Resilience-enhancing interventions for family caregivers: A systematic review.

Nai-Ching Chi, Soojeong Han, Shih-Yin Lin, Ying-Kai Fu, Zilin Zhu, Lynn Nakad, George Demiris
Author Information
  1. Nai-Ching Chi: College of Nursing, University of Iowa, Iowa City, IA, USA. ORCID
  2. Soojeong Han: Department of Biobehavioral Nursing and Health Informatics, School of Nursing, University of Washington, Seattle, Washington, USA. ORCID
  3. Shih-Yin Lin: Rory Meyers College of Nursing, New York University, New York, NY, USA.
  4. Ying-Kai Fu: College of Medicine, University of Iowa, Iowa City, IA, USA.
  5. Zilin Zhu: College of Nursing, University of Iowa, Iowa City, IA, USA.
  6. Lynn Nakad: College of Nursing, University of Iowa, Iowa City, IA, USA.
  7. George Demiris: Department of Biobehavioral Health Sciences, School of Nursing, University of Pennsylvania, Philadelphia, PA, USA.

Abstract

OBJECTIVES: To synthesize interventions designed to enhance resilience in family caregivers (FCs).
METHODS: Electronic databases including PubMed, CINAHL, PsycINFO, and Scopus, were searched using index and keyword methods for articles published before January 2020. The review process followed the PRISMA review guidelines. Study quality was assessed using the Mixed Methods Appraisal Tool (MMAT).
RESULTS: Six studies (seven articles) were included in this review. Quantitative evidence supports the benefits of psychoeducation, mindfulness-based intervention, and cognitive behavioral therapy (CBT)-based intervention but not expressive writing in improving in FCs' resilience. Four of the six included studies were randomized controlled trials. All included studies only met 40% to 60% of the MMAT criteria, indicating low to moderate levels of study quality.
CONCLUSION: This review showed emerging evidence that psychoeducation, mindfulness-based intervention, and CBT-based intervention may improve caregiver resilience. However, it remains unclear which intervention and what dosage is the most effective in promoting FCs' resilience. Due to the small number of relevant studies and a low-to-moderate level of overall study quality, more rigorous clinical trials are needed to strengthen the current limited evidence base for FC resilience interventions.

Keywords

MeSH Term

Humans
Caregivers
Resilience, Psychological
Mindfulness
Cognitive Behavioral Therapy

Word Cloud

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