Effects of a psychosocial intervention on the quality of life of primary caregivers of women with breast cancer

Gabriel, Israel; Mayers, Pat

doi:10.1016/j.ejon.2018.12.003

Cited by 36 publications

(65 citation statements)

References 33 publications

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“…Following the full-text screening, 107 were excluded because they did not meet the inclusion criteria as detailed in the PRISMA flow diagram. At the end of the screening procedure, 19 peer-reviewed citations remained for final inclusion in the review [3,4,6,10,15,[17][18][19][23][24][25][26][27][28][29][30][31][32][33].…”

Section: Literature Search Resultsmentioning

confidence: 99%

“…The majority of the included studies (n = 15) used quantitative approaches [3,10,15,18,19,[23][24][25][26][27][28][30][31][32][33] and the remaining (n = 4) were qualitative studies [4,6,17,29]. Studies were conducted in the following countries: Nigeria (n = 2), Malaysia (n = 3), Ghana (n = 1), China (n = 3), Iran (n = 6), Turkey (n = 1), Mexico (n = 1), Indonesia (n = 1), and India (n = 1).…”

Section: Methodological Characteristics Of Included Studiesmentioning

confidence: 99%

“…Two studies were rated as strong quality [4,6]. Fifteen studies were scored as moderate-strong quality [15,18,19,[23][24][25][26][27][28][29][30][31][32][33]35], and the remaining two studies [3,17] were scored as moderate. None of the included studies was excluded based on their quality assessment score.…”

Section: Quality Appraisal or Assessment Of Included Studiesmentioning

confidence: 99%

“…The majority of the included studies reported that psychological burden was the most frequent stressor that caregivers encountered [6,10,17,[25][26][27][29][30][31][32][33]. According to Khanjari et al [10], more than 70% of family caregivers experienced severe psychological impacts 6 months following breast cancer diagnosis and the assumption of the caregiving role.…”

Section: Psychological Burden Of Caregivingmentioning

confidence: 99%

“…Eight papers examined the economic burden associated with caregiving around breast cancer [3,6,10,15,17,24,27,29]. Two studies reported that caregivers usually decreased their working hours or lost paid jobs as a result of the caregiving role [17,24].…”

Section: Economic Burden Of Caregivingmentioning

confidence: 99%

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The experiences of family caregivers living with breast cancer patients in low-and middle-income countries: a systematic review

Kusi

Mensah

et al. 2020

Syst Rev

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Introduction: Caregivers of women with breast cancer in low-and-middle-income countries experience significant physical and economic burdens. The review aimed to map the evidence of studies that had reported on the experiences of family caregivers of women diagnosed with breast cancer. Methods: A systematic literature search was conducted in CINAHL, PubMed, PsycINFO, Scopus, and Web of Science databases using a combination of key search terms and medical subject heading terms such as "family caregiver," "breast cancer," "home care," "low-and-middle-income countries," "experience," "effect," and "coping mechanism." A total of 1781 articles were retrieved and screened. Nineteen studies addressing caregiving experiences were included in the final review based on the inclusion and exclusion criteria. Results: The systematic review yielded 19 studies that focused on caregivers' motivation, needs of caregivers, intervention for caregivers, and consequences of caregiving. The most significant correlates of the quality of life among caregivers were disease severity, functional status of patients, and family income. The challenges encountered by caregivers were mostly psychosocial. Conclusions: Caregivers play a crucial role in the management of women with breast cancer. However, they are faced with increasing challenges in their caregiving roles. Understanding the nature and extent of the burden experienced by family caregivers in developing countries will facilitate the development of appropriate interventions that can help improve caregivers' quality of life. Gaps in recent studies were identified, and suggestions for future research were also addressed in this review. Systematic review registration: PROSPERO CRD42019118391

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Section: Literature Search Resultsmentioning

confidence: 99%

Section: Methodological Characteristics Of Included Studiesmentioning

confidence: 99%

Section: Quality Appraisal or Assessment Of Included Studiesmentioning

confidence: 99%

Section: Psychological Burden Of Caregivingmentioning

confidence: 99%

Section: Economic Burden Of Caregivingmentioning

confidence: 99%

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The experiences of family caregivers living with breast cancer patients in low-and middle-income countries: a systematic review

Kusi

Mensah

et al. 2020

Syst Rev

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A systematic review of psychosocial interventions to improve quality of life of people with cancer and their family caregivers

2020

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Aims To review the characteristics and effectiveness of psychosocial interventions on quality of life of adult people with cancer and their family caregivers. Design A systematic review using PRISMA guidelines. Methods Seven databases were searched from 2009–2019 using key terms. Included studies were assessed using the Quality Assessment Tool for Quantitative Studies. Results 1909 studies were retrieved with 12 studies included, involving 3,390 patients/caregivers. Interventions aimed to improve communication, behaviour change and setting short‐term goals. Duration of interventions varied from 4–17 weeks. Highest benefit was gained from telephone interventions. Interventions based on interpersonal counselling appeared more effective than other approaches. Studies predominantly focused on psychological, physical and social domains of quality of life. Spiritual well‐being received relatively little attention. A paradigm shift is needed to develop psychosocial interventions that incorporate spiritual well‐being. More research is needed in developing countries.

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The effectiveness of psychoeducational interventions on caregiver‐oriented outcomes in caregivers of adult cancer patients: A systematic review and meta‐analysis

et al. 2022

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Objective Cancer caregiving can result in increased psychosocial distress and poor health‐related quality of life (QOL). Psychoeducation has been shown to be effective in enhancing caregiving‐oriented outcomes. A systematic assessment of the overall effect of psychoeducational intervention (PEI) and identification of individual intervention characteristics that may contribute to the effectiveness of PEI is needed. Methods For this meta‐analysis, relevant articles were identified through electronic databases using key search terms and their medical subject heading such as “family caregiver,” “cancer,” and “psychoeducational intervention.” Results Twenty‐eight controlled trials with 3876 participants were included. PEIs had beneficial effect on depression (Standardized Mean Difference [SMD] −0.26; 95% CI = −0.50 to −0.01, p < 0.04), anxiety (SMD −0.41; 95% CI = −0.82 to 0.01, p < 0.05), caregiver burden (SMD −0.84; 95% CI = −1.22 to −0.46, p < 0.0001) and QOL (SMD 0.59, 95% CI 0.24–0.93; p < 0.0009) at the immediate post‐intervention period. At longer‐term follow‐up, the effectiveness of PEI was maintained on QOL (SMD 0.39, 95% CI = −0.00 to −0.77, p < 0.05), and anxiety (SMD −0.57; 95% CI = −1.09 to −0.06, p < 0.03). Moderation analysis showed that intervention characteristics such as studies conducted in high‐income countries, group intervention and studies that focused on specific and mixed cancers explain some of the high variations observed among the included studies. Conclusions PEI may benefit caregivers of cancer patients through the significant effects on caregiver burden, QOL, anxiety, and depression. The findings from the moderation analysis may be important for the design of future interventions.

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Effects of a psychosocial intervention on the quality of life of primary caregivers of women with breast cancer

Cited by 36 publications

References 33 publications

The experiences of family caregivers living with breast cancer patients in low-and middle-income countries: a systematic review

The experiences of family caregivers living with breast cancer patients in low-and middle-income countries: a systematic review

A systematic review of psychosocial interventions to improve quality of life of people with cancer and their family caregivers

The effectiveness of psychoeducational interventions on caregiver‐oriented outcomes in caregivers of adult cancer patients: A systematic review and meta‐analysis

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