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Effects of interventions involving the family in the treatment of adult patients with chronic physical diseases: A meta-analysis.
Abstract
BACKGROUND: Families can have considerable influence on the health of a patient with a chronic physical disease, and attempts have been made to optimise treatment by involving family members. This meta-analysis aimed to systematically assess the effects of family-oriented interventions on adults with chronic physical diseases. METHODS: A systematic literature search was conducted to identify randomised clinical trials that have evaluated the effects of family-based interventions for adult patients compared to standard treatment. Interventions were classified as psychoeducation or addressing family relationships. The outcomes studied were the patient's physical and mental health and the health of the family members. The effect sizes were calculated as Hedges' g and combined using random-effects models. RESULTS: Fifty-two relevant randomised controlled trials (including 8,896 patients) were extracted. The main disease groups were cardiovascular diseases including stroke, cancer and arthritis. Meta-analysis showed that family involvement resulted in significantly better health than standard treatment for all outcomes. The mean overall effect sizes were 0.32 for the patients' physical health, 0.28 for the patients' mental health and 0.35 for the family members' health. Overall, the effects were not large, but they were broad, significant and stable over a long period of time. There was a tendency towards higher effects in favour of relationship-focused family interventions compared to educational interventions. CONCLUSIONS: Psychosocial interventions involving family members in the treatment of chronic physical diseases have positive effects on the health outcome for both the patient and his/her family. Further high-quality research is necessary to investigate differential effects.
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“Within the broader context of chronic illness, research has shown that interventions targeting both patients and FCs together, known as dyad interventions, are more effective for both patients and their FCs, compared to interventions focused solely on patients or FCs [45, 46].”
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Hayman, J. A., & Langa, K. M. (2003) · Critical Reviews in Oncology/Hematology · doi:10.1016/s1040-8428(03)00025-8 · Cited by 4
Newman, M. C., Lawless, J. J., & Gelo, F. (2007) · PubMed · Cited by 4
Bultz, B. D., Speca, M., Brasher, P. M., Geggie, P. H. S., & Page, S. A. (2000) · Psycho-Oncology · doi:10.1002/1099-1611(200007/08)9:4
Flagged first, then by citations
Research works printed but not linked: 5
- 10.1037%2F0033-2909.127.4.472 · DOI · Paper page
- 10.3109%2F03009748609092661 · DOI
- 10.1001%2Fjama.241.16.1700 · DOI
- 10.1097%2F01.qai.0000225014.61192.98 · DOI
- 10.1126%2Fscience.847460 · DOI · Paper page
Cited by
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Advancing social connection as a public health priority in the United States.
Holt-Lunstad, J., Robles, T. F., & Sbarra, D. A. (2017) · American Psychologist · doi:10.1037/amp0000103 · Cited by 978
Caring for caregivers and patients: Research and clinical priorities for informal cancer caregiving
Kent, E. E., Rowland, J. H., Northouse, L., Litzelman, K., Chou, W. S., Shelburne, N., Timura, C., O'Mara, A., & Huss, K. (2016) · Cancer · doi:10.1002/cncr.29939 · Cited by 564
Psychosocial Care for Family Caregivers of Patients With Cancer
Northouse, L., Williams, A.-L., Given, B., & McCorkle, R. (2012) · Journal of Clinical Oncology · doi:10.1200/jco.2011.39.5798 · Cited by 527
Family interventions to improve diabetes outcomes for adults
Baig, A. A., Benitez, A., Quinn, M. T., & Burnet, D. L. (2015) · Annals of the New York Academy of Sciences · doi:10.1111/nyas.12844 · Cited by 350
Current Psychosomatic Practice
Fava, G. A., Cosci, F., & Sonino, N. (2017) · Psychotherapy and Psychosomatics · doi:10.1159/000448856 · Cited by 302
Metadata
- Authors
- Hartmann, M., Bäzner, E., Wild, B., Eisler, I., & Herzog, W.
- Affiliations
- Heidelberg University (DE)
- King's College London (GB)
- Venue
- Psychotherapy and Psychosomatics
- Publisher
- S. Karger AG
- Published
- 2010
- Volume
- 79
- Issue
- 3
- Pages
- 136-148
- ISSN
- 0033-3190 (ISSN-L)
- 1423-0348
- OpenAlex
- W2047620292
- Cited by
- 261
- References
- 110
- Citations by year
- 2026: 11 · 2025: 12 · 2024: 10 · 2023: 11 · 2022: 20 · 2021: 18 · 2020: 23 · 2019: 21 · 2018: 15 · 2017: 24 · 2016: 22 · 2015: 20 · 2014: 25 · 2013: 14 · 2012: 7
- FWCI
- 2.58
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychotherapy and Psychosomatics (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- Funders
- Bundesministerium für Bildung und Forschung
- Topics
- Health Sciences › Nursing › Research and Theory › Nursing care and research
- Social Sciences › Psychology › Clinical Psychology › Family Caregiving in Mental Illness
- Social Sciences › Psychology › Clinical Psychology › Family Support in Illness
- Keywords
- family involvement, family-centered intervention, chronic physical illness, psychosocial interventions, psychoeducation, family relationships, patient mental health, physical health, cardiovascular disease, stroke, cancer, arthritis
- MeSH terms
- Adaptation, Psychological, Adult, Chronic Disease, Family Relations, Family Therapy, Health Status, Humans, Randomized Controlled Trials as Topic, Treatment Outcome, Caregivers
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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