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Published in: Current Hematologic Malignancy Reports 4/2017

01-08-2017 | Health Economics (N Khera, Section Editor)

Patient and Caregiver Adjustment to Hematopoietic Stem Cell Transplantation: a Systematic Review of Dyad-Based Studies

Authors: Shelby Langer, Christine Lehane, Jean Yi

Published in: Current Hematologic Malignancy Reports | Issue 4/2017

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Abstract

Purpose of Review

The aims of this study were to identify and systematically evaluate studies published from 2005–2017 that took a dyadic approach to assessing or intervening upon hematopoietic cell transplant (HCT) recipients and their informal caregivers.

Recent Findings

Our search yielded 20 studies. Regarding sample demographic characteristics, most participants were Caucasian and most caregivers were related to the patient by marriage. Regarding design characteristics, 18 studies were quantitative and two were qualitative; five were cross-sectional, ten were longitudinal, one was experimental, and four were interventional. Most outcomes were psychosocial and the interventions were largely psycho-educational in nature. Large variation in quality of the studies emerged (six were rated as low quality, seven as adequate, and seven as high quality).

Summary

Understudied populations include racial/ethnic minorities and same-sex couples. More work is needed to understand functioning during survivorship and impacts on patient medical outcomes, and to truly leverage the dyad to optimize individual- and relationship-level adjustment.
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Metadata
Title
Patient and Caregiver Adjustment to Hematopoietic Stem Cell Transplantation: a Systematic Review of Dyad-Based Studies
Authors
Shelby Langer
Christine Lehane
Jean Yi
Publication date
01-08-2017
Publisher
Springer US
Published in
Current Hematologic Malignancy Reports / Issue 4/2017
Print ISSN: 1558-8211
Electronic ISSN: 1558-822X
DOI
https://doi.org/10.1007/s11899-017-0391-0

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