Document Type

Article

Publication Date

2024

DOI

10.12688/f1000research.133314.2

Publication Title

F1000Research

Volume

12

Pages

790 (1-32)

Abstract

Background: Caring for a child with long-term functional limitations can have a negative impact on the physical and psychological well-being of the caregiver. Family-centered care (FCC) interventions have the potential to empower caregivers and contribute to their well-being. This systematic review aimed to synthesize existing evidence on the effectiveness of FCC interventions in improving the well-being of caregivers of children with cerebral palsy (CP), and identify the key components of such interventions that are most commonly practiced and deemed effective.

Methods: This review systematically searched seven databases for randomized controlled trials that evaluated the effectiveness of any FCC intervention on the well-being of caregivers of children with or at risk of CP. We used the Cochrane RoB 2.0 tool to assess risk of bias and Critical Appraisal Skills Programme (CASP) checklist for critical appraisal. Due to high heterogeneity of studies, narrative synthesis was used to summarize the data.

Results: The review consists of 11 studies which were categorized into five sections based on the components of FCC intervention provided in each individual study: 1. Information provision, and Enabling and partnership (n= 5); 2. Information provision, and Respectful and supportive care (n= 1); 3. Enabling and partnership (n= 2); 4. Enabling and partnership, and Respectful and supportive care (n= 2); 5. Information provision, Enabling and partnership and Respectful and supportive care (n= 1). Risk of bias was low in four studies, unclear in two studies, and high in five studies.

Conclusion: FCC interventions were found to be effective in improving caregivers' satisfaction with attainment of child and caregiver goals. Evidence from multiple studies does not strongly support the effectiveness of FCC interventions on caregiver's mental health, parenting and personal outcomes. Limited evidence precludes a conclusion on the effectiveness of the components of FCC on well-being of caregivers of children with CP.

Rights

© 2024 Poojari DP et al.

This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0) License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Data Availability

Article states: "No data are associated with this article."

Comments

Bibliographic note: This is version 2 of this article, published in 2024. The first published version of the article, published in 2023, is available at: https://doi.org/10.12688/f1000research.133314.1.

This review involves a narrative synthesis of 16 studies that examined the effects of FCC interventions on caregiver well-being. Five new studies have been included in the revised document after conducting an additional search from September 2022 to April 2024. We have modified all the documents as per the additional search result.

ORCID

0000-0003-3993-3580 (Khurana)

Original Publication Citation

Poojari, D. P., Umakanth, S., Maiya, G. A., Rao, B. K., Khurana, S., Kumaran, D. S., Attal, R., & Brien, M. (2024). Effect of family-centered care interventions on well-being of caregivers of children with cerebral palsy: A systematic review [version 2; peer review: 2 approved]. F1000Research, 12, 1-32, Article 790. https://doi.org/10.12688/f1000research.133314.2

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