The PLUS intervention: A pilot test with caregivers of depressed older adults

Horton-Deutsch, Sara; Farran, Carol J.; Choi, Eunice; Fogg, Louis

doi:10.1053/apnu.2002.32108

Cited by 12 publications

(21 citation statements)

References 31 publications

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“…The 10 primary studies report on psychosocial support interventions providing education, information, coordination, counselling, psychological and emotional support, either in group [19, 22–26] or at the individual caregiver level [17, 18, 20, 21]. …”

Section: Resultsmentioning

confidence: 99%

The effect of caregiver support interventions for informal caregivers of community-dwelling frail elderly: a systematic review

Hartmann¹,

Wens²,

Verhoeven³

et al. 2012

Int J Integr Care

125

131

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IntroductionInformal caregivers are important resources for community-dwelling frail elderly. But caring can be challenging. To be able to provide long-term care to the elderly, informal caregivers need to be supported as well. The aim of this study is to review the current best evidence on the effectiveness of different types of support services targeting informal caregivers of community-dwelling frail elderly.MethodsA systematic literature search was performed in Medline, PsychINFO, Ovid Nursing Database, Cinahl, Embase, Cochrane Central Register of Controlled Trials and British Nursing Index in september 2010.ResultsOverall, the effect of caregiver support interventions is small and also inconsistent between studies. Respite care can be helpful in reducing depression, burden and anger. Interventions at the individual caregivers’ level can be beneficial in reducing or stabilizing depression, burden, stress and role strain. Group support has a positive effect on caregivers’ coping ability, knowledge, social support and reducing depression. Technology-based interventions can reduce caregiver burden, depression, anxiety and stress and improve the caregiver’s coping ability.ConclusionIntegrated support packages where the content of the package is tailored to the individual caregivers’ physical, psychological and social needs should be preferred when supporting informal caregivers of frail elderly. It requires an intense collaboration and coordination between all parties involved.

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Section: Resultsmentioning

confidence: 99%

The effect of caregiver support interventions for informal caregivers of community-dwelling frail elderly: a systematic review

Hartmann¹,

Wens²,

Verhoeven³

et al. 2012

Int J Integr Care

125

131

View full text Add to dashboard Cite

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“…However, more positive results were obtained when other outcome indicators were included [27 . ,31,32 [91,92], and in one study [93] the neuroleptic drug dosage was controlled.…”

Section: Predictors Of Burden (Table 2)mentioning

confidence: 99%

The burden of caregiving in families with a mental illness: a review of 2002

Ohaeri

2003

Current Opinion in Psychiatry

142

139

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Purpose of reviewWith a focus on publications around 2002, this paper attempts a synthetic overview of the broad range of issues in the field of family/informal caregiver burden for all categories of mental disorders. The paper seeks to answer the following questions: how far have publications advanced the field of caregiver burden; how far have they addressed the limitations of previous studies; what more needs to be done? Recent findings Although researchers accepted 'burden' as an 'allencompassing' term, many caregivers reported positive and uplifting experiences, and hence the term 'care giving' is proposed. Care giving is associated with emotional and cognitive transformations. The most important predictors of burden are problematical behaviour, disability and the severity of symptoms. Effective treatment is thus the first step to reduce burden. High expressed emotion may indicate the family's attempts to help the patient; and is mediated by controlling behaviour, stigma, burden, and caregiver perceptions of the patient's control over their own behaviour. New questionnaire measures of expressed emotion encourage cross-cultural research. Psycho-education is the most popular family intervention treatment. Outcome indicators that include caregiver attitudes and knowledge show more positive outcomes than readmission and caregiver burden. Encounters with health professionals are frustrating. Summary There has been a paradigm shift in professionals' perceptions of the caregiver. The challenges include: how best to support the family; improving caregiver perception of professionals; comparison of caregiver costs across illness groups; crosscultural perspectives; longitudinal assessment for trait/statedependent characteristics; and practical assessment tools in the clinical setting.

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“…Patients and family members were recruited by researchers (49,60,61,64,65), nurses (50,51,62,63,(66)(67)(68)(69) or other healthcare staff (51,52,69,70). Many studies did not indicate who was responsible for recruitment (53,54,56,57,59,(71)(72)(73)(74)(75)(76). With just four exceptions (53,56,66,77), most studies reported their dropout rates (range 0-98).…”

Section: Description Of the Datamentioning

confidence: 99%

“…Many of the studies offered no description of how the patient and family member were related (wife, child, etc.). The interventions were targeted at both the patient and family member (49,57,64,65,67,(75)(76)(77)(78), but four out of these studies the main target was the family member (65,67,75,78). One intervention was separately targeted at a patient and family member (56).…”

Section: Targets Of Interventionsmentioning

confidence: 99%

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Nursing intervention studies on patients and family members: a systematic literature review

Mattila

Leino

Paavilainen

et al. 2009

Scandinavian Caring Sciences

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The development of evidence-based practice is a major current challenge in the fields of nursing practice and nursing research. A concerted effort is needed to develop and test interventions and to assess their impacts. The illness of one family member inevitably affects other family members and the whole family. Nursing interventions should be so designed that they support and enhance the life situation of both patients and their families. The aim of this study is to undertake a systematic review of nursing intervention studies on patients and family members published in international databases in 2001-2006. The main focus was on the targets, methods and impacts of interventions. The articles for the review were searched from Medline and Cinahl (n = 31) and analysed by content analysis and the RE-AIM evaluation model. The results showed that the interventions were targeted at patients with chronic diseases and individual family members. In addition to support components, the interventions included elements of teaching, counselling and education. The preliminary evidence indicated that the interventions were effective in relieving the burden of care and depressive symptoms of family members of Alzheimer, cancer, stroke and schizophrenia patients as well as in promoting their quality of life and coping. Nursing interventions are still in the development and testing phase. The challenge for the future is to broaden the scope and application of interventions in different nursing environments. Assessments of the efficacy of interventions should also consider their adaptation, implementation and maintenance in practical nursing.

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The PLUS intervention: A pilot test with caregivers of depressed older adults

Cited by 12 publications

References 31 publications

The effect of caregiver support interventions for informal caregivers of community-dwelling frail elderly: a systematic review

The effect of caregiver support interventions for informal caregivers of community-dwelling frail elderly: a systematic review

The burden of caregiving in families with a mental illness: a review of 2002

Nursing intervention studies on patients and family members: a systematic literature review

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