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BMC geriatrics
Mar 29, 2024;24 (1): 301.

What works to support carers of older people and older carers? an international evidence map of interventions and outcomes.

Gemma Spiers, Michelle M C Tan, Jayne L Astbury, Alex Hall, Nisar Ahmed, Kate Lanyi, Oleta Williams, Fiona Beyer, Dawn Craig, Barbara Hanratty
Author Information
  1. Gemma Spiers: Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK. gemma-frances.spiers@newcastle.ac.uk.
  2. Michelle M C Tan: Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
  3. Jayne L Astbury: School of Health Sciences, University of Manchester, Manchester, UK.
  4. Alex Hall: School of Health Sciences, University of Manchester, Manchester, UK.
  5. Nisar Ahmed: School of Health Sciences, University of Manchester, Manchester, UK.
  6. Kate Lanyi: Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
  7. Oleta Williams: Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
  8. Fiona Beyer: Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
  9. Dawn Craig: Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
  10. Barbara Hanratty: Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
PMID: 38553679 DOI: 10.1186/s12877-024-04897-3

Abstract

BACKGROUND: Unpaid carers of older people, and older unpaid carers, experience a range of adverse outcomes. Supporting carers should therefore be a public health priority. Our understanding of what works to support carers could be enhanced if future evaluations prioritise under-researched interventions and outcomes. To support this, we aimed to: map evidence about interventions to support carers, and the outcomes evaluated; and identify key gaps in current evidence.
METHODS: Evidence gap map review methods were used. Searches were carried out in three bibliographic databases for quantitative evaluations of carer interventions published in OECD high-income countries between 2013 and 2023. Interventions were eligible if they supported older carers (50���+���years) of any aged recipient, or any aged carers of older people (50���+���years).
FINDINGS: 205 studies reported across 208 publications were included in the evidence map. The majority evaluated the impact of therapeutic and educational interventions on carer burden and carers' mental health. Some studies reported evidence about physical exercise interventions and befriending and peer support for carers, but these considered a limited range of outcomes. Few studies evaluated interventions that focused on delivering financial information and advice, pain management, and physical skills training for carers. Evaluations rarely considered the impact of interventions on carers' physical health, quality of life, and social and financial wellbeing. Very few studies considered whether interventions delivered equitable outcomes.
CONCLUSION: Evidence on what works best to support carers is extensive but limited in scope. A disproportionate focus on mental health and burden outcomes neglects other important areas where carers may need support. Given the impact of caring on carers' physical health, financial and social wellbeing, future research could evaluate interventions that aim to support these outcomes. Appraisal of whether interventions deliver equitable outcomes across diverse carer populations is critical.

Keywords

Carers Evidence gap maps Interventions Older people Outcomes

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Grants

  1. PR-PRU-1217-21502/National Institute for health and Care Research Policy Research Unit

MeSH Term

Humans
Caregivers
Aged
Social Support
Internationality
Quality of Life
Journal Article Review
Article has an altmetric score of 2

Word Cloud

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