Dementia Caregiver Interventions in Chinese Population: A Systematic Review

Bei Wu, Darina V. Petrovsky , Jing Wang, Hanzhang Xu, Zhu Zheng, Eleanor S. McConnell, Kirsten Corazzini

Research output: Contribution to journalArticle

Abstract

Aims
The aim of this systematic review was to examine the characteristics and 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 twenty‐three 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’ behavioral 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.

This article is protected by copyright. All rights reserved.
Original languageEnglish (US)
JournalJournal of Advanced Nursing
DOIs
StatePublished - Sep 27 2018

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Caregivers
Dementia
Depression
Population
Quality of Life
Behavioral Symptoms
Cognition
Research Design
Databases
Health
Research

Keywords

  • systematic review
  • dementia
  • Caregiving
  • Cognitive impairment
  • Alzheimer's Disease
  • Intervention
  • Nursing
  • Older adult
  • Chinese

Cite this

Wu, B., Petrovsky , D. V., Wang, J., Xu, H., Zheng, Z., McConnell, E. S., & Corazzini, K. (2018). Dementia Caregiver Interventions in Chinese Population: A Systematic Review. Journal of Advanced Nursing. https://doi.org/10.1111/jan.13865

Dementia Caregiver Interventions in Chinese Population: A Systematic Review. / Wu, Bei; Petrovsky , Darina V.; Wang, Jing; Xu, Hanzhang; Zheng, Zhu; McConnell, Eleanor S.; Corazzini, Kirsten.

In: Journal of Advanced Nursing, 27.09.2018.

Research output: Contribution to journalArticle

Wu, Bei ; Petrovsky , Darina V. ; Wang, Jing ; Xu, Hanzhang ; Zheng, Zhu ; McConnell, Eleanor S. ; Corazzini, Kirsten. / Dementia Caregiver Interventions in Chinese Population: A Systematic Review. In: Journal of Advanced Nursing. 2018.
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abstract = "AimsThe aim of this systematic review was to examine the characteristics and efficacy of dementia caregiving interventions among the Chinese population.BackgroundIn 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.DesignSystematic review with narrative summary.Data SourcesWe searched four databases for studies published in English between 1 January 1994 ‐ 30 December 2017. Nineteen studies reported in twenty‐three articles were included in the final analysis.Review MethodsWe used a set of criteria from the Cochrane Collaboration tool to assess for the risk of bias across studies.ResultsWe 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’ behavioral symptoms, agitation and depression; cognitive function, however, failed to improve.ConclusionAlthough 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.This article is protected by copyright. All rights reserved.",
keywords = "systematic review, dementia, Caregiving, Cognitive impairment, Alzheimer's Disease, Intervention, Nursing, Older adult, Chinese",
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N2 - AimsThe aim of this systematic review was to examine the characteristics and efficacy of dementia caregiving interventions among the Chinese population.BackgroundIn 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.DesignSystematic review with narrative summary.Data SourcesWe searched four databases for studies published in English between 1 January 1994 ‐ 30 December 2017. Nineteen studies reported in twenty‐three articles were included in the final analysis.Review MethodsWe used a set of criteria from the Cochrane Collaboration tool to assess for the risk of bias across studies.ResultsWe 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’ behavioral symptoms, agitation and depression; cognitive function, however, failed to improve.ConclusionAlthough 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.This article is protected by copyright. All rights reserved.

AB - AimsThe aim of this systematic review was to examine the characteristics and efficacy of dementia caregiving interventions among the Chinese population.BackgroundIn 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.DesignSystematic review with narrative summary.Data SourcesWe searched four databases for studies published in English between 1 January 1994 ‐ 30 December 2017. Nineteen studies reported in twenty‐three articles were included in the final analysis.Review MethodsWe used a set of criteria from the Cochrane Collaboration tool to assess for the risk of bias across studies.ResultsWe 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’ behavioral symptoms, agitation and depression; cognitive function, however, failed to improve.ConclusionAlthough 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.This article is protected by copyright. All rights reserved.

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