Cancer diagnosis poses enormous physical and psychosocial challenges for both the affected person and their families. This systematic review identifies the characteristics and effectiveness of nursing interventions offered to adult patients with cancer and their families. Five databases were searched, and 19 studies published from 2009 to 2020 were included. Interventions were categorized as follows: (a) interventions with supporting and cognitive components (n = 3), (b) interventions that included skills training for the caregiver (n = 3), (c) interventions to enhance care through managing symptoms (n = 8), (d) interventions focusing on the dyad or family–patient relationship (n = 4), and (e) interventions targeted to the patient’s condition (n = 1). The results of this review offer an overview from which to carry out new studies and are useful for providing future directions within family nursing practice, taking into account the impact that the family has on the disease and the consequences the condition may bring to the whole family.
AhnS.RomoR. D.CampbellC. L. (2020). A systematic review of interventions for family caregivers who care for patients with advanced cancer at home. Patient Education and Counseling, 103(8), 1518–1530. https://doi.org/10.1016/j.pec.2020.03.012
2.
*BadgerT. A.SegrinC.FigueredoA. J.HarringtonJ.SheppardK.PassalacquaS.PasvogelA.BishopM. (2011). Psychosocial interventions to improve quality of life in prostate cancer survivors and their intimate or family partners. Quality of Life Research, 20(6), 833–844. https://doi.org/10.1007/s11136-010-9822-2
3.
*BadgerT. A.SegrinC.HepworthJ. T.PasvogelA.WeihsK.LopezA. M. (2013). Telephone-delivered health education and interpersonal counseling improve quality of life for Latinas with breast cancer and their supportive partners. Psycho-Oncology, 22(5), 1035–1042. https://doi.org/10.1002/pon.3101
4.
*BadgerT. A.SegrinC.SikorskiiA.PasvogelA.WeihsK.LopezA. M.ChalasaniP. (2020). Randomized controlled trial of supportive care interventions to manage psychological distress and symptoms in Latinas with breast cancer and their informal caregivers. Psychology & Health, 35(1), 87–106. https://doi.org/10.1080/08870446.2019.1626395
5.
*BelgacemB.AuclairC.FedorM. C.BrugnonD.BlanquetM.TournilhacO.GerbaudL. (2013). A caregiver educational program improves quality of life and burden for cancer patients and their caregivers: A randomised clinical trial. European Journal of Oncology Nursing, 17(6), 870–876. https://doi.org/10.1016/j.ejon.2013.04.006
6.
BellJ. M. (2011). Relationships: The heart of the matter in family nursing [Editorial]. Journal of Family Nursing, 17(1), 3–10. https://doi.org/10.1177/1074840711398464
7.
BellJ. M. (2013). Family nursing is more than family centered care [Editorial]. Journal of Family Nursing, 19(4), 411–417. https://doi.org/10.1177/1074840713512750
8.
BellJ. M. (2014). Knowledge translation in family nursing: Gazing into the Promised Land [Editorial]. Journal of Family Nursing, 20(1), 3–12. https://doi.org/10.1177/1074840714521731
9.
BellJ. M.WrightL. M. (2015). The Illness Beliefs Model: Advancing practice knowledge about illness beliefs, family healing, and family interventions [Editorial]. Journal of Family Nursing, 21(2), 179–185. https://doi.org/10.1177/1074840715586889
10.
*BilginS.GozumS. (2016). Effect of nursing care given at home on the quality of life of patients with stomach cancer and their family caregivers’ nursing care. European Journal of Cancer Care, 27(2), Article e12567. https://doi.org/10.1111/ecc.12567
11.
CampbellL. C.KeefeF. J.McKeeD. C.EdwardsC. L.HermanS. H.JohnsonL. E.ColvinO. M.McBrideC. M.DonattuciC. F. (2004). Prostate cancer in African Americans: Relationship of patient and partner self-efficacy to quality of life. Journal of Pain and Symptom Management, 28(5), 433–444. https://doi.org/10.1016/j.jpainsymman.2004.02.020
12.
