMindfulness‐based interventions have the potential to help caregivers of people living with dementia. This study could be used as a model for future research into and implementation of mindfulness‐based therapies for caregivers.Linking Evidence to ActionMindfulness‐based therapies appear to alleviate stress and anxiety but are ineffective in reducing depression and burden in caregivers of persons living with dementia. Well‐designed RCTs with more rigorous methodology and a larger sample size should be conducted to firm the conclusion of the effectiveness of mindfulness‐based interventions for caregivers of persons living with dementia.

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“…Mindfulness-based interventions are also potentially scalable (because they can be accessed through a smartphone) and can decrease caregiver burden, stress, anxiety, and depression. 68 , 69 However, these interventions should be considered in combination with treatments for depression and other neuropsychiatric symptoms, as well as with assessments of vulnerable situations, an obstacle that is imperative to overcome. Common repositories of resources that can be useful for caregivers in different LACs are needed.…”

Section: Short-term Regional Strategiesmentioning

confidence: 99%

Dementia caregiving across Latin America and the Caribbean and brain health diplomacy

Ibáñez

Piña‐Escudero

Possin

et al. 2021

The Lancet Healthy Longevity

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The prevalence of dementia in Latin America and the Caribbean is growing rapidly, increasing the burden placed on caregivers. Exacerbated by fragile health-care systems, unstable economies, and extensive inequalities, caregiver burden in this region is among the highest in the world. We reviewed the major challenges to caregiving in Latin America and the Caribbean, and we propose regional and coordinated actions to drive future change. Current challenges include the scarcity of formal long-term care, socioeconomic and social determinants of health disparities, gender-biased burdens, growing dementia prevalence, and the effect of the current COVID-19 pandemic on families affected by dementia. Firstly, we propose local and regional short-term strategic recommendations, including systematic identification of specific caregiver needs, testing of evidence-based local interventions, contextual adaptation of strategies to different settings and cultures, countering gender bias, strengthening community support, provision of basic technology, and better use of available information and communications technology. Additionally, we propose brain health diplomacy (ie, global actions aimed to overcome the systemic challenges to brain health by bridging disciplines and sectors) and convergence science as frameworks for long-term coordinated responses, integrating tools, knowledge, and strategies to expand access to digital technology and develop collaborative models of care. Addressing the vast inequalities in dementia caregiving across Latin America and the Caribbean requires innovative, evidence-based solutions coordinated with the strengthening of public policies.

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Mindfulness in Family Caregivers of Persons with Dementia: Systematic Review and Meta-Analysis

Cited by 15 publications

References 38 publications

Mindfulness-Based Interventions to Reduce Burnout in Primary Healthcare Professionals: A Systematic Review and Meta-Analysis

Mindfulness-Based Interventions to Reduce Burnout in Primary Healthcare Professionals: A Systematic Review and Meta-Analysis

A meta‐analysis of mindfulness‐based interventions for improving mental health and burden among caregivers of persons living with dementia

Dementia caregiving across Latin America and the Caribbean and brain health diplomacy

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