Dalarna University's logo and link to the university's website

du.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • chicago-author-date
  • chicago-note-bibliography
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
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
Karolinska Institutet and Stockholm University, Solna.
Karolinska Institutet and Stockholm University, Solna.
Dalarna University, School of Health and Welfare, Social Work. Karolinska Institutet and Stockholm University, Solna.ORCID iD: 0000-0002-7685-3216
Stockholm University, Stockholm.
Show others and affiliations
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.

Place, publisher, year, edition, pages
2023. Vol. 13, no 4, article id e068646
Keywords [en]
health policy, public health, qualitative research, statistics & research methods
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:du-45910DOI: 10.1136/bmjopen-2022-068646ISI: 001057956000079PubMedID: 37085312Scopus ID: 2-s2.0-85153547175OAI: oai:DiVA.org:du-45910DiVA, id: diva2:1753162
Part of project
Effektiviteten av insatser ämnade att minska negativa hälsokonsekvenser för informella vårdgivare av äldre personer: en paraplygranskningAvailable from: 2023-04-26 Created: 2023-04-26 Last updated: 2023-09-22Bibliographically approved

Open Access in DiVA

fulltext(1250 kB)135 downloads
File information
File name FULLTEXT01.pdfFile size 1250 kBChecksum SHA-512
1b5a6866ee9f9cd7dabde2507b899f8b9d26eb7722726c388162813bfdc8c25bcc3b307c690903d9d127ab5df61d5c38476d37e26de73966a13635a951219436
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMedScopus

Authority records

Dahlberg, Lena

Search in DiVA

By author/editor
Dahlberg, Lena
By organisation
Social Work
In the same journal
BMJ Open
Public Health, Global Health, Social Medicine and Epidemiology

Search outside of DiVA

GoogleGoogle Scholar
Total: 137 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 112 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • chicago-author-date
  • chicago-note-bibliography
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf