JAMA Network Open,
Год журнала:
2023,
Номер
6(12), С. e2346216 - e2346216
Опубликована: Дек. 5, 2023
Importance
Although
there
is
substantial
evidence
to
suggest
the
health
benefits
of
acceptance
and
commitment
therapy
(ACT)
among
informal
caregivers
people
with
chronic
conditions,
great
variation
in
intervention
designs
published
studies
limits
its
application.
Objectives
To
identify
characteristics
ACT
that
are
associated
improved
psychological
assess
acceptability
caregivers.
Data
Sources
Seven
English-
3
Chinese-language
databases
without
on
publication
dates,
reference
lists
previous
reviews,
gray
literature
were
searched
up
February
2023.
Study
Selection
Randomized
clinical
trials
comparing
effect
vs
control
groups
improving
Extraction
Synthesis
Two
reviewers
independently
screened
records
extracted
data
from
eligible
studies.
Random-effects
meta-analysis
mixed-effects
metaregression
performed.
The
Preferred
Reporting
Items
for
Systematic
Reviews
Meta-Analyses
guideline
was
followed.
Main
Outcomes
Measures
Psychological
outcomes
(eg,
depressive
symptoms)
measured
by
valid
measurements
based
identified
parameters.
Results
A
total
29
2010
participants,
between
2015
2023,
identified.
showed
moderate
large
sizes
at
postintervention
assessments
(Hedges
g
range,
−0.55
[95%
CI,
−0.98
−0.12]
−1.14
−1.83
−0.45])
1-to-3–month
4-to-6–month
follow-ups
−0.47
−0.69
−0.25]
−1.29
−2.33
−0.24]).
Multivariable
analysis
regarding
found
delivered
a
mixed
individual-
group-based
format,
face-to-face,
or
through
more
sessions
greater
improvements
experiential
avoidance
(face-to-face:
β
=
−1.170
−2.020
−0.319];
number
sessions:
−0.242
−0.353
−0.130]),
symptoms
(mixed
delivery
format:
−2.583
−4.845
−0.321];
face-to-face:
−1.555
−3.002
−0.108]),
anxiety
−1.241
−2.337
−0.146]).
In
general,
had
low
attrition
rates
(11%),
participants’
adherence
(51%-80%)
satisfactory
ratings
(72%-95%)
lend
support
acceptability.
Conclusions
Relevance
This
systematic
review
consistently
health,
supporting
application
improve
care
disease
management.
provides
specific
details
design
parameters
achieving
efficacy.
International Psychogeriatrics,
Год журнала:
2025,
Номер
unknown, С. 100052 - 100052
Опубликована: Фев. 1, 2025
This
study
aims
to
analyze
the
association
between
care-specific
psychosocial
factors
in
terms
of
familism,
care
stigma,
caregiver
burden,
and
gains
with
suicidal
ideation
informal
caregivers
older
adults
Germany.
Data
from
Attitudes
Towards
Informal
Caregivers
Project
(ATTIC)
433
aged
≥
60
years
was
used
research
question.
The
Internalized
Caregiver
Stigma
Scale
measure
internalized
attitudes
behavior
regarding
provision
for
adults,
measuring
passive
suicide
thoughts,
were
measured
positive
aspects
scale
familism
short
attitudinal
scale.
Linear
regression
analysis
robust
standard
errors
calculated
adjusted
contextual
personal
(e.g.,
co-residence,
personality,
social
support).
Stronger
beliefs
negative
stigma
associated
higher
frequency
while
stronger
not
significantly
ideation.
associations
also
found
additional
a
log-transformed
outcome
analyses
excluding
mental
health
as
covariate
(except
which
ideation).
Care-specific
are
important
risk
Thus,
changing
evaluations
expectations
about
its
performance
could
be
helpful
prevent
experiencing
(high
levels
of)
Heliyon,
Год журнала:
2024,
Номер
10(5), С. e27351 - e27351
Опубликована: Фев. 29, 2024
Older
adults
with
chronic
illness,
as
well
their
primary
caregivers
in
multigenerational
families,
may
experience
a
complex
interplay
of
factors
that
affect
quality
life
(QOL).
