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Title: A systematic review of cancer caregiver interventions:Appraising the potential for implementation of evidence intopractice
Authors: Ugalde A; Gaskin CJ; Rankin NM; Schofield P; Boltong A; Aranda S; Chambers S; Krishnasamy M; Livingston P
Categories: Cancer Control, Survivorship, and Outcomes Research - Patient Care and Survivorship Issues
Year: 2019
Journal Title: Psycho‐Oncology
Volume: 28
Page number start: 687
Page number end: 701
Abstract: Objective:Informal caregivers provide substantial support for people living with can-cer. Previous systematic reviews report on the efficacy of cancer caregiver interventionsbut not their potential to be implemented. The aim of this systematic review was toexplore the potential for cancer caregiver interventions to be implemented into practice.Methods:We searched three electronic databases to identify cancer caregiverinterventions on 5 January 2018. We operationalised six implementation outcomes(acceptability, adoption, appropriateness, feasibility, fidelity, and costs) into a tool toguide data extraction.Results:The search yielded 33 papers (27 papers from electronic databases and sixpapers from other sources) reporting on 26 studies that met review criteria. Fewerthan half the studies (46%) contained evidence about the acceptability of interven-tions from caregivers' perspectives; only two studies (8%) included interventionsdeveloped with input from caregivers. Two studies (8%) addressed potential adoptionof interventions, and no studies discussed intentions, agreement, or action to imple-ment interventions into practice. All studies reported on intervention appropriatenessby 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. Onfidelity, whether interventions were conducted as intended was reported in 62% ofstudies. Cost data were reported in terms of intervention delivery, requiring a mediantime commitment of staff of 180 minutes to be delivered.Conclusions:Caregiver intervention studies lack components of study design andreporting that could bridge the gap between research and practice. There is enormouspotential for improvements in cancer caregiver intervention study design to plan forfuture implementation
Division: Cancer Research Division
Funding Body: This work is funded by a Victorian Cancer Agency Early Career SeedGrant (Ugalde, ECSG14037)
DOI: doi:10.1002/pon.5018
Appears in Collections:Research Articles

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