Evidence map›Paper›PMID 29736752›Full record

SynthesisJournal of general internal medicine2018

Interventions That Support or Involve Caregivers or Families of Patients with Traumatic Injury: a Systematic Review.

Megan E Shepherd-Banigan, Abigail Shapiro, Jennifer R McDuffie, Mira Brancu, Nina R Sperber, Courtney H Van Houtven, Andrzej S Kosinski, Neha N Mehta, Avishek Nagi, John W Williams

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Journal of general internal medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
4.4field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 44 citations in OpenAlex.

  1. Trial
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  4. Review
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  9. Individual and program Characteristics May Drive Variability in Outcomes After Caregivers Participate in a Tailored Support Intervention.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022
    Article
  10. Article
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  12. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 1 country.

Megan E Shepherd-BaniganCenter for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC, USA. mes86@duke.edu.
Abigail ShapiroDepartment of Health Behavior, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Jennifer R McDuffieCenter for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC, USA.
Mira BrancuVA Mid-Atlantic Region Mental Illness Research, Education and Clinical Center (MIRECC), Durham VA Medical Center, Durham, NC, USA.
Nina R SperberCenter for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC, USA.
Courtney H Van HoutvenCenter for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC, USA.
Andrzej S KosinskiDepartment of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, NC, USA.
Neha N MehtaDepartment of Medicine, Division of General Internal Medicine, Duke University Medical Center Durham, Durham, NC, USA.
Avishek NagiCenter for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC, USA.
John W WilliamsCenter for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC, USA.
Durham VA Medical Center · USDuke University · USDuke Medical Center · USMental Illness Research, Education and Clinical Centers · USUniversity of North Carolina at Chapel Hill · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlmost 40 million family caregivers care for a loved one with severe physical or cognitive impairments. The purpose of this review is to summarize evidence about the benefits of interventions to support or involve family members/caregivers of patients with trauma-related injury on caregiver, patient, and household outcomes.

methodsEnglish-language peer-reviewed publications in MEDLINE, CINAHL, and PsycINFO from 1995 through December 2016 were identified. Eligible studies included RCT or quasi-experimental studies evaluating interventions designed to support or involve caregivers or family members of patients with TBI, PTSD, or polytrauma. Abstractions were completed by one reviewer and checked by a second; two reviewers independently assessed risk of bias using the Cochrane Effective Practice and Organization of Care Review Criteria.

resultsThirteen studies (n = 9 TBI; n = 4 PTSD, n = 0 polytrauma) evaluated psychological or rehabilitation interventions involving caregivers. Interventions did not improve TBI patients' functional status (standardized mean difference [SMD], 0.29 [95% confidence interval [CI], - 0.51 to 1.08]) or psychological symptoms (SMD - 0.25, CI - 0.62 to 0.12). Qualitative analysis shows potential intervention benefit for TBI symptoms. Interventions did not improve TBI caregiver psychological symptoms (SMD - 0.26, CI - 0.57 to 0.05); however, qualitative analysis suggests mixed effects for caregiver burden and quality of life. Positive intervention effects on patients' PTSD symptoms, mental health service use, and PTSD caregivers' psychological symptoms were identified with certain interventions. Strength of evidence ranged from moderate to very low. DISCUSSION: Studies showed mixed patterns of intervention effects on caregiver and patient outcomes; evidence about intervention impact is inconclusive. This review is the first to identify caregiving interventions for patients with TBI and polytrauma and extends past reviews about patients with PTSD. Limitations include a small evidence base, low study quality, disparate methods, varied outcome measures, and high heterogeneity. PROSPERO Registration CRD42017053516.

Indexed as

Adaptation, PsychologicalCaregiversFamily RelationsHumansMultiple TraumaRandomized Controlled Trials as Topicdisabilityfamily caregiversinformal long-term services and supportsmental healthtraumatic injury

Identifiers

PMID29736752
PMCPMC6025684
OpenAlexW2802188542

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.