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An integrated review of interventions to improve psychological outcomes in caregivers of patients with heart failure
University of Calif Irvine, CA 92697 USA.
Linköping University, Department of Medical and Health Sciences, Division of Nursing Science. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Department of Cardiology in Linköping.ORCID iD: 0000-0002-4259-3671
University of Alabama Birmingham, AL USA.
2016 (English)In: CURRENT OPINION IN SUPPORTIVE AND PALLIATIVE CARE, ISSN 1751-4258, Vol. 10, no 1, 24-31 p.Article, review/survey (Refereed) PublishedText
Abstract [en]

Purpose of reviewThis article examines interventions aimed at improving psychological outcomes (e.g., caregiver burden, quality of life, anxiety, depression, perceived control, stress mastery, caregiver confidence and preparedness, and caregiver mastery) in family caregivers of patients with heart failure.Recent findingsEight studies meeting the inclusion criteria were included in the review. The most common intervention involved psychoeducation facilitated by a nurse (6/8) and supplemented with a combination of follow-up face-to-face sessions (2/6), home visits (2/6), telephone calls (3/6), and telemonitoring (3/6). Two studies used a support group intervention of four to six sessions. Half of the interventions reported a significant effect on one or more primary outcomes, including caregiver burden (n=4), depressive symptoms (n=1), stress mastery (n=1), caregiver confidence and preparedness (n=1), and caregiver mastery (n=1).SummaryCompared with dementia and cancer family caregiving, few interventions have been evaluated in caregivers of patients with heart failure. Of the existing interventions identified in this review, considerable variability was observed in aims, intervention content, delivery methods, duration, intensity, methodological rigor, outcomes, and effects. Given this current state of the science, direct comparison of heart failure caregiver interventions and recommendations for clinical practice are premature. Thus, research priority is strongly warranted for intervention development and testing to enhance heart failure caregiver support and education.

Place, publisher, year, edition, pages
LIPPINCOTT WILLIAMS & WILKINS , 2016. Vol. 10, no 1, 24-31 p.
Keyword [en]
caregiver; caregiver burden; heart failure; quality of life
National Category
Clinical Medicine
Identifiers
URN: urn:nbn:se:liu:diva-125670DOI: 10.1097/SPC.0000000000000182ISI: 000369426700006PubMedID: 26716392OAI: oai:DiVA.org:liu-125670DiVA: diva2:908485
Note

Funding Agencies|National Heart, Lung, and Blood Institute [1R01HL093466-05]; Swedish Research Council for Medicine and Health; Swedish Research Council for Health, Working Life and Welfare

Available from: 2016-03-02 Created: 2016-02-29 Last updated: 2016-05-09

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Available from 2017-03-01 09:32

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Strömberg, Anna
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Division of Nursing ScienceFaculty of Medicine and Health SciencesDepartment of Cardiology in Linköping
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