Translating evidence to patient care through caregivers: a systematic review of caregiver-mediated interventions

BMC Medicine
Kirsten M FiestHenry T Stelfox

Abstract

Caregivers may promote the uptake of science into patient care and the practice of evidence-informed medicine. The purpose of this study was to determine whether caregiver-mediated (non-clinical caregiver-delivered) interventions are effective in improving patient, caregiver, provider, or health system outcomes. We searched the MEDLINE, Embase, PsycINFO, Cumulative Index of Nursing and Allied Health, and Scopus databases from inception to February 27, 2017. Interventions (with a comparison group) reporting on a quality improvement intervention mediated by a caregiver and directed to a patient, in all ages and patient-care settings, were selected for inclusion. A three-category framework was developed to characterize caregiver-mediated interventions: inform (e.g., provide knowledge), activate (e.g., prompt action), and collaborate (e.g., lead to interaction between caregivers and other groups [e.g., care providers]). Fifty-six studies met the inclusion criteria, and 64% were randomized controlled trials (RCTs). The most commonly assessed outcomes were patient- (n = 40) and caregiver-oriented (n = 33); few health system- (n = 10) and provider-oriented (n = 2) outcomes were reported. Patient outcomes (e.g., satisfaction) were most...Continue Reading

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Citations

Sep 6, 2018·Journal of Clinical Nursing·Patricia M DavidsonSarah L Szanton
Jul 18, 2019·Current Opinion in Critical Care·Christian E FarrierKirsten M Fiest
Jun 5, 2020·Annals of the American Thoracic Society·Kirsten M FiestHenry T Stelfox
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Nov 18, 2020·Journal of the American Medical Informatics Association : JAMIA·Filipe R LuciniHenry T Stelfox
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Feb 6, 2021·Archives of Rehabilitation Research and Clinical Translation·Israt YasmeenKirsten M Fiest
May 1, 2021·International Journal of Environmental Research and Public Health·Giulia ColombiniAndrea Guazzini
Jun 3, 2021·International Journal of Environmental Research and Public Health·Mohan R TanniruSalim Hariri

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