Research Article  |   August 2017
Effectiveness of Interventions for Caregivers of People With Alzheimer’s Disease and Related Major Neurocognitive Disorders: A Systematic Review
Author Affiliations
  • Catherine Verrier Piersol, PhD, OTR/L, FAOTA, is Associate Professor, Department of Occupational Therapy, and Director, Jefferson Elder Care, Thomas Jefferson University, Philadelphia, PA; catherine.v.piersol@jefferson.edu
  • Kerry Canton, MS, OTR/L, is Occupational Therapist, Beaumont Hospital, Taylor, MI. At the time of the systematic review, she was Student, Entry-Level Master's Program in Occupational Therapy, Thomas Jefferson University, Philadelphia, PA
  • Susan E. Connor, OTD, OTR/L, CCHP, is Occupational Therapist, Rutgers University Correctional Health Care, Newark, NJ. At the time of the systematic review, she was Student, Postprofessional Doctoral Program in Occupational Therapy, Thomas Jefferson University, Philadelphia, PA
  • Ilana Giller, OTD, OTR/L, is Occupational Therapist, Ellicott City Healthcare Center, Ellicott City, MD. At the time of the systematic review, she was Student, Occupational Therapy Doctoral Program, Thomas Jefferson University, Philadelphia, PA
  • Stacy Lipman, OTD, OTR/L, is Occupational Therapist, Veterans Administration Medical Center, Washington, DC. At the time of the systematic review, she was Student, Postprofessional Doctoral Program in Occupational Therapy, Thomas Jefferson University, Philadelphia, PA
  • Suzanne Sager, MS, OTR/L, is Occupational Therapist, Exceptional Rehab, Lexington, KY. At the time of the systematic review, she was Student, Entry-Level BSMS Program in Occupational Therapy, Thomas Jefferson University, Philadelphia, PA
Article Information
Alzheimer's Disease and Dementia / Evidence-Based Practice / Mental Health / Neurologic Conditions / Special Issue: Evidence Review
Research Article   |   August 2017
Effectiveness of Interventions for Caregivers of People With Alzheimer’s Disease and Related Major Neurocognitive Disorders: A Systematic Review
American Journal of Occupational Therapy, August 2017, Vol. 71, 7105180020p1-7105180020p10. doi:10.5014/ajot.2017.027581
American Journal of Occupational Therapy, August 2017, Vol. 71, 7105180020p1-7105180020p10. doi:10.5014/ajot.2017.027581
Abstract

OBJECTIVE. The goal of the evidence review was to evaluate the effectiveness of interventions for caregivers of people with Alzheimer’s disease and related major neurocognitive disorders that facilitate the ability to maintain participation in the caregiver role.

METHOD. Scientific literature published in English between January 2006 and April 2014 was reviewed. Databases included MEDLINE, PsycINFO, CINAHL, OTseeker, and the Cochrane Database of Systematic Reviews.

RESULTS. Of 2,476 records screened, 43 studies met inclusion criteria. Strong evidence shows that multicomponent psychoeducational interventions improve caregiver quality of life (QOL), confidence, and self-efficacy and reduce burden; cognitive reframing reduces caregiver anxiety, depression, and stress; communication skills training improves caregiver skill and QOL in persons with dementia; mindfulness-based training improves caregiver mental health and reduces stress and burden; and professionally led support groups enhance caregiver QOL.

CONCLUSION. Strong evidence exists for a spectrum of caregiver interventions. Translation of effective interventions into practice and evaluation of sustainability is necessary.