Effectiveness of family and caregiver interventions on patient outcomes in adults with cancer: A systematic review

Joan Griffin, Laura A. Meis, Roderick MacDonald, Nancy Greer, Agnes Jensen, Indulis Rutks, Timothy J. Wilt

Research output: Contribution to journalReview article

20 Citations (Scopus)

Abstract

BACKGROUND: Family and caregiver interventions typically aim to develop family members' coping and caregiving skills and to reduce caregiver burden. We conducted a systematic review of published randomized controlled trials (RCTs) evaluating whether family-involved interventions improve patient outcomes among adults with cancer. METHODS: RCTs enrolling patients with cancer were identified by searching MEDLINE, PsycInfo and other sources through December 2012. Studies were limited to subjects over 18 years of age, published in English language, and conducted in the United States. Patient outcomes included global quality of life; physical, general psychological and social functioning; depression/anxiety; symptom control and management; health care utilization; and relationship adjustment. RESULTS: We identified 27 unique trials, of which 18 compared a family intervention to usual care or wait list (i.e., usual care with promise of intervention at completion of study period) and 13 compared one family intervention to another individual or family intervention (active control). Compared to usual care, overall strength of evidence for family interventions was low. The available data indicated that overall, family-involved interventions did not consistently improve outcomes of interest. Similarly, with low or insufficient evidence, family-involved interventions were not superior to active controls at improving cancer patient outcomes. DISCUSSION: Overall, there was low or insufficient evidence that family and caregiver interventions were superior to usual or active care. Variability in study populations and interventions made pooling of data problematic and generalizing findings from any single study difficult. Most of the included trials were of poor or fair quality.

Original languageEnglish (US)
Pages (from-to)1274-1282
Number of pages9
JournalJournal of General Internal Medicine
Volume29
Issue number9
DOIs
StatePublished - 2014
Externally publishedYes

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Caregivers
Neoplasms
Randomized Controlled Trials
Patient Acceptance of Health Care
Social Adjustment
Psychological Adaptation
MEDLINE
Meta-Analysis
Language
Anxiety
Quality of Life
Depression
Psychology
Population

Keywords

  • cancer
  • caregivers
  • patient outcomes
  • systematic review

ASJC Scopus subject areas

  • Internal Medicine
  • Medicine(all)

Cite this

Effectiveness of family and caregiver interventions on patient outcomes in adults with cancer : A systematic review. / Griffin, Joan; Meis, Laura A.; MacDonald, Roderick; Greer, Nancy; Jensen, Agnes; Rutks, Indulis; Wilt, Timothy J.

In: Journal of General Internal Medicine, Vol. 29, No. 9, 2014, p. 1274-1282.

Research output: Contribution to journalReview article

Griffin, Joan ; Meis, Laura A. ; MacDonald, Roderick ; Greer, Nancy ; Jensen, Agnes ; Rutks, Indulis ; Wilt, Timothy J. / Effectiveness of family and caregiver interventions on patient outcomes in adults with cancer : A systematic review. In: Journal of General Internal Medicine. 2014 ; Vol. 29, No. 9. pp. 1274-1282.
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