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Cited by 30Nursing care and researchCardiac Health and Mental HealthHeart Failure Treatment and Management

The impact of psychoeducational interventions on the outcomes of caregivers of patients with heart failure: A systematic review and meta-analysis

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Cassidy, Lorna, Hill, Loreena, Fitzsimons, Donna, McGaughey, Jennifer·2021·International Journal of Nursing Studies
DOI 10.1016/j.ijnurstu.2020.103806
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Abstract

Background Heart failure is a global health care problem that causes a significant economic burden. Despite medical advancements, it's prognosis remains poor as many patients with heart failure experience symptoms that negatively impact Quality of Life. Caregivers are often responsible for helping and supporting family members manage their heart failure symptoms at home. In addition to managing their own medical problems and maintaining social and personal lives, significant burden and stress can occur. At present, caregivers receive little guidance or information to support them in their caregiving role. Objectives This review aims to determine the impact of psychoeducational interventions on the outcomes of caregivers of patients with heart failure. Design Systematic review and meta-analysis. Data source Five electronic databases: PsycINFO, Medline, CINAHL Plus, EMBASE and SCOPUS were searched from June 2007 to August 2019. Review methods The conduct and reporting of this review was based on the Cochrane Handbook for Systematic Reviews of Interventions and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. The Cochrane Risk of Bias Tool was used to assess the risk of bias amongst randomised controlled trials, and the Newcastle Ottawa Scale was used to assess risk of bias in one quasi-experimental study. Results Ten articles met the inclusion criteria, consisting of seven studies, with a total sample size of 953 participants. The pooled result from two studies, conducted in America and China, reported that psychoeducational interventions significantly reduced depression at six months' follow-up (SMD -0.82; 95% CI -1.17 to -0.47; p = 0.73, I 2 =0%). The pooled result from two studies conducted in Sweden and Taiwan showed a significant improvement in heart failure knowledge at six months' follow-up (SMD 0.97; 95% CI 0.70 to 1,25; p < 0.00001, I 2 =0%). Finally, pooled results from three studies conducted in Sweden, China and Taiwan found a significant improvement in Quality of Life at 3 months' follow- up (SMD 0.25; 95% CI 0.25 to 0.48; p = 0.03). The three most common intervention components included: group based educational sessions, telemonitoring and telephone support, and written resources. Conclusions There was no specific type of psychoeducational intervention found to have a significant impact on caregiver outcomes, as interventions were heterogeneous consisting of multiple components. Further research is needed to determine the effectiveness of individual and combined components to identify the ideal intervention format and design for caregivers of patients with heart failure.

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  • Non-pharmacological interventions that primarily target individuals, whether chronic heart failure patients or their family caregivers exclusively, have shown limited success in improving health outcomes.

    “Non-pharmacological interventions that primarily target individuals, whether those with CHF or their FCs exclusively, have shown limited success in improving health outcomes [41–44].”

    From Effectiveness of a videoconferencing group-based dyad acceptance and commitment therapy on the quality of life of chronic heart failure patients and their family caregivers: A study protocol for a randomized controlled trial (2024) · cites this paper as [43]

    The Discussion (page unavailable) says the evidence for improving caregiver outcomes is uncertain because studies were heterogeneous and evidence quality was low; it also reports some significant improvements. The review includes caregiver and patient–caregiver interventions, but does not establish limited success for interventions targeting CHF patients exclusively. Its Discussion instead notes improvements in patient outcomes from family-partnership interventions. (LLM, conf=0.86)

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Authors
Cassidy, L., Hill, L., Fitzsimons, D., & McGaughey, J.
Affiliations
Queen's University Belfast (GB)
Corresponding author
Cassidy, Lorna
ORCID
Venue
International Journal of Nursing Studies
Publisher
Elsevier BV
Published
2021-02
Volume
114
Pages
103806
ISSN
0020-7489 (ISSN-L)
DOI
10.1016/j.ijnurstu.2020.103806
OpenAlex
W3093902819
Cited by
30
References
83
Citations by year
2026: 6 · 2025: 6 · 2024: 8 · 2023: 3 · 2022: 2 · 2021: 5
FWCI
0.63
Type
journal article
Language
en
Open access
Licence
Locations
  • International Journal of Nursing Studies (publishedVersion)
  • PubMed (publishedVersion)
  • Research Portal (Queen's University Belfast) (acceptedVersion, cc-by-nc-nd)
Funders
Northern Ireland Chest Heart and Stroke
Topics
  • Health Sciences › Health Professions › Pharmacy › Nursing care and research
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
Keywords
heart failure, caregiver burden, psychoeducational intervention, caregiver depression, heart failure knowledge, quality of life, family caregivers, remote patient monitoring, telephone support, group education, caregiver stress
MeSH terms
China, Heart Failure, Humans, Quality of Life, Sweden, Taiwan, Caregivers

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