CandelaM. L.PireddaM.MarchettiA.FacchinettiG.IacorossiL.CapuzzoM. T.MecugniD.RaseroL.MatareseM.De MarinisM. G. (2020). Finding meaning in life: An exploration on the experiences with dependence on care of patients with advanced cancer and nurses caring for them. Supportive Care in Cancer, 28(9), 4493–4499. https://doi.org/10.1007/s00520-020-05300-8
13.
CangaA. (2011). Experiencias de la familia cuidadora en la transición a la dependencia de un familiar anciano [Family experience in the transition to dependence of an older relative] [Unpublished doctoral thesis]. Universidad de Navarra. https://dadun.unav.edu/handle/10171/22071
14.
CangaA.EsandiN. (2016). La familia como objeto de cuidado: Hacia un enfoque integrador en la atención de enfermería [The family as the unit of care: Toward an integrative approach in nursing care]. Anales del Sistema Sanitario de Navarra, 39(2), 319–322. https://doi.org/10.23938/ASSN.0260
15.
CaressA. L.ChalmersK.LukerK. (2009). A narrative review of interventions to support family carers who provide physical care to family members with cancer. International Journal of Nursing Studies, 46(11), 1516–1527. https://doi.org/10.1016/j.ijnurstu.2009.03.008
CohenC. A.ColantonioA.VernichL. (2002). Positive aspects of caregiving: Rounding out the caregiver experience. International Journal of Geriatric Psychiatry, 17(2), 184–188. https://doi.org/10.1002/gps.561
18.
*ÇolB. K.KılıçD. (2019). The effects of the training program and counseling program given to women who underwent a mastectomy and spouses. Journal of Cancer Education, 34(6), 1074–1082. https://doi.org/10.1007/s13187-018-1410-0
19.
CorryM.WhileA.NeenanK.SmithV. (2015). A systematic review of systematic reviews on interventions for caregivers of people with chronic conditions. Journal of Advanced Nursing, 71(4), 718–734. https://doi.org/10.1111/jan.12523
20.
*CouperJ.CollinsA.BlochS.StreetA.DuchesneG.JonesT.OlverJ.LoveA. (2015). Cognitive existential couple therapy (CECT) in men and partners facing localised prostate cancer: A randomised controlled trial. BJU International, 115(5), 35–45. https://doi.org/10.1111/bju.12991
21.
CoyneE.HeynsberghN.DieperinkK. B. (2020). Acknowledging cancer as a family disease: A systematic review of family care in the cancer setting. European Journal of Oncology Nursing, 49, Article 101841. https://doi.org/10.1016/j.ejon.2020.101841
22.
DelgadoM. (2010). Revisión sistemática de estudios: Metaanálisis [Systematic review of studies: Meta-analysis] (3rd ed.). Signo.
23.
DuhamelF. (2010). Implementing family nursing: How do we translate knowledge into clinical practice? Part II: The evolution of 20 years of teaching, research, and practice to a Center of Excellence in Family Nursing. Journal of Family Nursing, 16(1), 8–25. https://doi.org/10.1177/1074840709360208
24.
DuhamelF.DupuisF. (2004). Guaranteed returns: Investing in conversations with families of patients with cancer. Clinical Journal of Oncology Nursing, 8(1), 68–71. https://doi.org/10.1188/04.CJON.68-71
25.
DuncanE.O’CathainA.RousseauN.CrootL.SwornK.TurnerK. M.YardleyL.HoddinottP. (2020). Guidance for reporting intervention development studies in health research (GUIDED): An evidence-based consensus study. BMJ Open, 10(4), Article e033516. https://doi.org/10.1136/bmjopen-2019-033516
26.
*FaarupI.LauridsenJ. T.LütgenK.NørregaardA.PoulsenF. R.ØstergaardB. (2019). Do family health conversations impact patients with glioblastoma multiforme and their family members?Journal of Clinical Nursing, 28(9–10), 1695–1707. https://doi.org/10.1111/jocn.14777
27.
FriedbergJ. P.LipsitzS. R.NatarajanS. (2010). Challenges and recommendations for blinding in behavioral interventions illustrated using a case study of a behavioral intervention to lower blood pressure. Patient Education and Counseling, 78(1), 5–11. https://doi.org/10.1016/j.pec.2009.04.009
28.
