Evidence map›Paper›PMID 41680638›Full record

Trial reportBMC geriatrics2026

Telephone-based intervention improves quality of life among family caregivers of persons with dementia in Malaysia: the mediating role of caregiver burden.

Hashima E Nasreen, Syarifah Amirah Binti Syed Ahmad, Marie Tyrrell, Nora Mat Zin, Karimah Hanim Abd Aziz, Mohd Aznan Md Aris, Zarina Nahar Kabir

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC geriatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Hashima E NasreenDepartment of Community Medicine, Faculty of Medicine, International Islamic University Malaysia, Jalan Sultan Ahmad Shah, Kuantan, 25200, Pahang, Malaysia.
Syarifah Amirah Binti Syed AhmadDepartment of Community Medicine, Faculty of Medicine, International Islamic University Malaysia, Jalan Sultan Ahmad Shah, Kuantan, 25200, Pahang, Malaysia. syarifah.amirah@live.iium.edu.my.
Marie TyrrellSophiahemmet Högskola, Valhallavägen 91, Stockholm, 114 86, Sweden.
Nora Mat ZinDepartment of Psychiatry, Faculty of Medicine, International Islamic University Malaysia, Jalan Sultan Ahmad Shah, Kuantan, 25200, Pahang, Malaysia.
Karimah Hanim Abd AzizDepartment of Community Medicine, Faculty of Medicine, International Islamic University Malaysia, Jalan Sultan Ahmad Shah, Kuantan, 25200, Pahang, Malaysia.
Mohd Aznan Md ArisDepartment of Family Medicine, Faculty of Medicine, International Islamic University Malaysia, Jalan Sultan Ahmad Shah, Kuantan, 25200, Pahang, Malaysia.
Zarina Nahar KabirDepartment of Neurobiology, Care Sciences and Society, Karolinska Institute, Huddinge, Stockholm, SE-141 83, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFamily caregiver (FC) of persons with dementia (PWD) are increasingly affected by mental and physical health which leads to poor quality of life (QoL). Telephone-based interventions offer flexible solution to support caregivers of PWD but the effectiveness needs further evaluation. This study aimed to assess the effectiveness of a telephone-based intervention in improving QoL among FC of PWD and to examine the role of caregiver burden as a mediating factor.

methodsA randomized control trial study was conducted involving 121 FCs, divided into intervention (n = 60) and control (n = 61) groups. The intervention group received a 10-week intervention by the healthcare professionals via telephone. QoL were measured using the validated Malay version of Control, Autonomy, Self-Realization and Pleasure (CASP-19) at baseline (T0) and endline (T1). Intention-to-treat (ITT) analysis was performed to determine the independent effect of the intervention on QoL, and mediation analysis was conducted using the multiple linear regression and bootstrap analysis.

resultsParticipants in the intervention group showed a statistically significant improvement in QoL (β = 5.00, 95% CI 2.21-7.78, p = 0.001). Mediation analysis revealed that caregiver burden mediated the relationship between the telephone-based intervention and QoL. Additionally, reduction of caregiver burden was observed to mediate the relationship between telephone-based intervention and reduced anxiety symptoms.

conclusionTelephone-based intervention was effective in improving the QoL among FCs of PWD. The findings also suggest that caregiver burden plays a mediating role in this process, underscoring the need for policymakers to integrate burden-reduction training into future programs.

trial registrationISRCTN14565552.

Indexed as

Caregiver BurdenCaregiversCost of IllnessDementiaQuality of LifeTelephoneAgedAged, 80 and overFemaleHumansMalaysiaMaleMiddle AgedDementiaFamily caregiverMediation analysisQuality of lifeTelephone-based intervention

Identifiers

PMID41680638
PMCPMC12964612

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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.