Author (year), country | Definition of self-care | Self-care category | Study design | Participants | Characteristics of caregiver | Disease | Intervention | Outcome | First outcome measure |
---|---|---|---|---|---|---|---|---|---|
Dionne-Odom (2022), U.S. [36] | Promote and maintain mental health, improve individual capacity | Self-management of health, individual agency, and health information-seeking | Single-blinded, pilot RCT, IG (n = 31), CG (n = 32) | Caregivers | Age: Aged ≥ 18 years; Gender: Female and male; Relationship with patients: Spouse/partner; Parent; Other relative; Friend/other | Cancer | Six weekly 20- to 60-min telehealth coaching sessions plus monthly follow-up for 24 weeks, reviewing skills in stress management, self-care, getting help, staying organized, and future planning | Total distress; anxiety; depression; quality of life | 2 months |
Bijker (2017), Netherlands [26] | Promote and maintain mental health | Self-management of health | Not blinded, pilot RCT, IG (n = 41), CG (n = 39) | Caregivers | Age: Aged ≥ 18 years; Gender: Female and male; Relationship with patients: Parent; Child; Sibling; Other relative; Spouse/partner; Friend; Colleague/classmate; Other | Depressed | Eight nonsequential modules based on psychoeducation and CBT techniques; themes concerned information about depression, suicidality, communication and setting boundaries in caregiving, stress, burnout, and self-care | Primary outcome: User-friendliness; secondary outcomes: psychological distress, anxiety, subjective burden, quality of life, mastery | After intervention |
Leow (2015), Singapore [27] | Promote and maintain mental health, improve individual capacity | Self-management of health, individual agency, social and community support | Not blinded, pilot RCT, IG (n = 38), CG (n = 42) | Caregivers and patients | Age: Aged ≥ 21 years; Gender: Female and male; Relationship with patients: Child; Spouse; Sibling; Parent; Niece; Daughter-in-law; Grandchild | Cancer | Psychoeducational intervention, the Caring for the Caregiver Programme, consisting of a 1-h face-to-face session, a video clip, two follow-up phone calls, and an invitation to an online social support group | Primary outcome: quality of life; secondary outcome: social support, stress and depression, self-efficacy in self-care, closeness with the patient, rewards, and knowledge | 1 month |
Fuju (2021), Japan [28] | Promote and maintain mental health | Self-management of health | Not blinded, RCT, IG (n = 13), CG (n = 13) | Caregivers | Age: NA; Gender: Female and male; Relationship with patients: Husband; Wife; Birth father; Birth mother; Father‐in‐law; Mother‐in‐law | Dementia | Positive diary in which participants wrote down three positive things that happened during the day, with reasons why they chose them, and compliment themselves at the end of each day; content not limited to caregiving | Primary outcome: depression; secondary outcome: quality of life, caregiver burden, positive cognitive appraisal, positive feelings | After intervention |
Behrndt (2019), Germany [29] | Promote and maintain mental health, cope with illness and disability, improve individual capacity | Self-management of health, individual agency | Not blinded, RCT, IG (n = 205, dyadic), CG (n = 154, dyadic) | Caregivers | Age: NA; Gender: Female and male; Relationship with patients: Spouse; son/daughter (in-law); other | Cognitive impairment | Intervention group received counseling in three phone calls focused on stress reduction, development of self-management strategies, and how to deal with challenging behaviors | Primary outcome: subjective burden and depressiveness; secondary outcome: positive aspects of caregiving, health-related quality of life | 6 months |
Boots (2018), Netherlands [37] | Promote and maintain mental health, improve individual capacity | Self-management of health, individual agency | Single-blinded, RCT, IG (n = 41), CG (n = 40) | Caregivers and patients | Age: Aged > 18 years; Gender: Female and male; Relationship with patients: Spouse; other caregivers (e.g., children) | Dementia | 8-week, blended care self-management Partner in Balance program, which combines face-to-face coaching with tailored web-based modules | Primary proximal outcome: self-efficacy; primary distal outcome: depression; secondary outcome: mastery, quality of life, and psychological complaints | After intervention |
Terracciano (2020), U.S. [41] | Promote and maintain mental health, improve individual capacity | Self-management of health, individual agency, health information-seeking | Double-blinded, RCT, IG (n = 37), CG (n = 36) | Caregivers | Age: Aged ≥ 18 years; Gender: Female and male; Relationship with patients: Spouse; child; others | Dementia | Psychoeducational intervention that helps caregivers enhance self-care practices and manage emotional distress | Depressive symptoms, self-efficacy, self-rated health, and life satisfaction | After intervention |
Connell (2009), U.S. [30] | Promote and maintain physical and mental health, improve individual capacity | Self-management of health, individual agency | Not blinded, RCT, IG (n = 86), CG (n = 71) | Caregivers | Age: Aged ≥ 40 years; Gender: Female; Relationship with patients: Wife | Dementia | Intervention group received 14 telephone calls from trained behavior-change counselors for 6 months | Self-rated physical health, count of chronic conditions, physical functioning, objective caregiving burden, exercise behavior, exercise self-efficacy, self-efficacy for self-care, and depressive symptoms | 6 months |
