Effectiveness of Home-Based Continuing Care Programs on Burden Among Caregivers of Stroke Patients: A Systematic Review and Meta-Analysis
Keywords:
Systematic review, Home-based continuing care, Caregivers, Caregiver burden, StrokeAbstract
When caring for stroke patients, caregivers must provide ongoing and long-term care, which directly impacts them physically, mentally, emotionally, socially and economically. Caregivers’ perceived difficulties in performing caregiving activities lead to feelings of burden. Therefore, appropriate caregiver support is essential to help reduce their burden. This systematic review aimed to summarize knowledge about the effectiveness of home-based continuing care programs in alleviating caregiver burden for stroke patients. It follows the Joanna Briggs Institute's systematic review guidelines, focusing on studies published between 2014 and 2024. Randomized controlled trials and quasi-experimental studies examining the effectiveness of home-based care programs in reducing caregiver burden were included. Out of 4,327 studies, eight met the inclusion criteria and passed quality assessment. Homogeneous studies were analyzed using meta-analysis, while narrative summary was employed to interpret results from heterogeneous studies.
The review revealed that the most effective care model for reducing caregiver burden included a combination of educational components. This model included education on stroke, patient care, skill training, mental health promotion, and emotion regulation and behavior management. Skill training begins while the patient is hospitalized and continues throughout recovery at home, along with ongoing counseling and psychological support for caregivers. This model resulted in a statistically significant reduction in development of burden (p < 0.00001).
This review recommends further primary research to evaluate the effectiveness of home-based continuing care programs, aiming to generate more robust evidence to guide practical implementation.
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