GabrielI.CreedyD.CoyneE. (2020). A systematic review of psychosocial interventions to improve quality of life of people with cancer and their family caregivers. Nursing Open, 7(5), 1299–1312. https://doi.org/10.1002/nop2.543
29.
GillissC. L.PanW.DavisL. L. (2019). Family involvement in adult chronic disease care: Reviewing the systematic reviews. Journal of Family Nursing, 25(1), 3–27. https://doi.org/10.1177/1074840718822365
30.
GivenB. A.GivenC. W.SherwoodP. R. (2012). Family and caregiver needs over the course of the cancer trajectory. The Journal of Supportive Oncology, 10(2), 57–64. https://doi.org/10.1016/j.suponc.2011.10.003
31.
GrbichC.ParkerD.MaddocksI. (2001). The emotions and coping strategies of caregivers of family members with a terminal cancer. Journal of Palliative Care, 17(1), 30–36. https://doi.org/10.1177/082585970101700105
32.
*HendrixC. C.LandermanR.AbernethyA. P. (2011). Effects of an individualized caregiver training intervention on self-efficacy of cancer caregivers. Western Journal of Nursing Research, 35(5), 590–610. https://doi.org/10.1177/0193945911420742
JeongA.ShinD.ParkJ. H.ParkK. (2019). What we talk about when we talk about caregiving: The distribution of roles in cancer patient caregiving in a family-oriented culture. Cancer Research and Treatment, 51(1), 141–149. https://doi.org/10.4143/crt.2017.557
KlemmP.WheelerE. (2005). Cancer caregivers online: Hope, emotional roller coaster, and physical/emotional/psychological responses. Computers, Informatics, Nursing, 23(1), 38–45. https://doi.org/10.1097/00024665-200501000-00008
38.
*Kochaki NejadZ.Mohajjel AghdamA.HassankhaniH.SanaatZ. (2016). The effects of a patient-caregiver education and follow-up program on the breast cancer caregiver strain index. Iranian Red Crescent Medical Journal, 18(3), Article e21627. https://doi.org/10.5812/ircmj.21627
39.
KonradsenH.BrødsgaardA.ØstergaardB.SvavarsdóttirE.DieperinkK. B.ImhofL.LuttikM. L.Mahrer-ImhofR.García-VivarC. (2021). Health practices in Europe towards families of older patients with cancer: A scoping review. Scandinavian Journal of Caring Sciences, 35(2), 375–389. https://doi.org/10.1111/scs.12855
40.
*LewisF. M.GriffithK. A.AlzawadZ.DawsonP. L.ZahlisE. H.ShandsM. E. (2019). Helping Her Heal: Randomized clinical trial to enhance dyadic outcomes in couples. Psycho-Oncology, 28(2), 430–438. https://doi.org/10.1002/pon.4966
41.
*LiQ.XuY.ZhouH.LokeA. Y. (2015). A couple-based complex intervention for Chinese spousal caregivers and their partners with advanced cancer: An intervention study. Psycho-Oncology, 24(11), 1423–1431. https://doi.org/10.1002/pon.3809
42.
LópezJ.CrespoM. (2007). Intervenciones con cuidadores de familiares mayores dependientes: una revision [Interventions with caregivers of dependent elderly relatives: A review]. Psicothema, 19(1), 72–80. https://www.redalyc.org/articulo.oa?id=727/72719111
43.
*McCaughanE.CurranC.NorthouseL.ParahooK. (2018). Evaluating a psychosocial intervention for men with prostate cancer and their partners: Outcomes and lessons learned from a randomized controlled trial. Applied Nursing Research, 40, 143–151. https://doi.org/10.1016/j.apnr.2018.01.008
44.
*Moghaddam TabriziF.AlizadehS. (2018). Family intervention based on the FOCUS program effects on cancer coping in Iranian breast cancer patients: A randomized control trial. Asian Pacific Journal of Cancer Prevention, 19(6), 1523–1528. https://doi.org/10.22034/APJCP.2018.19.6.1523
45.
MoherD.LiberatiA.TetzlaffJ.AltmanD. G., & The PRISMA Group (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLOS Medicine, 6(6), Article e1000097. https://doi.org/10.1371/journal.pmed1000097
46.