Heckel (2018), Australia [38] | Promote and maintain physical and mental health, improve individual capacity | Self-management of health, individual agency, social and community support, and individual financial transactions for health | Single-blinded, RCT, IG (n = 108, dyadic), CG (n = 108, dyadic) | Caregivers and patients | Age: Aged ≥ 18 years Gender: Female and male; Relationship with patients: Spouse/partner; other (e.g. parent, adult child, friend) | Cancer | Three outcalls from a nurse addressing six topics: psychological distress, health literacy, physical health, family support, financial burden, and practical difficulties (e.g., legal affairs) | Primary outcome: self-reported caregiver burden; secondary outcome: depressive symptoms, unmet needs, self-esteem, self-empowerment, and health literacy | 1 month |
Belle (2006), U.S. [32] | Promote and maintain mental health, cope with illness and disability, improve individual capacity | Self-management of health, individual agency, social and community support, and individual linkage to health system | Not blinded, RCT, IG (n = 323), CG (n = 319) | Caregivers and patients | Age: Aged ≥ 21 years Gender: Female and male; Relationship with patients: Spouse; child; sibling; other | Dementia | Twelve in-home and telephone sessions for 6 months | Primary outcome: quality of life; secondary outcomes: clinical depression and institutional placement of care recipient at 6 months | 6 months |
Nightingale (2022), U.S. [33] | Improve individual capacity | Self-management of health, individual agency, social and community support, and individual linkage to health system | Not blinded, pilot RCT, IG (n = 17), CG (n = 18) | Caregivers | Age: Aged ≥ 18 years; Gender: Female and male; Relationship with patients: Spouse or partner; other family member; friend | Cancer | 6- to 7-week supported self-management intervention offering psychoeducation and stress management skills building. | Feasibility, acceptability, and self-efficacy for caregiving (total score and subscales) | After intervention |
Lewis (2019), U.S. [34] | Improve individual capacity | Self-management of health, individual agency, social and community support | Not blinded, RCT, IG (n = 159), CG (n = 163) | Caregivers and patients | Age: NA; Gender: Male; Relationship with patients: Spouse (husband) | Cancer | Spouses in the experimental group received five 30- to 60-min intervention sessions at 2-week intervals by master’s-level patient educators | Depressed mood, anxiety, cancer-related marital communication, interpersonal support, and self‐care | 3 months |
El-Jawahri (2020), U.S. [35] | Promote and maintain physical and mental health, improve individual capacity | Self-management of health, individual agency | Not blinded, RCT, IG (n = 45), CG (n = 47) | Caregivers | Age: Aged ≥ 18 years; Gender: Female and male; Relationship with patients: Married; child; parent; sibling; divorced | Hematopoietic stem cell transplantation | Caregivers in intervention group met with a trained interventionist in person, via telephone, or via videoconferencing for 6 sessions starting before transplantation and continuing for up to 60 days | Quality of life, caregiving burden, psychological distress, self-efficacy, and coping | 2 months |
Au (2020), Hong Kong [42] | Promote and maintain mental health, improve individual capacity | Self-management of health, individual agency, social and community support | Double-blinded, RCT, IG (n = 37), CG (n = 35) | Caregivers and patients | Age: Aged ≥ 18 years; Gender: Female and male; Relationship with patients: Adult child | Dementia | 8-week intervention: Connecting Through Caregiving with intergenerational perspective-taking reappraisals | Primary outcome: life satisfaction; secondary outcomes: depressive symptoms, burden, perspective-taking reappraisals | 2 months |
Han (2020), Korea [39] | Promote and maintain mental health, improve individual capacity | Self-management of health, individual agency | Single-blinded, RCT, IG (n = 498), CG (n = 471) | Caregivers | Age: Aged ≥ 20 years; Gender: Female and male; Relationship with patients: Spouse; son/daughter in law; other | Long-term care | Eight-week COMPASS program consisting of six individual in-home, three group support sessions, and two telephone sessions with a multicomponent intervention | Primary outcomes: depression, burden, and stress; secondary outcomes: self-efficacy, positive aspects of caregiving, social support, social activities, and health risk behaviors | 2 months |
Hou (2014), Hong Kong [40] | Promote and maintain mental health, improve individual capacity | Self-management of health, individual agency | Single-blinded, RCT, IG (n = 70), CG (n = 71) | Caregivers | Age: Aged ≥ 18 years; Gender: Female and male; Relationship with patients: Spouse; children; parents; relatives | Chronic conditions | Eight weekly 2-h sessions led by trained instructors; participants instructed to do CD-guided home practice for 30–45 min per day | Primary outcome: depressive symptoms; secondary outcome: anxiety symptoms, quality of life, self-efficacy, self-compassion, and mindfulness | After intervention |
Elliott (2010), [31] | Promote and maintain mental health | Self-management of health, individual agency | Not blinded, RCT, IG (n = 257), CG (n = 238) | Caregiver | Age: NA; Gender: Female and male; Relationship with patients: Spouse; nonspouse | Dementia | Nine in-home and three telephone sessions over 6 months in the intervention group. Two brief “check-in” telephone calls during this 6-month period in the control group. | Primary outcome: health status; Secondary outcomes: burden; bother | 6 months |
A’Campo (2010) [43] | Promote and maintain mental health | Self-management of health, individual agency, social and community support | Double-blinded, RCT, IG (n = 26 caregivers), CG (n = 20 caregivers) | Caregivers and patients | Age: NA; Gender: Female and male; Relationship with patients: Partner; close relatives | Parkinson’s disease | Intervention group receive eight weekly standardized Patient Education Program Parkinson (PEPP). Control group receive usual neurological care | Psychosocial problems and need for help due to Parkinson’s disease; health-related quality of life (Hr-Qol); depression | After intervention |