The effectiveness of interventions in supporting self-management of informal caregivers of people with dementia; a systematic meta reviewReportar como inadecuado




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BMC Geriatrics

, 15:147

First Online: 11 November 2015Received: 19 April 2015Accepted: 04 November 2015

Abstract

BackgroundInformal caregivers of people with dementia are challenged in managing the consequences of dementia in daily life. The objective of this meta-review was to synthesize evidence from previous systematic reviews about professional self-management support interventions for this group.

MethodsIn March 2014, searches were conducted in PubMed, CINAHL, Cochrane Library, Embase and PsycINFO. The PRISMA Statement was followed. Interventions were grouped using Martin’s targets of self-management, covering 5 targets: relationship with family, maintaining an active lifestyle, psychological wellbeing, techniques to cope with memory changes and information about dementia. Using an evidence synthesis, the outcomes from the included interventions were synthesized and conclusions were drawn about the level of evidence for the effectiveness of interventions within each target.

ResultsTen high-quality systematic reviews were selected. Evidence exists for the effectiveness of professional self-management support interventions targeting psychological wellbeing on stress and social outcomes of informal caregivers. In addition, evidence exists for the effectiveness of interventions targeting information on ability-knowledge. Limited evidence was found for the effectiveness of interventions targeting techniques to cope with memory change on coping skills and mood, and for interventions targeting information on the outcomes sense of competence and decision-making confidence of informal caregivers.

ConclusionsScientific evidence exists for the effectiveness of a number of professional self-management support interventions targeting psychological wellbeing and information. Health care professionals could take account of the fact that psycho-education was integrated in most of the self-management support interventions that were found to be effective in this meta-review. Furthermore, longer and more intensive interventions were associated with greater effects.

KeywordsDementia Self-management support Informal caregivers Systematic review Electronic supplementary materialThe online version of this article doi:10.1186-s12877-015-0145-6 contains supplementary material, which is available to authorized users.

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Autor: Judith G. Huis in het Veld - Renate Verkaik - Patriek Mistiaen - Berno van Meijel - Anneke L. Francke

Fuente: https://link.springer.com/







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