However,
this
is
not
yet
well-characterized
for
Chinese
families
particular.
In
study,
we
analyzed
how
family
resilience
and
social
support
the
QOL
both
older
specifically.
We
enrolled
258
pairs
illness
multicenter
cross-sectional
study
conducted
southern
China
December
2021.
Using
Actor-Partner
Interdependence
Model
(APIM),
then
examined
correlation
between
resilience,
support,
dyadic
analysis
found
QOL,
were
better
than
those
(
Frontiers in Psychology,
Год журнала:
2024,
Номер
15
Опубликована: Июль 10, 2024
Although
previous
research
has
demonstrated
that
resilience
can
be
protective
against
various
mental
health
conditions
such
as
depression,
existing
studies
examining
the
relationship
between
and
depression
have
limitations.
To
our
knowledge,
moderators
of
not
been
examined.
The
aim
this
study
was
to
determine
whether
acts
a
factor
in
informal
caregivers
examine
potential
these
variables.
Clinical Kidney Journal,
Год журнала:
2024,
Номер
17(11)
Опубликована: Окт. 7, 2024
ABSTRACT
Background
Informal
caregivers
play
a
crucial
role
in
dialysis
care
but
may
experience
significant
burden,
potentially
affecting
both
caregiver
and
patient
outcomes.
Research
on
burden
health-related
quality
of
life
(HRQoL)
the
relation
to
patient-reported
outcomes
(PROs)
is
lacking.
Therefore,
we
aimed
(i)
describe
informal
caregivers’
experienced
HRQoL
(ii)
investigate
how
these
are
related
patients’
symptoms.
Methods
We
conducted
cross-sectional
study
at
initiation
with
202
adult
caregiver–dialysis
dyads.
Caregiver
was
measured
Self-Perceived
Pressure
from
Care
(SPPIC)
questionnaire,
12-item
Short
Form
Health
Survey
(SF-12),
symptom
number
Dialysis
Symptom
Index
(DSI).
Data
were
analysed
using
linear
logistic
ordinal
regression.
Results
Around
38%
moderate
high
burden.
Patients’
lower
mental
[adjusted
odds
ratio
(aOR)
=
0.95,
95%
confidence
interval
(CI)
0.92;
0.99],
higher
(aOR
1.07,
CI
1.02;
1.12)
1.03,
1.01;
1.04)
associated
greater
(β
0.30,
0.15;
0.46),
–0.55,
–0.78;
–0.31)
–0.17,
–0.25;
–0.10)
also
caregivers.
Conclusion
show
that
third
feel
These
findings
highlight
importance
recognizing
nature
their
Zeitschrift für Gerontologie und Geriatrie,
Год журнала:
2025,
Номер
unknown
Опубликована: Янв. 6, 2025
Zusammenfassung
Hintergrund
Der
Großteil
der
pflegebedürften
Menschen
in
Deutschland
wird
zu
Hause
von
Angehörigen
oder
anderen
Bezugspersonen
gepflegt.
Viele
informell
Pflegende
sind
zudem
erwerbstätig
und
stehen
somit
vor
Herausforderung,
die
Anforderungen
beider
Lebensbereiche
vereinbaren.
Dabei
besteht
Gefahr,
dass
eigene
Gesundheit
Pflegenden
leidet.
Fragestellungen
(1)
Inwiefern
steht
eine
Pflegeverantwortung
im
privaten
Umfeld
bei
Erwerbstätigen
mit
gesundheitlichen
Beschwerden
Zusammenhang?
(2)
Innerhalb
Gruppe
pflegenden
erwerbstätigen
Personen,
inwiefern
Umfang
informeller
Pflege
Erwerbsarbeit
Material
Methoden
Die
Datenbasis
dieser
Sekundärdatenanalyse
ist
BIBB/BAuA-Erwerbstätigenbefragung
2018.
