livingston-systematicreview-2019.pdf (424.57 kB)
A systematic review of cancer caregiver interventions: appraising the potential for implementation of evidence into practice
journal contribution
posted on 2019-04-01, 00:00 authored by Anna UgaldeAnna Ugalde, Cadeyrn GaskinCadeyrn Gaskin, Nicole M Rankin, Penelope Schofield, Anna Boltong, Sanchia Aranda, Suzanne Chambers, Meinir Krishnasamy, Trish LivingstonTrish LivingstonOBJECTIVE: nformal caregivers provide substantial support for people living with cancer. Previous systematic reviews report on the efficacy of cancer caregiver interventions but not their potential to be implemented. The aim of this systematic review was to explore the potential for cancer caregiver interventions to be implemented into practice. METHODS: We searched three electronic databases to identify cancer caregiver interventions on 5 January 2018. We operationalised six implementation outcomes (acceptability, adoption, appropriateness, feasibility, fidelity, and costs) into a tool to guide data extraction. RESULTS: The search yielded 33 papers (27 papers from electronic databases and six papers from other sources) reporting on 26 studies that met review criteria. Fewer than half the studies (46%) contained evidence about the acceptability of interventions from caregivers' perspectives; only two studies (8%) included interventions developed with input from caregivers. Two studies (8%) addressed potential adoption of interventions, and no studies discussed intentions, agreement, or action to implement interventions into practice. All studies reported on intervention appropriateness by providing a rationale for the interventions. For feasibility, on average less than one-third of caregivers who were eligible to be involved consented to participate. On fidelity, whether interventions were conducted as intended was reported in 62% of studies. Cost data were reported in terms of intervention delivery, requiring a median time commitment of staff of 180 minutes to be delivered. CONCLUSIONS: Caregiver intervention studies lack components of study design and reporting that could bridge the gap between research and practice. There is enormous potential for improvements in cancer caregiver intervention study design to plan for future implementation.
History
Journal
Psycho-oncologyVolume
28Issue
4Pagination
687 - 701Publisher
John Wiley & SonsLocation
Chichester, Eng.Publisher DOI
Link to full text
eISSN
1099-1611Language
engPublication classification
C1 Refereed article in a scholarly journalCopyright notice
2019, The AuthorsUsage metrics
Categories
No categories selectedKeywords
cancercaregivercarerdisseminationframeworkimplementationinterventiononcologyoutcomesScience & TechnologySocial SciencesLife Sciences & BiomedicinePsychologyPsychology, MultidisciplinarySocial Sciences, BiomedicalBiomedical Social SciencesPSYCHOEDUCATIONAL GROUP INTERVENTIONRANDOMIZED CONTROLLED-TRIALPROBLEM-SOLVING INTERVENTIONFAMILY CAREGIVERSPALLIATIVE CAREINFORMAL CAREGIVERSSELF-EFFICACYSUPPORT GROUPBURDENPEOPLE
Licence
Exports
RefWorks
BibTeX
Ref. manager
Endnote
DataCite
NLM
DC