Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Solna, Sweden
Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Solna, Sweden.
BMJ Open. 2021 Nov 9;11(11):e053117. doi: 10.1136/bmjopen-2021-053117.
Informal (unpaid) caregivers play an essential role in caring for older people, whose care needs are often not fully met by formal services. While providing informal care may be a positive experience, it can also exert a considerable strain on caregivers' physical and mental health. How to best support the needs of informal caregivers remains largely debated. This umbrella review (review of systematic reviews) aims to evaluate (1) whether effective interventions can mitigate the negative health outcomes of informal caregiving, (2) whether certain types of interventions are more effective than others, (3) whether effectiveness of interventions depends on caregiver/receiver, context or implementation characteristics and (4) how these interventions are perceived in terms of acceptability, feasibility and added value.
We will include systematic reviews of primary studies focusing on the effectiveness of interventions (public or private, unifaceted or multifaceted, delivered by health or social care professionals or volunteers) aimed at reducing the impact of caregiving on caregivers' physical or mental health. This will also include quantitative and qualitative syntheses of implementation studies. The literature search will include the following databases: Medline, CINAHL, PsycINFO and Web of Science. A key informant-guided search of grey literature will be performed. Quality appraisal will be conducted with the AMSTAR-2 checklist for quantitative reviews and with an checklist for qualitative syntheses. Narrative and tabular summaries of extracted data will be produced, and framework synthesis will be employed for weaving together evidence from quantitative studies in effectiveness reviews with findings on implementation from qualitative studies.
This umbrella review will use data from secondary sources and will not involve interactions with study participants; it is thus exempt from ethical approval. Results will be presented at international conferences and will be published in a peer-reviewed journal.
CRD42021252841.
非正式（无报酬）护理人员在照顾老年人方面发挥着至关重要的作用，而老年人的护理需求往往无法完全通过正式服务得到满足。虽然提供非正式护理可能是一种积极的体验，但它也会对护理人员的身心健康造成相当大的压力。如何最好地满足非正式护理人员的需求在很大程度上仍存在争议。本综述（系统评价综述）旨在评估：（1）有效的干预措施是否可以减轻非正式护理的负面健康后果；（2）某些类型的干预措施是否比其他干预措施更有效；（3）干预措施的有效性是否取决于护理人员/接受者、背景或实施特征；（4）这些干预措施在可接受性、可行性和附加值方面的看法。
我们将纳入系统评价原始研究，重点关注干预措施（公共或私人、单一或多方面、由卫生或社会保健专业人员或志愿者提供）的有效性，旨在减轻护理对护理人员身心健康的影响。这也将包括实施研究的定量和定性综合分析。文献检索将包括以下数据库：Medline、CINAHL、PsycINFO 和 Web of Science。将进行关键知情人指导的灰色文献搜索。对定量综述采用 AMSTAR-2 清单进行质量评估，对定性综述采用 清单进行质量评估。将提取的数据进行叙述性和表格性总结，并采用框架综合法将有效性综述中的定量研究证据与定性研究中的实施结果联系起来。
本综述将使用来自二次来源的数据，且不涉及与研究参与者的互动，因此免于伦理审查。结果将在国际会议上展示，并发表在同行评议的期刊上。
PROSPERO 注册号：CRD42021252841。