Um
systematische
Strukturunterschiede
zwischen
Nichtpflegenden
den
Analysen
berücksichtigen,
wurde
das
Propensity
Score
Matching
angewendet.
Ergebnisse
Diskussion
Erwerbstätige
haben
häufiger
psychosomatische
körperliche
als
ohne
Pflegeverantwortung.
Erwerbsarbeitszeit
Pflegeumfang
Beziehung
zueinander,
ein
hoher
beiden
Lebensbereichen
schlechterer
assoziiert.
Schlussfolgerung
neben
ihrer
Berufstätigkeit
Pflegeaufgaben
übernehmen,
häufig
gesundheitlich
belastet.
Daher
gezielte
Interventionen
zur
Gesundheitsförderung
notwendig,
um
diese
unterstützen
ihre
verbessern.
Palliative & Supportive Care,
Год журнала:
2025,
Номер
23
Опубликована: Янв. 1, 2025
Recent
studies
have
challenged
the
assumption
that
families
are
invariable
sources
of
support
for
cancer
caregivers,
noting
relationships
with
family
members
can
both
positive
and
negative
effects
on
caregiver
well-being.
This
study
expands
upon
prior
literature
to
examine
relationship
between
caregivers'
perceptions
quality
their
interactions
symptoms
anxiety.
We
employed
secondary
analysis
baseline
data
from
a
multisite
randomized
clinical
trial
an
intervention
caregivers
conducted
at
3
large
academic
palliative
care
clinics.
performed
linear
regression
analyses
analyze
anxiety;
additional
models
were
estimated
further
characterize
this
addition
relevant
covariates:
race,
ethnicity,
sex,
marital/relationship
status,
patient,
employment
household
income,
perceived
social
received
friends
significant
others.
also
sub-analysis
provided
by
who
married
or
partnered
anxiety
satisfaction
as
covariate.
Among
our
analytic
sample
(n
=
244),
we
identified
remained
statistically
covariates.
Relationship
was
not
found
be
covariate
in
caregivers.
Study
results
provide
strong
development,
testing,
implementation
interventions
improve
strategy
reduce
Innovation in Aging,
Год журнала:
2025,
Номер
9(4)
Опубликована: Янв. 1, 2025
Informal
caregiving
for
older
adults
can
be
both
burdensome
and
beneficial.
Given
that
the
informal
situation
may
evolve
over
time,
care
needs
of
result
from
diverse
health
conditions,
it
is
valuable
to
understand
trajectories
burden
or
benefits
how
these
vary
across
conditions
common
among
care-recipients.
This
review
first
summarize
literature
on
caregiving,
including
caregiver
care-recipient
characteristics
associated
with
trajectories.
We
reviewed
longitudinal
observational
quantitative
studies,
5
bibliographic
databases,
assessed
at
3
more
time
points
caregivers
(60
years
above).
The
narrative
synthesis
included
41
only
7
(17%)
considering
benefits.
A
stable
average
trajectory
was
most
pattern
various
conditions.
However,
an
increasing
primarily
observed
persons
dementia,
while
a
decreasing
noted
discharged
hospital
after
acute
event.
Only
6
(10%)
which
reported
heterogeneity
in
progression
separately
jointly,
identified
distinctive
within
same
set
caregivers.
Risk
factors
consistently
indicating
persistently
higher
lower
functional
limitations
behavioral
problems,
being
non-spousal
caregiver,
solo
perceiving
less
self-efficacy
competence.
Future
studies
should
focus
untangle
consider
concurrently
identify
enhance
alleviate
time.
BACKGROUND
The
global
rise
in
ageing
populations
is
expected
to
significantly
increase
the
demand
for
informal
care.
Informal
carers
are
crucial
healthcare
systems
but
often
face
physical,
mental,
and
emotional
challenges
due
demands
of
caregiving.
