TY - JOUR
T1 - Dementia caregiver interventions in Chinese people
T2 - A systematic review
AU - Wu, Bei
AU - Petrovsky, Darina V.
AU - Wang, Jing
AU - Xu, Hanzhang
AU - Zhu, Zheng
AU - McConnell, Eleanor S.
AU - Corrazzini, Kirsten N.
N1 - Publisher Copyright:
© 2018 John Wiley & Sons Ltd
PY - 2019/3
Y1 - 2019/3
N2 - Aims: The aim of this systematic review was to examine the characteristics and the efficacy of dementia caregiving interventions among the Chinese population. Background: In recent years, an increasing number of dementia caregiving interventions have been developed for Chinese older adults living in Asia that aim to reduce caregivers’ burden, depression and distress, and enhance quality of life. Little is known, however, on the nature and the efficacy of these interventions. Design: Systematic review with narrative summary. Data sources: We searched four databases for studies published in English between 1 January 1994–30 December 2017. Nineteen studies reported in 23 articles were included in the final analysis. Review methods: We used a set of criteria from the Cochrane Collaboration tool to assess for the risk of bias across studies. Results: We found that interventions varied in length, frequency, approach, and content, making comparisons across studies challenging. Caregivers’ burden, depression, and distress were improved among most included studies. All studies that examined quality of life of caregivers (N = 6) showed improvement. Most of the interventions showed beneficial effects on care recipients’ behavioural symptoms, agitation, and depression; cognitive function, however, failed to improve. Conclusion: Although the review found mixed results on intervention outcomes, the majority of interventions showed a potential to improve the health and well-being of dementia caregivers and care recipients. This review provides suggestions for future dementia caregiving research in the Chinese population, such as inclusion of relevant theoretical frameworks and more rigorous research designs.
AB - Aims: The aim of this systematic review was to examine the characteristics and the efficacy of dementia caregiving interventions among the Chinese population. Background: In recent years, an increasing number of dementia caregiving interventions have been developed for Chinese older adults living in Asia that aim to reduce caregivers’ burden, depression and distress, and enhance quality of life. Little is known, however, on the nature and the efficacy of these interventions. Design: Systematic review with narrative summary. Data sources: We searched four databases for studies published in English between 1 January 1994–30 December 2017. Nineteen studies reported in 23 articles were included in the final analysis. Review methods: We used a set of criteria from the Cochrane Collaboration tool to assess for the risk of bias across studies. Results: We found that interventions varied in length, frequency, approach, and content, making comparisons across studies challenging. Caregivers’ burden, depression, and distress were improved among most included studies. All studies that examined quality of life of caregivers (N = 6) showed improvement. Most of the interventions showed beneficial effects on care recipients’ behavioural symptoms, agitation, and depression; cognitive function, however, failed to improve. Conclusion: Although the review found mixed results on intervention outcomes, the majority of interventions showed a potential to improve the health and well-being of dementia caregivers and care recipients. This review provides suggestions for future dementia caregiving research in the Chinese population, such as inclusion of relevant theoretical frameworks and more rigorous research designs.
KW - Alzheimer's disease
KW - Chinese
KW - caregiving
KW - cognitive impairment
KW - dementia
KW - intervention
KW - nursing
KW - older adults
KW - systematic review
UR - http://www.scopus.com/inward/record.url?scp=85056314745&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85056314745&partnerID=8YFLogxK
U2 - 10.1111/jan.13865
DO - 10.1111/jan.13865
M3 - Review article
C2 - 30264464
AN - SCOPUS:85056314745
SN - 0309-2402
VL - 75
SP - 528
EP - 542
JO - Journal of Advanced Nursing
JF - Journal of Advanced Nursing
IS - 3
ER -