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.
BMJ Open,
Год журнала:
2023,
Номер
13(12), С. e075691 - e075691
Опубликована: Дек. 1, 2023
Objectives
Over
40
million
people
in
low-income
and
middle-income
countries
(LMICs)
experience
serious
health-related
suffering
(SHS)
annually
require
palliative
care.
Patient
caregiver
experiences
of
SHS
LMICs
are
understudied
despite
their
importance
guiding
care
provision.
Diabetes
cancer
the
second-leading
third-leading
causes
death
Mexico,
causing
a
significant
burden
on
patients,
families
health
systems.
This
study
examines
from
point
view
patients
with
diabetes
caregivers.
Design
A
qualitative
descriptive
based
in-depth
telephone
interviews
was
conducted
between
August
2021
February
2022.
Data
were
analysed
through
inductive
thematic
analysis.
Participants
Overall,
20
end-stage
cancer,
13
35
family
caregivers
interviewed
individually.
Setting
recruited
two
medicine
clinics
pain
clinic
Mexico
City.
Results
Seven
themes
emerged:
(1)
as
multifaceted
phenomenon,
(2)
diversity
perceptions
suffering,
(3)
different
coping
strategies,
(4)
need
perceived
relief
(5)
barriers
to
accessing
services
relieve
(6)
demand
for
sector’s
active
humane
role
addressing
(7)
preferences
comprehensive
suffering.
The
primary
strategies
included
companionship,
protective
buffering
faith-based
support.
lacked
knowledge
They
expressed
viewing
it
responsibility
requesting
more
humane,
personalised
access
medicines
clinics.
Conclusions
nature
highlights
system’s
provide
high-quality
Policies
enhance
should
integrate
into
care,
redesigning
towards
patient
biopsychosocial
spiritual
needs
ensuring
competent
personnel.
Frontiers in Public Health,
Год журнала:
2023,
Номер
11
Опубликована: Фев. 16, 2023
Background
The
aim
of
this
study
is
to
describe
the
social
characteristics,
health
and
living
situation
prevalence
behavioral
risk
factors
adult
informal
caregivers
compared
non-caregivers
in
Germany.
Methods
We
used
data
from
German
Health
Update
(GEDA
2019/2020-EHIS
survey)
which
a
cross-sectional
population-based
interview
survey
conducted
between
04/2019
09/2020.
sample
comprised
22,646
adults
private
households.
Three
mutually
exclusive
groups
providing
care
or
assistance
were
differentiated:
intense
(informal
≥10
h/week),
less-intense
care<10
h/week)
non-caregivers.
For
three
weighted
prevalences
status
(self-perceived
health,
health-related
activity
limitations,
chronic
diseases,
low
back
disorder
other
defect,
depressive
symptoms),
(at-risk
drinking,
current
smoking,
insufficient
physical
activity,
non-daily
fruit
vegetable
consumption,
obesity)
(single
household,
support)
calculated
stratified
by
gender.
Separate
regression
analyses
adjusted
for
age-group
identify
significant
differences
vs.
non-caregivers,
respectively.
Results
Overall,
6.5%
caregivers,
15.2%
78.3%
Women
provided
more
often
(23.9%)
than
men
(19.3%).
Informal
was
most
frequently
age
group
45
64
years.
Intense
reported
worse
status,
smokers,
inactive,
obese
lived
less
alone
However,
only
few
seen:
Female
male
had
In
addition,
care-givers
self-perceived
limitation,
presence
diseases.
contrast,
differed
favor
caregivers.
Discussion
A
substantial
proportion
population
provides
regularly,
especially
women.
are
vulnerable
negative
outcomes,
men.
particular
measures
prevent
should
be
provided.
As
necessity
will
probably
increase
future,
important
society
public
health.
Healthcare,
Год журнала:
2023,
Номер
11(14), С. 1998 - 1998
Опубликована: Июль 11, 2023
The
aim
of
this
study
was
to
understand
the
support
priorities
older
(65+
years
old)
carers
people
living
with
dementia.
Two
nominal
group
technique
focus
groups
were
carried
out
Twelve
participated
across
two
groups.
Participants
individually
identified
priorities,
and
through
several
steps,
reached
a
consensus
produce
ranked
list
priorities.
results
consisted
lists
(one
per
group),
which
when
combined
made
up
15
These
are
presented
alongside
their
overall
mean
ranking.
authors
did
not
refine
these
after
groups,
however,
as
there
overlap
between
liststhe
benefited
from
being
themed.
overarching
themes
prioritising
carers'
holistic
needs;
having
sense
belonging;
needs
be
accessible
timely;
meet
wellbeing
personhood
person
dementia;
understanding
training
for
wider
community.
have
highlighted
developed
by
carers,
that
services
organisations
can
use
better
inform
receive.
Frontiers in Psychology,
Год журнала:
2024,
Номер
14
Опубликована: Янв. 12, 2024
Objective
Family
relationships
influence
how
people
appraise
their
own
aging
and
appraisals
impact
health.
We
analyzed
felt
age
(FA)
among
family
caregivers
of
with
dementia.
Methods
measures
used
a
stratified
sample
1,020
spousal
202
adult-child
from
the
IDEAL
study.
estimated
cross-sectional
associations
bidirectional
influences
between
caregivers'
FA
health
wellbeing
(depression,
number
conditions,
stress,
positive
aspects
caregiving)
over
2
years.
Results
Among
caregivers,
25%
had
younger
36%
an
older
FA.
21.8%
36.1%
In
was
cross-sectionally
associated
higher
depression,
fewer
caregiving.
hours
care
per
day
moderated
association
stress
1
year
later.
Conclusion
Caregiving
may
its
relationship
urge
continued
research
on
connections
caregiving
FA,
interventions
might
support
views
aging,
which
will
translate
scholarship
to
meaningfully
improve
lives.
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.