Open
online
courses
have
emerged
as
potential
tools
support
by
providing
accessible,
flexible
learning
opportunities.
However,
landscape
these
remains
underexplored,
particularly
concerning
their
design,
outcomes,
barriers
enablers
participation.
OBJECTIVE
This
systematic
review
aimed
map
characteristics
open
carers,
explore
learner
experiences,
identify
participation
inform
design
future
courses.
METHODS
We
systematically
searched
four
electronic
databases
studies
published
from
inception
30
January
2025:
(1)
APA
PsycINFO,
(2)
CINAHL,
(3)
EMBASE,
(4)
MEDLINE.
Two
reviewers
independently
screened
titles
abstracts
eligibility.
Included
reported
on
development,
delivery,
or
outcomes
using
quantitative,
qualitative,
mixed
methods
designs.
Backward
forward
citation
was
conducted
reference
lists
included
studies.
Data
study
methodology,
course
characteristics,
evaluations
were
extracted
synthesised
narratively.
quality
quantitative
assessed
Effective
Public
Health
Practice
Project
(EPHPP)
Quality
Assessment
Tool,
qualitative
Critical
Appraisal
Skills
Program
(CASP)
toolkit.
Mixed
appraised
both
tools.
RESULTS
database
search
identified
200
studies,
with
an
additional
through
backward
citation.
Following
screening,
10
(6
4
methods)
met
eligibility
criteria
inclusion.
All
examined
massive
(MOOCs)
varied
length
content.
primarily
targeted
older
individuals
dementia
chronic
conditions
such
multiple
sclerosis.
Learner
benefits
improvements
knowledge,
caregiving
skills,
application
gains
into
everyday
scenarios.
Learners
accessibility
approaches
key
benefits.
related
interactivity,
peer
engagement,
learners
varying
levels
digital
literacy
internet
access
emphasised.
Nine
ten
papers
demonstrated
moderate
weak
methodological
EPHPP
tool,
three
CASP
toolkit,
limitations
participant
selection,
blinding,
presentation
data.
CONCLUSIONS
can
provide
accessible
education
that
improves
knowledge
skills
learners.
poor
limited
opportunities
interaction
will
be
helpful
areas
address
incorporation
synchronous
elements
including
live
moderated
discussions,
along
more
technical
options,
could
enhance
experience.
Further
high-quality
research
essential
extend
strengthen
evidence
base
guide
development
effective
educational
resources
carers.
CLINICALTRIAL
PROSPERO
CRD42024532766;
https://www.crd.york.ac.uk/PROSPERO/display_record.php?
RecordID=532766
Home Health Care Management & Practice,
Год журнала:
2025,
Номер
unknown
Опубликована: Фев. 24, 2025
Background:
Spouse
caregivers
play
a
vital
role
in
the
long-term
care
of
chronically
ill
and
dependent
partners.
They
frequently
experience
caregiver
burden
with
negative
health
outcomes.
Caregiver
is
associated
poor
mental
outcomes
such
as
depression
anxiety
among
spouse
caregivers.
A
caregiver’s
essential
to
well-being
recipient;
thus,
it
needs
be
accounted
for
patient
management
studies.
Objective:
The
purpose
this
integrative
review
was
examine
studies
that
explored
relationships
between
caregivers’
health.
Methods:
Searches
PubMed,
Scopus,
CINAHL
identified
18
met
inclusion
criteria.
Twelve
focused
on
alone
while
six
included
family
making
up
50%
or
more
sample.
Results:
Anxiety
were
common
but
often
not
measured
discussed.
Most
samples
lacked
racial
ethnic
diversity.
Mediating
factors
socioeconomic/income
status
which
can
influence
rarely
analyzed
reported.
Functional
cognitive
decline
most
mediators
depression.
heterogeneity
methods
measures
used
could
limit
generalization
findings.
Conclusion:
More
are
needed
include
historically
underrepresented
Accounting
confounders
level
education,
income
status,
elements
social
determinants
because
their
strong