Non-pharmacological interventions for caregivers ... - Update Software

More documents

Recommendations

Info

$Propofol versus thiopental sodium for the treatment of refractory ...$

T A B L E O F C O N T E N T S HEADER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 ABSTRACT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 PLAIN LANGUAGE SUMMARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 BACKGROUND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 OBJECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 METHODS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 RESULTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Figure 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 DISCUSSION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 AUTHORS’ CONCLUSIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 ACKNOWLEDGEMENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 REFERENCES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 CHARACTERISTICS OF STUDIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 DATA AND ANALYSES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 Analysis 1.1. Comparison 1 Experimental versus control, Outcome 1 Informal caregiver stress and strain. . . . . 49 Analysis 1.2. Comparison 1 Experimental versus control, Outcome 2 Global measures of stress or distress. . . . . 50 Analysis 1.3. Comparison 1 Experimental versus control, Outcome 3 Anxiety (lying above the recommended clinical cutpoint for symptoms and signs of anxiety). . . . . . . . . . . . . . . . . . . . . . . . . 50 Analysis 1.4. Comparison 1 Experimental versus control, Outcome 4 Depression (continuous outcome). . . . . 51 Analysis 1.5. Comparison 1 Experimental versus control, Outcome 5 Health-related quality of life. . . . . . . 52 APPENDICES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52 HISTORY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54 CONTRIBUTIONS OF AUTHORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55 DECLARATIONS OF INTEREST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55 SOURCES OF SUPPORT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55 DIFFERENCES BETWEEN PROTOCOL AND REVIEW . . . . . . . . . . . . . . . . . . . . . 55 INDEX TERMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55 Non-pharmacological interventions for caregivers of stroke survivors (Review) Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. i
[Intervention Review] Non-pharmacological interventions for caregivers of stroke survivors Lynn A Legg 1 , Terry J Quinn 2 , Fahd Mahmood 3 , Christopher J Weir 4 , Jayne Tierney 5 , David J Stott 6 , Lorraine N Smith 7 , Peter Langhorne 6 1 Academic Section of Geriatric Medicine, Division of Cardiovascular & Medical Sciences, Faculty of Medicine, University of Glasgow, Glasgow, UK. 2 Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UK. 3 Department of General Medicine, NHS Greater Glasgow & Clyde, Glasgow, UK. 4 MRC Hub for Trials Methodology Research, Centre for Population Health Sciences, Medical School, University of Edinburgh, Edinburgh, UK. 5 MRC Clinical Trials Unit, London, UK. 6 Academic Section of Geriatric Medicine, University of Glasgow, Glasgow, UK. 7 Nursing & Health Care, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK Contact address: Lynn A Legg, Academic Section of Geriatric Medicine, Division of Cardiovascular & Medical Sciences, Faculty of Medicine, University of Glasgow, Room 5, 4th Floor, Walton Building, Royal Infirmary, Glasgow, G4 0SF, UK. step@clinmed.gla.ac.uk. Editorial group: Cochrane Stroke Group. Publication status and date: New, published in Issue 10, 2011. Review content assessed as up-to-date: 26 April 2011. Citation: Legg LA, Quinn TJ, Mahmood F, Weir CJ, Tierney J, Stott DJ, Smith LN, Langhorne P. Non-pharmacological interventions for caregivers of stroke survivors. Cochrane Database of Systematic Reviews 2011, Issue 10. Art. No.: CD008179. DOI: 10.1002/14651858.CD008179.pub2. Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. Background A B S T R A C T A substantial component of care is provided to stroke survivors by informal caregivers. However, providing such care is often a new and challenging experience and has been linked to a number of adverse outcomes. A range of interventions targeted towards stroke survivors and their family or other informal caregivers have been tested in randomised controlled trials (RCTs). Objectives To evaluate the effect of interventions targeted towards informal caregivers of stroke survivors or targeted towards informal caregivers and the care recipient (the stroke survivor). Search strategy We searched the Cochrane Stroke Group Trials Register (March 2011), CENTRAL (The Cochrane Library Issue 2010, Issue 4), MEDLINE (1950 to August 2010), EMBASE (1980 to December 2010), CINAHL (1982 to August 2010), AMED (1985 to August 2010), PsycINFO (1967 to August 2010) and 11 additional databases. In an effort to identify further published, unpublished and ongoing studies, we searched conference proceedings and trials registers, scanned reference lists of relevant articles and contacted authors and researchers. There were no language restrictions. Selection criteria We included RCTs if they evaluated the effect of non-pharmacological interventions (compared with no care or routine care) on informal caregivers of stroke survivors. We included trials of interventions delivered to stroke survivors and informal caregivers only if the stroke survivor and informal caregiver were randomised as a dyad. We excluded studies which included stroke survivors and caregivers if the stroke survivors were the primary target of the intervention. Non-pharmacological interventions for caregivers of stroke survivors (Review) Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. 1
Page 1: Non-pharmacological interventions f
Page 5 and 6: mental demands, autonomy in decisio
Page 7 and 8: We also checked the reference lists
Page 9 and 10: Figure 1. Flowchart of search resul
Page 11 and 12: Excluded studies For details of exc
Page 13 and 14: Informal caregiver satisfaction One
Page 15 and 16: References to studies included in t
Page 17 and 18: patients. Journal of Evidence-based
Page 19 and 20: 16th AEP Congress - Abstract book.
Page 21 and 22: Radloff 1977 Radloff LS. The CES-D
Page 23 and 24: Draper 2007 (Continued) Bias Author
Page 25 and 26: Grant 2002 (Continued) Blinding (pe
Page 27 and 28: Kalra 2004 Methods Procedures for e
Page 29 and 30: Kalra 2004 (Continued) Judgement: i
Page 31 and 32: Mant 2000 (Continued) Number of str
Page 33 and 34: Pierce 2004 (Continued) Outcomes CE
Page 35 and 36: FIM: Functional Independence Measur
Page 37 and 38: (Continued) McLellan 1995 Stroke su
Page 39 and 40: Ostwald 2007 Methods RCT Participan
Page 41 and 42: Díez 2008 Trial name or title Care
Page 43 and 44: Forster 2007 (Continued) Interventi
Page 45 and 46: Graven 2008 (Continued) Outcomes Pr
Page 47 and 48: Hautzinger 2007 (Continued) Notes M
Page 49 and 50: Teel 2005 (Continued) Starting date
Page 51 and 52: Analysis 1.1. Comparison 1 Experime
Page 53 and 54:
Analysis 1.4. Comparison 1 Experime
Page 55 and 56:
15. (home-based or community-based)
Page 57 and 58:
H I S T O R Y Protocol first publis
show all

Non-pharmacological interventions for caregivers ... - Update Software

Create successful ePaper yourself

Delete template?

Save as template?