SynthesisQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2025
Conceptual framework for caregivers' quality of life and well-being supporting children with special health and medical needs in East Asia: a systematic review and narrative synthesis.
Synthesis in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed.
- Factors Influencing Stress in Families of Individuals with Illness or Disability: A Qualitative Study Based on Family System Unit Stress Theory.Healthcare (Basel, Switzerland) · 2026Article
- Psychological symptoms and associated psychosocial factors among fathers attending a tertiary children's hospital in Nepal.PLOS global public health · 2026Article
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Authors and funding
10 authors.
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Abstract
purposeThere is a growing need to understand how cultural, relational, and contextual factors shape the quality of life (QOL) and well-being of caregivers of children with special health and medical needs in East Asia. Currently, no culturally grounded conceptual framework exists, and the unique demands of caring for developmentally dependent children present distinct challenges. This study aimed to identify key factors influencing caregiver QOL and well-being in this context.
methodsWe conducted a systematic review of qualitative studies examining QOL among caregivers of children with chronic or life-threatening conditions in East Asia. The databases searched included MEDLINE, Cochrane, EMBASE, PsycINFO, CINAHL, and Ichushi (to June 2024). Studies were included if they addressed informal caregiving for children and focused on QOL or well-being in East Asian countries. Existing reviews were used to identify relevant studies, with an additional search conducted for Japan. We applied a framework synthesis approach guided by the EQ-HWB conceptual model. Risk of bias was assessed using the CASP Qualitative Studies Checklist.
resultsFourteen studies met the inclusion criteria. Ten core themes emerged, including emotions, activity, role, social and family relationships, functioning, financial strain, and parenting. Role, family ties, and parenting were especially prominent in East Asian contexts.
conclusionsCaregivers' experiences were deeply influenced by cultural factors such as collectivism, traditional norms, and stigma. These findings underscore the importance of culturally sensitive frameworks to assess caregiver QOL and to inform policies and interventions in East Asian health and social systems.
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