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Supportive interventions for carers of men with prostate cancer: systematic review and narrative synthesis
journal contribution
posted on 2023-07-21, 03:38 authored by N Winter, Hannah JongebloedHannah Jongebloed, A Green, Anna UgaldeAnna Ugalde, Trish LivingstonTrish LivingstonPurpose: The objective of this study was to summarise the literature on current interventions available for carers of men with prostate cancer and analyse the outcomes of these interventions in supporting carers' needs. Methods: A systematic review was conducted, searching databases MEDLINE, PsycINFO, CINAHL, Scopus and Cochrane, using terms related to prostate cancer, carers and interventions. Randomised controlled trials and non-randomised controlled trials of interventions for informal carers with or without patients were included. Data were analysed using descriptive and frequency statistics; interventions and their impact on carers' outcomes were reported on narratively. The SwiM guidelines were applied to guide data synthesis. Results: Overall, 24 articles were included in the review. On average, participants were spouses (92%) and women (97%). Interventions largely rwere delivered face-to-face (42%) or used a combination of face to face and online modalities (38%). Two-thirds (63%) showed a significant improvement in carer's outcomes including psychological, sexual, physical and relationship/marital. The majority of studies (79%) tailored contents to carers' circumstances, most within a couples counselling format. Over one-third (42%) of studies focused on a range of supportive care needs, most commonly were psychological (58%), sexual (42%) and informational (25%). Conclusions: Interventions for carers of men with prostate cancer were largely face to face, patient-spouse focused and two-thirds had some measurable impact on carer's outcomes. Research continues to underserve other patient-carer roles, including non-spousal carers. Interventions delivered solely for carers are required to meet gaps in care, and determine the impact on carer outcomes. Further research and more targeted interventions are needed. PROSPERO registration number: CRD42021249870
History
Journal
BMJ Supportive and Palliative CareLocation
EnglandPublisher DOI
ISSN
2045-435XeISSN
2045-4368Language
EnglishPublisher
BMJ PUBLISHING GROUPUsage metrics
Keywords
Science & TechnologyLife Sciences & BiomedicineHealth Care Sciences & ServicesCancerProstatePsychological careSupportive careANDROGEN-DEPRIVATION THERAPYRANDOMIZED CONTROLLED-TRIALFAMILY CAREGIVERSEDUCATIONAL INTERVENTIONINFORMAL CAREGIVERSPARTNERSSPOUSESINTIMACYCOUPLESSURVIVORS4203 Health Services and Systems4205 Nursing42 Health SciencesProstate CancerUrologic Diseases7 Management of diseases and conditions7.1 Individual care needs3 Good Health and Well Being4203 Health services and systemsPublic Health and Health Services not elsewhere classifiedNursing not elsewhere classified
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