Social-behavioral interventions for Asian and Hispanic American dementia caregivers: An integrative review

Abstract

Persons with Alzheimer's disease and related dementias (ADRD) have complex care and social needs that are managed primarily by informal caregivers. Asian and Hispanic American caregivers of ADRD share disproportionately high caregiving burden and stress. Developing and implementing culturally and linguistically tailored interventions are particularly important to help improve the quality of life for these groups. The purpose of this review is to synthesize the existing evidence on social-behavioral interventions for Asian and Hispanic American caregivers of ADRD. Seventeen articles were identified and critically reviewed, which included a total of 16 interventions. Various outcomes were reported and the most prevalent outcomes were caregiver's depressive symptoms, caregiving burden, stress, caregiver's reactions (bothered or distressed) to care recipient's problematic behaviors, and social support. Most interventions showed their short-term effectiveness on the targeted outcomes while the long-term effects were insufficiently evidenced among some interventions. Future studies should focus on testing the long-term effect of caregiver's interventions and developing effective interventions especially for minority populations.

Keywords

• Alzheimer's Disease
• Dementia
• Caregiver
• Asian American
• Hispanic American
• Intervention