Efficacy of resilience interventions for dyads of individuals with brain injury and their caregivers: A systematic review of prospective studies

Issue title: Thematic Issue: Setting a Research Agenda for Caregiving after Neurotrauma and Neurological Disability

Guest editors: Paul B. Perrin

Article type: Review Article

Authors: Hines, Emily A.^{a; *} | Farr, Ellen M.^a | Rhudy, Lori M.^b | Chesak, Sherry S.^c | Kinzelman Vesely, Elissa A.^d | Esterov, Dmitry^e

Affiliations: [a] Mayo Clinic School of Graduate Medical Education, Mayo Clinic College of Medicine and Science, Rochester, MN, USA | [b] Department of Graduate Nursing, Winona State University, Rochester, MN, USA | [c] Department of Nursing, Division of Nursing Research, Mayo Clinic, Rochester, MN, USA | [d] Mayo Medical Library, Mayo Clinic, Rochester, MN, USA | [e] Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN, USA

Correspondence: [*] Address for correspondence: Emily Hines, Mayo Clinic School of Graduate Medical Education, Mayo Clinic College of Medicine and Science, Rochester, MN, USA. E-mail: hines.emily@mayo.edu.

Abstract: BACKGROUND:Acquired brain injury (BI) is associated with negative mental health outcomes for both people with BI, their caregivers (CG), and patient-CG dyads, which may be mitigated through increased resilience. However, little is known regarding the efficacy of resilience interventions focused on CGs of individuals with BI, as well as dyads, which may be instrumental for positive outcomes. OBJECTIVE:To systematically review the evidence of the efficacy of resilience interventions focused on CGs and/or dyads of individuals with BI. METHODS:A search of MEDLINE, Embase, APA PsycINFO, CINAHL with Full Text, Scopus, SCIE, and ESCI was conducted. Each title and abstract were screened by two authors independently. Each full text review, study data extraction, and study quality assessment was performed independently by two authors. Study quality was assessed using the Joanna Briggs Institute (JBI) critical appraisal tool. RESULTS:Out of 11,959 articles retrieved, 347 full text articles were assessed for review and 18 met inclusion criteria for data extraction and quality assessment. Resilience interventions were stratified into 5 different categories based on the type of intervention. CONCLUSION:This systematic review suggests that dyadic/CG resilience interventions may improve mental health related outcomes, but conclusions were limited secondary to heterogenous outcomes and lack of a standardized resiliency construct. Future efforts are compulsory to create a standardized resiliency construct and associated outcomes focused on persons with BI, their CGs, and dyads.

Keywords: Brain injury, traumatic brain injury, acquired brain injury, dyad, caregiver, resiliency, resilience

DOI: 10.3233/NRE-220125

Journal: NeuroRehabilitation, vol. 52, no. 1, pp. 29-46, 2023