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Title [sv]
Effektiviteten av insatser ämnade att minska negativa hälsokonsekvenser för informella vårdgivare av äldre personer: en paraplygranskning
Publications (3 of 3) Show all publications
Kirvalidze, M., Abbadi, A., Dahlberg, L., Sacco, L. B., Morin, L. & Calderón-Larrañaga, A. (2023). Effectiveness of interventions designed to mitigate the negative health outcomes of informal caregiving to older adults: an umbrella review of systematic reviews and meta-analyses. BMJ Open, 13(4), Article ID e068646.
Open this publication in new window or tab >>Effectiveness of interventions designed to mitigate the negative health outcomes of informal caregiving to older adults: an umbrella review of systematic reviews and meta-analyses
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2023 (English)In: BMJ Open, E-ISSN 2044-6055, Vol. 13, no 4, article id e068646Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: This umbrella review aimed to evaluate whether certain interventions can mitigate the negative health consequences of caregiving, which interventions are more effective than others depending on the circumstances, and how these interventions are experienced by caregivers themselves.

DESIGN: An umbrella review of systematic reviews was conducted.

DATA SOURCES: Quantitative (with or without meta-analyses), qualitative and mixed-methods systematic reviews were included.

ELIGIBILITY CRITERIA: Reviews were considered eligible if they met the following criteria: included primary studies targeting informal (ie, unpaid) caregivers of older people or persons presenting with ageing-related diseases; focused on support interventions and assessed their effectiveness (quantitative reviews) or their implementation and/or lived experience of the target population (qualitative reviews); included physical or mental health-related outcomes of informal caregivers.

DATA EXTRACTION AND SYNTHESIS: A total of 47 reviews were included, covering 619 distinct primary studies. Each potentially eligible review underwent critical appraisal and citation overlap assessment. Data were extracted independently by two reviewers and cross-checked. Quantitative review results were synthesised narratively and presented in tabular format, while qualitative findings were compiled using the mega-aggregation framework synthesis method.

RESULTS: The evidence regarding the effectiveness of interventions on physical and mental health outcomes was inconclusive. Quantitative reviews were highly discordant, whereas qualitative reviews only reported practical, emotional and relational benefits. Multicomponent and person-centred interventions seemed to yield highest effectiveness and acceptability. Heterogeneity among caregivers, care receivers and care contexts was often overlooked. Important issues related to the low quality of evidence and futile overproduction of similar reviews were identified.

CONCLUSIONS: Lack of robust evidence calls for better intervention research and evaluation practices. It may be warranted to avoid one-size-fits-all approaches to intervention design. Primary care and other existing resources should be leveraged to support interventions, possibly with increasing contributions from the non-profit sector.

PROSPERO REGISTRATION NUMBER: CRD42021252841; BMJ Open: doi:10.1136/bmjopen-2021-053117.

Keywords
health policy, public health, qualitative research, statistics & research methods
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:du-45910 (URN)10.1136/bmjopen-2022-068646 (DOI)001057956000079 ()37085312 (PubMedID)2-s2.0-85153547175 (Scopus ID)
Available from: 2023-04-26 Created: 2023-04-26 Last updated: 2023-09-22Bibliographically approved
Kirvalidze, M., Abbadi, A., Dahlberg, L., Sacco, L. B., Calderón-Larrañaga, A. & Morin, L. (2023). Estimating pairwise overlap in umbrella reviews: Considerations for using the corrected covered area (CCA) index methodology. Research Synthesis Methods, 14(5), 764-767
Open this publication in new window or tab >>Estimating pairwise overlap in umbrella reviews: Considerations for using the corrected covered area (CCA) index methodology
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2023 (English)In: Research Synthesis Methods, ISSN 1759-2879, E-ISSN 1759-2887, Vol. 14, no 5, p. 764-767Article, review/survey (Refereed) Published
Abstract [en]

Umbrella reviews (reviews of systematic reviews) are increasingly used to synthesize findings from systematic reviews. One important challenge when pooling data from several systematic reviews is publication overlap, that is, the same primary publications being included in multiple reviews. Pieper et al. have proposed using the corrected covered area (CCA) index to quantify the degree of overlap between systematic reviews to be pooled in an umbrella review. Recently, this methodology has been integrated in Excel- or R-based tools for easier use. In this short letter, we highlight an important consideration for using the CCA methodology for pairwise overlap assessment, especially when reviews include varying numbers of primary publications, and we urge researchers to fine-tune this method and exercise caution when review exclusion decisions are based on its output. © 2023 The Authors. Research Synthesis Methods published by John Wiley & Sons Ltd.

Place, publisher, year, edition, pages
John Wiley and Sons Ltd, 2023
Keywords
overlap assessment, overviews of reviews, study overlap, umbrella reviews
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:du-46645 (URN)10.1002/jrsm.1658 (DOI)001037265900001 ()37501239 (PubMedID)2-s2.0-85165868656 (Scopus ID)
Available from: 2023-08-07 Created: 2023-08-07 Last updated: 2023-09-22
Calderon-Larranaga, A., Kirvalidze, M., Dahlberg, L., Sacco, L. B. & Morin, L. (2021). Effectiveness of interventions to address the negative health outcomes of informal caregiving to older adults: protocol for an umbrella review. BMJ Open, 11(11), Article ID e053117.
Open this publication in new window or tab >>Effectiveness of interventions to address the negative health outcomes of informal caregiving to older adults: protocol for an umbrella review
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2021 (English)In: BMJ Open, E-ISSN 2044-6055, Vol. 11, no 11, article id e053117Article in journal (Refereed) Published
National Category
Health Sciences
Identifiers
urn:nbn:se:du-39013 (URN)10.1136/bmjopen-2021-053117 (DOI)000717735500016 ()34753765 (PubMedID)2-s2.0-85119871302 (Scopus ID)
Available from: 2021-12-16 Created: 2021-12-16 Last updated: 2023-08-28Bibliographically approved
Co-InvestigatorDahlberg, Lena
Period
Identifiers
DiVA, id: project:2867

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