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The Effectiveness of Multi-Component Interventions on the Positive and Negative Aspects of Well-Being among Informal Caregivers of People with Dementia: A Systematic Review and Meta-Analysis

Author

Listed:
  • Jinjie He

    (Faculty of Nursing, Health Science Center, Xi’an Jiaotong University, #76 Yanta West Road, Xi’an 710061, China)

  • Jing Wang

    (Faculty of Nursing, Health Science Center, Xi’an Jiaotong University, #76 Yanta West Road, Xi’an 710061, China)

  • Hongmei Zhong

    (Department of Nursing, School of Medicine, Shihezi University, Shihezi 832002, China)

  • Chengguo Guan

    (Faculty of Nursing, Health Science Center, Xi’an Jiaotong University, #76 Yanta West Road, Xi’an 710061, China)

Abstract

The present review aims to examine whether multi-component interventions for informal caregivers of people with dementia are effective on positive and negative aspects of caregiver well-being. Eleven databases were searched from inception to 8 March 2021. Only randomized controlled trials reporting the effectiveness of multi-component intervention on positive and negative aspects of caregiver well-being were eligible. Endnote X7 (Thomson ResearchSoft, Stanford, CA, USA) was used for study selection and version 5.1.0 of Cochrane Collaboration’s tool (Cochrane, London, UK) was applied for quality assessment. Review Manager (Revman) Version 5.3 (Cochrane, London, UK) was used for the meta-analysis, and if statistical synthesis was inappropriate, only narrative analysis was performed. A total of 31 RCTs with 3939 participants were included. Meta-analyses showed small to moderate effects on subjective well-being, depression, and burden of caregivers, and a moderate to high effect on caregiver anxiety. Due to insufficient data and vast heterogeneity, meta-analysis was not performed for other outcomes, such as resilience, competence, and empathy. This review suggests that individualized multi-component interventions for caregivers may be one of the ways to promote their well-being. Further research is needed to explore the impact of rigorously designed and personalized multi-component interventions on informal caregivers, especially on more positive indicators, as well as its long-term effects and sustainability.

Suggested Citation

  • Jinjie He & Jing Wang & Hongmei Zhong & Chengguo Guan, 2022. "The Effectiveness of Multi-Component Interventions on the Positive and Negative Aspects of Well-Being among Informal Caregivers of People with Dementia: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 19(12), pages 1-16, June.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:12:p:6973-:d:833120
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    References listed on IDEAS

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    1. Jie Ying & Yonghong Wang & Meiling Zhang & Shouqi Wang & Ying Shi & Huanhuan Li & Yuan Li & Zhuangjie Xing & Jiao Sun, 2018. "Effect of multicomponent interventions on competence of family caregivers of people with dementia: A systematic review," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(9-10), pages 1744-1758, May.
    2. Sara Moreno-Cámara & Pedro Ángel Palomino-Moral & Lourdes Moral-Fernández & Antonio Frías-Osuna & Laura Parra-Anguita & Rafael del-Pino-Casado, 2019. "Perceived Needs of The Family Caregivers of People with Dementia in a Mediterranean Setting: A Qualitative Study," IJERPH, MDPI, vol. 16(6), pages 1-12, March.
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