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      Interventions with family caregivers of cancer patients: meta-analysis of randomized trials.

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          Abstract

          Family caregivers of cancer patients receive little preparation, information, or support to perform their caregiving role. However, their psychosocial needs must be addressed so they can maintain their own health and provide the best possible care to the patient. The purpose of this article is to analyze the types of interventions offered to family caregivers of cancer patients, and to determine the effect of these interventions on various caregiver outcomes. Meta-analysis was used to analyze data obtained from 29 randomized clinical trials published from 1983 through March 2009. Three types of interventions were offered to caregivers: psychoeducational, skills training, and therapeutic counseling. Most interventions were delivered jointly to patients and caregivers, but they varied considerably with regard to dose and duration. The majority of caregivers were female (64%) and Caucasian (84%), and ranged in age from 18 to 92 years (mean age, 55 years). Meta-analysis indicated that although these interventions had small to medium effects, they significantly reduced caregiver burden, improved caregivers' ability to cope, increased their self-efficacy, and improved aspects of their quality of life. Various intervention characteristics were also examined as potential moderators. Clinicians need to deliver research-tested interventions to help caregivers and patients cope effectively and maintain their quality of life.

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          Author and article information

          Journal
          CA Cancer J Clin
          CA: a cancer journal for clinicians
          Wiley
          1542-4863
          0007-9235
          August 17 2010
          : 60
          : 5
          Affiliations
          [1 ] School of Nursing, University of Michigan, Ann Arbor, MI 48109, USA. lnortho@umich.edu
          Article
          caac.20081 NIHMS208009
          10.3322/caac.20081
          2946584
          20709946
          13ca3507-2b14-4403-b002-95ee7be35907
          Copyright 2010 American Cancer Society, Inc.
          History

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