The effectiveness of patient-family carer (couple) intervention for the management of symptoms and other health-related problems in people affected by cancer: A systematic literature search and narrative review
Open accessAbstract
Context Cancer is widely acknowledged to impact on the whole family. Yet, we do not know if there is benefit (or harm) from patient-family carer interventions in the context of cancer care.Objectives To report a systematic search for and narrative review of patient-family carer interventions tested in the context of cancer care for effect on symptoms and other health-related problems in patients and/or their family members.Methods A systematic literature search was carried out using Cochrane principles. Searches were of MEDLINE, EMBASE, PsycINFO, and CINAHL databases for reported trials of patient-family carer focused interventions. Outcomes of interest were health indicators; measures of physical, psychological, social, and quality-of-life status of the patient and/or family member(s). Limits were English language; 1998 to March 2010; and adults. Relevant information was extracted, quality assessed using the Cochrane Collaboration's tool for assessing risk of bias, and presented as a narrative synthesis (meta-analysis was not appropriate).Results The review found no empirically tested interventions for family groups (patient and two or more family members), but 22 interventions for patient-family carer partnerships (couple interventions) tested in 23 studies and reported in 27 publications. Recruitment and attrition were problematic in these studies, limiting the reliability and generalizability of their results.Conclusion In the trials of cancer couple interventions included in the review, a pattern emerged of improvement in the emotional health of cancer patients and their carers when the intervention included support for the patient-family carer relationship. Further investigation is warranted.
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Couple-based interventions for cancer have lower uptake rates than individual-based interventions, especially when both the patient and the carer are required to participate in the intervention simultaneously.
“couple-based interventions for cancer have lower uptake rates than individual-based interventions, especially when both the patient and the carer are required to participate in the intervention simultaneously”
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- Authors
- Hopkinson, J. B., Brown, J. C., Okamoto, I., & Addington-Hall, J. M.
- Affiliations
- University of Southampton (GB)
- Corresponding author
- Hopkinson, Jane B.
- Venue
- Journal of Pain and Symptom Management
- Publisher
- Elsevier BV
- Published
- 2012-01
- Volume
- 43
- Issue
- 1
- Pages
- 111-142
- ISSN
- 0885-3924 (ISSN-L)
- OpenAlex
- W2080419991
- Cited by
- 96
- References
- 48
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 5 · 2023: 4 · 2022: 6 · 2021: 7 · 2020: 12 · 2019: 6 · 2018: 7 · 2017: 6 · 2016: 7 · 2015: 6 · 2014: 12 · 2013: 9 · 2012: 5
- FWCI
- 0.76
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Pain and Symptom Management (publishedVersion)
- PubMed (publishedVersion)
- ePrints Soton (University of Southampton) (submittedVersion)
- Funders
- Macmillan Cancer Support
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Social Sciences › Sociology and Political Science › Family Support in Illness
- Keywords
- cancer, family caregivers, couple-based interventions, symptom management, quality of life, emotional well-being, psychological well-being, cancer care, caregiver burden
- MeSH terms
- Adult, Female, Humans, Male, Neoplasms, Pain, Social Support, Stress, Psychological, Comorbidity, Treatment Outcome, Caregivers
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