A systematic review of the effectiveness and cost-effectiveness of different models of community-based respite care for frail older people and their carers

Mason, Anne; Weatherly, Helen; Spilsbury, Karen; Arksey, Hilary; Golder, Su; Adamson, J; Drummond, Mariana Vieira Martins Sampaio; Glendinning, Caroline

doi:10.3310/hta11150

Cited by 92 publications

(116 citation statements)

References 84 publications

(268 reference statements)

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“…As described, support for family caregivers is an important part of dementia care, and providing family caregivers with sufficient information and support was highlighted as one of WHO's five key principles for good dementia care (WHO, 2016a). The research describes respite initiatives as a supportive service provided in or outside the home to give the informal caregiver a temporary relief or break from caregiver duties (Mason et al, 2007;Neville, Beattie, Fielding & MacAndrew, 2015;Vandepitte et al, 2016 centres is classed as a type of residential-based respite. Respite care provided at institutions or day care centres is the most common form of respite for the elderly (Vandepitte et al, 2016).…”

Section: Support and Respite For Family Caregiversmentioning

confidence: 99%

The influence of day care centres for people with dementia on family caregivers: an integrative review of the literature

Tretteteig

Vatne

Rokstad

2015

Aging & Mental Health

104

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Section: Support and Respite For Family Caregiversmentioning

confidence: 99%

The influence of day care centres for people with dementia on family caregivers: an integrative review of the literature

Tretteteig

Vatne

Rokstad

2015

Aging & Mental Health

104

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“…Second, respite care can be defined as services providing a temporary break to caregivers and can be further distinguished into: community-based respite care (including in-home respite & host family respite) and residential respite care (including day care, temporary residential admission, and night-time care) [38,50].…”

Section: Study Classificationmentioning

confidence: 99%

Effectiveness of Supporting Informal Caregivers of People with Dementia: A Systematic Review of Randomized and Non-Randomized Controlled Trials

Vandepitte

Noortgate

Putman

et al. 2016

JAD

106

118

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Abstract.Background: 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. Objective: A general systematic review was conducted investigating effectiveness of different supportive strategies on at least the 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. A new classification was developed to group different types of caregiver support. Results: Fifty-three papers met the 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.

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“…Prevention of disability in frail older persons is seen as a priority for research in geriatrics (Ferrucci et al 2004) and can lead to the maintenance of quality of life and reduced health care costs (Cutler 2001). Several systematic reviews are available, which focus on specific categories of interventions for frail older persons, e.g., comprehensive geriatric assessment (Wieland 2003), after-care (Bours et al 1998), or respite care (Mason et al 2007). No overview is available, however, which provides an extensive overview of the content of the full range of existing programmes for community-living frail older persons that are aimed at the prevention of disability.…”

Section: Introductionmentioning

confidence: 99%

Interventions to prevent disability in frail community-dwelling older persons: an overview

et al. 2010

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This narrative review was conducted to provide an overview of the variety of interventions aimed at disability prevention in community-dwelling frail older persons and to summarize promising elements. The search strategy and selection process found 48 papers that met the inclusion criteria. The 49 interventions described in these 48 papers were categorized into 'comprehensive geriatric assessment', 'physical exercise', 'nutrition', 'technology', and 'other interventions'. There is a large diversity within and between the groups of interventions in terms of content, disciplines involved, duration, intensity, and setting. For 18 of the 49 interventions, significant positive effects for disability were reported for the experimental group. Promising features of interventions seem to be: multidisciplinary and multifactorial, individualized assessment and intervention, case management, long-term follow-up, physical exercise component (for moderate physically frail older persons), and the use of technology. Future intervention studies could combine these elements and consider the addition of new elements.

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A systematic review of the effectiveness and cost-effectiveness of different models of community-based respite care for frail older people and their carers

Cited by 92 publications

References 84 publications

The influence of day care centres for people with dementia on family caregivers: an integrative review of the literature

The influence of day care centres for people with dementia on family caregivers: an integrative review of the literature

Effectiveness of Supporting Informal Caregivers of People with Dementia: A Systematic Review of Randomized and Non-Randomized Controlled Trials

Interventions to prevent disability in frail community-dwelling older persons: an overview

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