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Interventions to Support Caregivers of Older Adults Undergoing Surgery: A Systematic Review Publisher Pubmed



Navab E1 ; Legacy N1 ; Haase KR2 ; Freeman L1 ; Smith A1 ; Goudarzian AH3 ; Ayala AP4 ; Donison V1 ; Sirois A2 ; Sharifi F5 ; Chesney TR6 ; Wong C5 ; Callow J2 ; Boswell D2 Show All Authors
Authors
  1. Navab E1
  2. Legacy N1
  3. Haase KR2
  4. Freeman L1
  5. Smith A1
  6. Goudarzian AH3
  7. Ayala AP4
  8. Donison V1
  9. Sirois A2
  10. Sharifi F5
  11. Chesney TR6
  12. Wong C5
  13. Callow J2
  14. Boswell D2
  15. Alibhai S7
  16. Puts M1
Show Affiliations
Authors Affiliations
  1. 1. Lawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada
  2. 2. School of Nursing, University of British Columbia, Vancouver, BC, Canada
  3. 3. Department of Psychiatric Nursing, School of Nursing and Midwifery, Tehran University of Medical Science, Tehran, Iran
  4. 4. Gerstein Science Information Centre, University of Toronto, Toronto, ON, Canada
  5. 5. Elderly Health Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. St. Michael's Hospital, Unity Health, Toronto, ON, Canada
  7. 7. Department of Medicine, University Health Network, And Department of Medicine, Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada

Source: American Journal of Surgery Published:2025


Abstract

Introduction: Increasing numbers of caregivers provide support to older adults after surgery, which is associated with stress and negative impacts on their health. Our review questions were: Methods: The databases searched included PubMed, OVID MEDLINE, OVID PsycINFO, EBSCO CINAHL, OVID EMBASE, Web of Science Core Collection, Wiley Cochrane CENTRAL on February 14, 2024. Studies eligible for inclusion were randomized controlled trial (RCT) or quasi-experimental design with control groups, published in English, Dutch, German, French and Persian, included any unpaid caregiver, and the intervention must include a component specifically designed to meet the caregivers’ needs. Results: in total 27,845 were screened and 45 full texts were reviewed. Seven RCTs, two pilot RCTS, and four quasi RCTs were included. Only five interventions had any positive impact and included self-management, telehealth, education and a family-centered care model. Conclusion: Few effective interventions were identified and more engagement with caregivers may identify interventions that better target the caregivers’ needs. Prospero registration number: CRD42024519637. © 2025 The Authors
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