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Psychosocial interventions for non‐professional carers of people with Parkinson’s disease: a systematic scoping review

Identifieur interne : 002B75 ( Main/Corpus ); précédent : 002B74; suivant : 002B76

Psychosocial interventions for non‐professional carers of people with Parkinson’s disease: a systematic scoping review

Auteurs : Susanne Hempel ; Gill Norman ; Su Golder ; Raquel Aguiar-Ibá Ez ; Alison Eastwood

Source :

RBID : ISTEX:F51E4C456DCE626B4E6BB1E4AAC9E62EE933B462

English descriptors

Abstract

Title.  Psychosocial interventions for non‐professional carers of people with Parkinson’s disease: a systematic scoping review. Aim.  This paper is a report of a scoping review to systematically identify and collate the evidence on psychosocial interventions for non‐professional carers of people with Parkinson’s disease. Background.  Carers are critical to people with Parkinson’s disease maintaining independent living and quality of life. Parkinson’s disease imposes a challenging constellation of symptoms and no summary of effective interventions for carers and their unique support needs exists. Data sources.  Thirty electronic databases were searched from their inception to July 2006, and bibliographies and specific internet sites were scanned. Methods.  Eligible studies were categorized according to design, type of economic evaluation where applicable, number of participants, country of evaluation, intervention, orientation, provider, setting, method of delivery, carer population, patient population, carer outcomes, patient outcomes and authors’ conclusions. Data were extracted by one reviewer and checked by another reviewer; discrepancies were resolved through discussion or arbitration by a third reviewer. Findings.  Thirty studies met the inclusion criteria. Most investigated relatively unique interventions involving multiple elements; the majority were not aimed primarily at carers but were embedded in patient treatment programmes. Many were pilot studies, employing weak research designs and involving very small numbers of participants and most were not designed to assess the clinical or cost effectiveness of the intervention for the carers. Conclusion.  Several interventions merit further investigation but there is currently little evidence to show which approaches are effective and cost effective in supporting carers. Future studies need to employ appropriate and rigorous research designs with adequate samples and outcome measures, and with more focus on the carer.

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DOI: 10.1111/j.1365-2648.2008.04806.x

