Effectiveness of Interventions for Caregivers of People With Alzheimer's Disease and Related Major Neurocognitive Disorders: A Systematic Review

• Published in: The American journal of occupational therapy 2017-09, Vol.71 (5), p.7105180020p1-7105180020p10
• Main Authors: Piersol, Catherine Verrier, Canton, Kerry, Connor, Susan E, Giller, Ilana, Lipman, Stacy, Sager, Suzanne
• Format: Article
• Language: English
• Subjects: Activities of daily living; Alzheimer Disease - nursing; Alzheimer's disease; Alzheimers Disease; Anxiety - rehabilitation; Care and treatment; Caregiver Role; Caregivers; Caregivers - psychology; Cognitive Therapy; Communication Skills; Complications and side effects; Dementia; Depression (Psychology); Depression - rehabilitation; Development and progression; Evidence; Evidence-based medicine; Humans; Information Seeking; Information Sources; Intervention; Learning Problems; Mental depression; Methods; Mindfulness; Neurocognition; Neurocognitive Disorders - rehabilitation; Neurologic manifestations; Nursing; Occupational therapy; Occupational Therapy - methods; Patient outcomes; Quality of Life; Residential Care; Search Strategies; Self Efficacy; Self-Help Groups; Skills; Social Support Groups; Stress; Stress, Psychological - rehabilitation; Systematic review; Telephone Surveys; Treatment Outcome
• ISSN: 0272-9490; 1943-7676
• DOI: 10.5014/ajot.2017.027581

The goal of the evidence review was to evaluate the effectiveness of interventions for caregivers of people with Alzheimer's disease and related major neurocognitive disorders that facilitate the ability to maintain participation in the caregiver role. Scientific literature published in English between January 2006 and April 2014 was reviewed. Databases included MEDLINE, PsycINFO, CINAHL, OTseeker, and the Cochrane Database of Systematic Reviews. Of 2,476 records screened, 43 studies met inclusion criteria. Strong evidence shows that multicomponent psychoeducational interventions improve caregiver quality of life (QOL), confidence, and self-efficacy and reduce burden; cognitive reframing reduces caregiver anxiety, depression, and stress; communication skills training improves caregiver skill and QOL in persons with dementia; mindfulness-based training improves caregiver mental health and reduces stress and burden; and professionally led support groups enhance caregiver QOL. Strong evidence exists for a spectrum of caregiver interventions. Translation of effective interventions into practice and evaluation of sustainability is necessary.