EFFECTIVENESS OF SUPPORTING INFORMAL CAREGIVERS OF PEOPLE WITH DEMENTIA- A SYSTEMATIC REVIEW OF RANDOMIZED AND NON-RANDOMIZED CONTROLLED TRIALS
Author(s)
Vandepitte S1, Van Den Noortgate N1, Putman K2, Verhaeghe S1, Faes K1, Annemans L1
1University of Ghent, Ghent, Belgium, 2University of Brussels, Brussels, Belgium
OBJECTIVES: Dementia is known as a major public health problem affecting both patients and caregivers, and placing a high financial strain upon society. In community-dwelling patients, it is important to support informal caregivers in order to help them sustain their demanding role. Previous reviews about effectiveness of such supporting strategies often included a small number of studies, focused only on particular supportive types, particular outcomes or solely on caregivers. Therefore a general systematic review was conducted investigating effectiveness of different types of supportive strategies on at least well-being of the caregiver or the care-recipient. METHODS: A systematic literature search was conducted in Web of Science and PubMed. An adapted version of the Downs and Black (1998) checklist was used to assess methodological quality. RESULTS: Fifty-two papers met inclusion criteria. Although 87% of the interventions were to some extent effective, methods and findings were rather inconsistent. Psychoeducational interventions generally lead to positive outcomes for caregivers, and delay permanent institutionalization of care-recipients. Cognitive behavioral therapy decreases dysfunctional thoughts among caregivers. Occupational therapy decreases behavioral problems among patients and improves self-efficacy of caregivers. In general, those interventions tailored on individual level generate better outcomes. Comparative research on respite care was very rare. CONCLUSIONS: Despite methodological inconsistency, supporting caregivers appears to be an effective strategy often improving well-being of caregiver or care-recipient and resulting in additional benefits for society. However, there is a need for more research on the (cost)-effectiveness of respite care.
Conference/Value in Health Info
2015-11, ISPOR Europe 2015, Milan, Italy
Value in Health, Vol. 18, No. 7 (November 2015)
Code
PMH8
Topic
Clinical Outcomes
Topic Subcategory
Comparative Effectiveness or Efficacy
Disease
Mental Health, Neurological Disorders