Resilience in family caregivers of Asian older people with dementia: An integrative review.
Thitinan Duangjina, Patricia E Hershberger, Valerie Gruss and 1 others
PMID 38863175WHAT IT FOUND
Dementia caregivers' burden was associated with more severe dementia, role strain, stigma, family stress, being female, low income and low education.
Positive caregiving aspects, family support and religiosity were associated with better adaptation.
Key findings
01Seven factors associated with adversity, which the review treated as caregiver burden, were dementia severity, caregiver role strain, stigma, family stress, female gender, low income and low education.
02Three factors associated with positive adaptational outcomes were positive aspects of caregiving, social support and religiosity or spirituality.
03Support from close family members was reported as the strongest influencing factor for adaptation among family caregivers.
STILL TO COME
How it was doneWhat they foundWhat it means for OTsWhat it means for RNs
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What it does not show
Most quantitative studies were correlational, so they cannot show that any factor caused burden or resilience. The review did not register a protocol beforehand and included only English-language studies, so relevant Asian-language work may be missing. The included studies were heterogeneous, so the authors could not combine them statistically; quantitative synthesis was limited to descriptive means for a single instrument. Quality was mixed: of 20 quantitative studies, 10 were rated low risk and 10 fair; the review also excluded grey literature.
Declared interests
No specific funding grant; the first author received a PhD scholarship from Chiang Mai University; the authors declared no conflicts of interest.
The easy way to misread this
Do not read the home-setting recommendation as evidence that an intervention works. The review did not test interventions; most quantitative studies were correlational and could not establish causality.