Links to Exploration step

ISTEX:F51E4C456DCE626B4E6BB1E4AAC9E62EE933B462

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<personName>
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<unparsedAffiliation>Susanne Hempel BA MA PhD Affiliate Associate Behavioral Scientist RAND Corporation, Behavioral and Social Sciences Group, Santa Monica, California, USA</unparsedAffiliation>
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<unparsedAffiliation>Gill Norman BA MSc PhD Research Fellow Centre for Reviews and Dissemination, University of York, UK</unparsedAffiliation>
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<unparsedAffiliation>Su Golder BSc MSc MRC Fellow in Health Services Research Centre for Reviews and Dissemination, University of York, UK</unparsedAffiliation>
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<unparsedAffiliation>Alison Eastwood BA MSc Senior Research Fellow Centre for Reviews and Dissemination, University of York, UK</unparsedAffiliation>
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<keyword xml:id="k1">carer</keyword>
<keyword xml:id="k2">family members</keyword>
<keyword xml:id="k3">Parkinson’s disease</keyword>
<keyword xml:id="k4">psychosocial intervention</keyword>
<keyword xml:id="k5">scoping review</keyword>
<keyword xml:id="k6">support</keyword>
<keyword xml:id="k7">systematic review</keyword>
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<abstract type="main" xml:lang="en"><!-- hempel s., norman g., golder s., aguiar-ib&aacute;&ntilde;ez r. & eastwood a. (2008)&emsp;Psychosocial interventions for non-professional carers of people with Parkinson&rsquo;s disease: a systematic scoping review. Journal of Advanced Nursing&thinsp;64(3), 214&ndash;228 -->
<title type="main">Abstract</title>
<p>
<b>Title. </b>
<b>Psychosocial interventions for non‐professional carers of people with Parkinson’s disease: a systematic scoping review.</b>
</p>
<p>
<b>Aim. </b>
This paper is a report of a scoping review to systematically identify and collate the evidence on psychosocial interventions for non‐professional carers of people with Parkinson’s disease.</p>
<p>
<b>Background. </b>
Carers are critical to people with Parkinson’s disease maintaining independent living and quality of life. Parkinson’s disease imposes a challenging constellation of symptoms and no summary of effective interventions for carers and their unique support needs exists.</p>
<p>
<b>Data sources. </b>
Thirty electronic databases were searched from their inception to July 2006, and bibliographies and specific internet sites were scanned.</p>
<p>
<b>Methods. </b>
Eligible studies were categorized according to design, type of economic evaluation where applicable, number of participants, country of evaluation, intervention, orientation, provider, setting, method of delivery, carer population, patient population, carer outcomes, patient outcomes and authors’ conclusions. Data were extracted by one reviewer and checked by another reviewer; discrepancies were resolved through discussion or arbitration by a third reviewer.</p>
<p>
<b>Findings. </b>
Thirty studies met the inclusion criteria. Most investigated relatively unique interventions involving multiple elements; the majority were not aimed primarily at carers but were embedded in patient treatment programmes. Many were pilot studies, employing weak research designs and involving very small numbers of participants and most were not designed to assess the clinical or cost effectiveness of the intervention for the carers.</p>
<p>
<b>Conclusion. </b>
Several interventions merit further investigation but there is currently little evidence to show which approaches are effective and cost effective in supporting carers. Future studies need to employ appropriate and rigorous research designs with adequate samples and outcome measures, and with more focus on the carer.</p>
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<title>Psychosocial interventions for non‐professional carers of people with Parkinson’s disease: a systematic scoping review</title>
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<namePart type="given">Susanne</namePart>
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<affiliation>Susanne Hempel BA MA PhD Affiliate Associate Behavioral Scientist RAND Corporation, Behavioral and Social Sciences Group, Santa Monica, California, USA</affiliation>
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<namePart type="given">Raquel</namePart>
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<affiliation>Raquel Aguiar‐Ibáñez MSc Research Fellow London School of Hygiene and Tropical Medicine, Health Services Research Unit, London, UK</affiliation>
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<dateIssued encoding="w3cdtf">2008-11</dateIssued>
<edition>Accepted for publication 4 July 2008</edition>
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<abstract lang="en">Title.  Psychosocial interventions for non‐professional carers of people with Parkinson’s disease: a systematic scoping review. Aim.  This paper is a report of a scoping review to systematically identify and collate the evidence on psychosocial interventions for non‐professional carers of people with Parkinson’s disease. Background.  Carers are critical to people with Parkinson’s disease maintaining independent living and quality of life. Parkinson’s disease imposes a challenging constellation of symptoms and no summary of effective interventions for carers and their unique support needs exists. Data sources.  Thirty electronic databases were searched from their inception to July 2006, and bibliographies and specific internet sites were scanned. Methods.  Eligible studies were categorized according to design, type of economic evaluation where applicable, number of participants, country of evaluation, intervention, orientation, provider, setting, method of delivery, carer population, patient population, carer outcomes, patient outcomes and authors’ conclusions. Data were extracted by one reviewer and checked by another reviewer; discrepancies were resolved through discussion or arbitration by a third reviewer. Findings.  Thirty studies met the inclusion criteria. Most investigated relatively unique interventions involving multiple elements; the majority were not aimed primarily at carers but were embedded in patient treatment programmes. Many were pilot studies, employing weak research designs and involving very small numbers of participants and most were not designed to assess the clinical or cost effectiveness of the intervention for the carers. Conclusion.  Several interventions merit further investigation but there is currently little evidence to show which approaches are effective and cost effective in supporting carers. Future studies need to employ appropriate and rigorous research designs with adequate samples and outcome measures, and with more focus on the carer.</abstract>
<subject lang="en">
<genre>Keywords</genre>
<topic>carer</topic>
<topic>family members</topic>
<topic>Parkinson’s disease</topic>
<topic>psychosocial intervention</topic>
<topic>scoping review</topic>
<topic>support</topic>
<topic>systematic review</topic>
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<title>Journal of Advanced Nursing</title>
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<identifier type="ISSN">0309-2402</identifier>
<identifier type="eISSN">1365-2648</identifier>
<identifier type="DOI">10.1111/(ISSN)1365-2648</identifier>
<identifier type="PublisherID">JAN</identifier>
<part>
<date>2008</date>
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<caption>vol.</caption>
<number>64</number>
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<detail type="issue">
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<extent unit="pages">
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