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Table 3 Characteristics of included articles

From: A systematic review and narrative synthesis of the experiences with caring for older people living with dementia in Sub-Saharan Africa

Author, Year

Country

Aim of the study

Diagnosis Identified

Type of Participants and sample size

Study design

Methodological approach

Quality Score

1) Agudu 2017 [25]

Ghana

To explore and describe the experiences of family caregivers caring for patients with dementia

Dementia

Family caregivers

n = 10 Female n = 9 Male n = 1

Age 25–74

Qualitative

Face-to-face in-depth interviews

***** (100%)

2)Agyeman et al. 2019 [26]

Ghana

To explore the sociocultural beliefs, understandings, perceptions, and behaviours relating to living with dementia in Kintampo

Dementia

Family caregivers n = 10

Female n = 6

Male n = 4

Qualitative-Case studies

In-depth interviews

***** (100%)

3) Bosch 2014 [27]

South Africa

To explore the needs and experiences of caregivers of persons with Alzheimer’s disease living in black rural communities in Mpumalanga, South Africa

Alzheimer’s Disease

Caregivers n-11

Female n = 10

Male n = 1

Age 23–82

Qualitative

Individual interviews

***** (100%)

4) Deist and Greeff 2017 [28]

South Africa

To identify factors associated with family resilience in families caring for a parent with dementia.

Dementia

Families in which adult children were caring for a parent with dementia.

n = 47 Female n = 38 Male n = 9

Age 20–64

Mixed methods

Quantitative survey and qualitative interviews

***** (100%)

5) Deist and Greeff [29]

South Africa

To explore factors associated with family resilience in families caring for a family member with dementia

Dementia

Families in which a spouse was caring for a partner with dementia. n = 44 Female n = 29

Male n = 15

Age 43–90

Mixed methods

Quantitative survey and qualitative interviews

***** (100%)

6) Dotchin et al. 2014 [30]

Tanzania

To document the burden of caregiving for people with Parkinson’s disease (PD) and dementia.

Dementia

Caregivers for PLWD

Female n = 38

Quantitative

Questionnaire/ survey

**** 80%

7) Gurayah 2015 [31]

South Africa

To explore the phenomenon of caregiving for people with dementia in a rural context in South Africa.

Dementia

Caregivers n = 5

4 Females (3 daughters and 1 wife of the PLWD)

1 Son of the PLWD

Age 46–68

Qualitative

Individual interviews

***** (100%)

8) Hendricks-Lalla and Pretorius 2020 [32]

South Africa

To explore the experiences of male familial caregivers of persons with Alzheimer’s disease from low socio-economic status

Alzheimer’s disease

Male family caregivers of persons with Alzheimer’s disease n = 11 (6 children (sons), 5 spouses (husbands) Age 48–83

Qualitative

Semi-structured interviews

***** (100%)

9) Mayston et al. 2017  [33]

Nigeria = only country of interest

To explore the social and economic effects of caring for an older dependent person, including insight into pathways to economic vulnerability.

Dementia

n = 24 sites and n = 60 interviews total across 4 countries

In Nigeria: 7 household (cases) with 20 interviews

n = 14 with caregivers

n = 6 with older people- not

Qualitative

(Case studies across urban and rural sites)

Interviews with family members of older dependent persons (some with dementia)

***** (100%)

10) McFarland 2010 [34]

Botswana

To share a personal experience of caring for a terminally ill family member who was afflicted with Pick’s Disease, a type of dementia

Pick’s Disease

1 female caregiver

Qualitative research

Self-reflection of a personal experience with Pick’s Disease

****** (100%)

11) Mkhonto and Hanssen [35]

South Africa

To explore and describe the link between culture and dementia care with the focus on the influence of the belief in dementia as witchcraft and people with dementia as witches

Dementia/Alzheimer’s disease

n = I8 close family members - 16 female and 2 male)

n-19 nurses caring for patients with dementia

Qualitative

in-depth qualitative interviews

***** (100%)

12) Mahomed and Pretorius 2020 [36]

South Africa

To explore the needs of male caregivers of people with Alzheimer’s disease (AD) by ascertaining the availability and utilisation of Alzheimer’s disease-related resources in low-income communities in the Western Cape

Dementia/Alzheimer’s disease

Males familial caregivers of persons with Alzheimer’s disease n = 11

18 mean age = 61.18 Co-residents 5 sons; 5 husbands ;1 son-in law

Age 49–87

Qualitative

Semi-structured interviews

***** (100%)

13) Mushi et al. 2014 [37]

Tanzania

To explore the social cultural beliefs surrounding dementia and the life experience of people with dementia and their caregivers.

Dementia

25 paired interviews with PWD and their caregivers and 16 interviews with caregivers alone

Caregivers n = 16

Females = 11

Males n = 5

Age 19–58

Cross-sectional qualitative design

Qualitative interviews

***** (100%)

14) Potgieter et al. 2012 [38]

South Africa

To identify and describe the changes in the time perspective of persons caring for a spouse diagnosed with Alzheimer’s disease

Dementia

Female participants n = 40 Age

53–82 years

Mixed methods

Qualitative and quantitative instruments

***** (100%)

15) Potgieter and Heyns 2006 [39]

South Africa

To identify stressors and strengths reported by female caregivers of spouses diagnosed with Alzheimer’s disease

Dementia

Caregivers (female) n = 8 Age 37–71

Mixed methods

Qualitative, interviews triangulated with quantitative measures

***** (100%)

16) Pretorius et al. 2009 [40]

South Africa

To explore the experiences of men caring for spouses suffering from dementia from a salutogenic perspective

Dementia

Men caring for a spouse with dementia.

n = 10 Age- 61–86

Mixed methods

Semi-structured interviews and quantitative questionnaire

**** (80%)

17) Prince and 10/66 Dementia Research Group 2004 [41]

24 centres in developing countries worldwide, including Nigeria

To comprehensively assess the care arrangements for people with dementia in developing countries

Dementia

706 interviews with people with dementia and their caregivers

n = 20 in Nigeria.

Female n = 19

Male n = 1

Age 40–64

Quantitative descriptive

Descriptive and comparative study

(**** 80%)

18) Smith et al. 2018 [42]

South Africa

To explore and describe the transition experiences of eight family members regarding how they became caregivers of their relatives with dementia.

Dementia

Family caregivers n = 8

Females n = 7 male n = 1

1 male- spouse

4 daughters;1 spouse; 1 sister; 1 daughter Age: 47–72 Mean age = 60.6

Qualitative

Phenomenological design

Visual participatory methods in the form of collages and interviews

***** (100%)

19) Raphael et al. 2017) [43]

Nigeria

To explore the impact of educational intervention on the family caregivers for older people with dementia

Dementia

Family caregivers n = 56

Female n = 51

Male n = 5

Age 18–72

Quantitative

quasi-experimental: pre and post-test design

Not rated