Supportive interventions for carers of men with prostate cancer: systematic review and narrative synthesis

Article


Winter, Natalie, Jongebloed, Hannah, Green, Anna, Ugalde, Anna and Livingston, Patricia M. 2023. "Supportive interventions for carers of men with prostate cancer: systematic review and narrative synthesis." BMJ Supportive and Palliative Care. https://doi.org/10.1136/spcare-2022-004034
Article Title

Supportive interventions for carers of men with prostate cancer: systematic review and narrative synthesis

ERA Journal ID210206
Article CategoryArticle
AuthorsWinter, Natalie, Jongebloed, Hannah, Green, Anna, Ugalde, Anna and Livingston, Patricia M
Journal TitleBMJ Supportive and Palliative Care
Number of Pages10
Year2023
PublisherBMJ
Place of PublicationUnited Kingdom
ISSN2045-435X
2045-4368
Digital Object Identifier (DOI)https://doi.org/10.1136/spcare-2022-004034
Web Address (URL)https://spcare.bmj.com/content/early/2023/06/01/spcare-2022-004034.abstract
Abstract

Purpose The objective of this study was to summarise the literature on current interventions available for carers of men with prostate cancer and analyse the outcomes of these interventions in supporting carers’ needs.

Methods A systematic review was conducted, searching databases MEDLINE, PsycINFO, CINAHL, Scopus and Cochrane, using terms related to prostate cancer, carers and interventions. Randomised controlled trials and non-randomised controlled trials of interventions for informal carers with or without patients were included. Data were analysed using descriptive and frequency statistics; interventions and their impact on carers’ outcomes were reported on narratively. The SwiM guidelines were applied to guide data synthesis.

Results Overall, 24 articles were included in the review. On average, participants were spouses (92%) and women (97%). Interventions largely rwere delivered face-to-face (42%) or used a combination of face to face and online modalities (38%). Two-thirds (63%) showed a significant improvement in carer’s outcomes including psychological, sexual, physical and relationship/marital. The majority of studies (79%) tailored contents to carers’ circumstances, most within a couples counselling format. Over one-third (42%) of studies focused on a range of supportive care needs, most commonly were psychological (58%), sexual (42%) and informational (25%).

Conclusions Interventions for carers of men with prostate cancer were largely face to face, patient–spouse focused and two-thirds had some measurable impact on carer’s outcomes. Research continues to underserve other patient–carer roles, including non-spousal carers. Interventions delivered solely for carers are required to meet gaps in care, and determine the impact on carer outcomes. Further research and more targeted interventions are needed.

KeywordsCancer; prostate cancer
ANZSRC Field of Research 2020429999. Other health sciences not elsewhere classified
Byline AffiliationsDeakin University
Centre for Health Research
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