MöllerbergM.-L.ÅrestedtK.SwahnbergK.BenzeinE.SandgrenA. (2019). Family sense of coherence and its associations with hope, anxiety and symptoms of depression in persons with cancer in palliative phase and their family members: A cross-sectional study. Palliative Medicine, 33(10), 1310–1318. https://doi.org/10.1177/0269216319866653
47.
MuliiraJ. K.KizzaI. B.NakitendeG. (2019). Roles of family caregivers and perceived burden when caring for hospitalized adult cancer patients: Perspective from a low-income country. Cancer Nursing, 42(3), 208–217. https://doi.org/10.1097/NCC.0000000000000591
48.
NaefR.Kläusler-TroxlerM.ErnstJ.HuberS.Dinten-SchmidB.KarenT.PetryH. (2020). Translating family systems care into neonatology practice: A mixed method study of practitioners’ attitudes, practice skills and implementation experience. International Journal of Nursing Studies, 102, Article 103448. https://doi.org/10.1016/j.ijnurstu.2019.103448
49.
NorthouseL. L. (2012). Helping patients and their family caregivers cope with cancer. Oncology Nursing Forum, 39(5), 500–506. https://doi.org/10.1188/12.ONF.500-506
50.
NorthouseL. L.KatapodiM. C.SchafenackerA. M.WeissD. (2012). The impact of caregiving on the psychological well-being of family caregivers and cancer patients. Seminars in Oncology Nursing, 28(4), 236–245. https://doi.org/10.1016/j.soncn.2012.09.006
51.
*NorthouseL. L.MoodD. W.SchafenackerA.KalemkerianG.ZalupskiM.LoRussoP.HayesD. F.HussainM.RuckdeschelJ.FendrickA. M.TraskP. C.RonisD. L.KershawT. (2013). Randomized clinical trial of a brief and extensive dyadic intervention for advanced cancer patients and their family caregivers. Psycho-Oncology, 22(3), 555–563. https://doi.org/10.1002/pon.3036
52.
PageM. J.McKenzieJ. E.BossuytP. M.BoutronI.HoffmannT. C.MulrowC. D.ShamseerL.TetzlaffJ. M.MoherD. (2021). Updating guidance for reporting systematic reviews: Development of the PRISMA 2020 statement. Journal of Clinical Epidemiology, 134, 103–112. https://doi.org/10.1016/j.jclinepi.2021.02.003
53.
PageS. J.PerschA. C. (2013). Recruitment, retention, and blinding in clinical trials. American Occupational Therapy, 67(2), 154–161. https://doi.org/10.5014/ajot.2013.006197
54.
PetursdottirA. B.HaraldsdottirE.SvavarsdottirE. K. (2019). The impact of implementing an educational intervention to enhance a family-oriented approach in specialised palliative home care: A quasi-experimental study. Scandinavian Journal of Caring Sciences, 33(2), 342–350. https://doi.org/10.1111/scs.12628
55.
ShajaniZ.SnellD. (2019). Wright and Leahey’s nurses & families: A guide to family assessment & intervention (7th ed.). F.A. Davis.
56.
*SherwoodP. R.GivenB. A.GivenC. W.SikorskiiA.YouM.PrinceJ. (2012). The impact of a problem-solving intervention on increasing caregiver assistance and improving caregiver health. Supportive Care in Cancer, 20(9), 1937–1947. https://doi.org/10.1007/s00520-011-1295-5
57.
SvavarsdottirE. K.SigurdardottirA. O. (2013). Benefits of a brief therapeutic conversation intervention for families of children and adolescents in active cancer treatment. Oncology Nursing Forum, 40(5), E346–E357. https://doi.org/10.1188/13.ONF.E346-E357
58.
*ThakurD.DhandapaniM.GhaiS.MohantyM.DhandapaniS. (2019). Intracranial tumors: A nurse-led intervention for educating and supporting patients and their caregivers. Clinical Journal of Oncology Nursing, 23(3), 315–323. https://doi.org/10.1188/19.CJON.315-323
59.
*TitlerM. G.VisovattiM. A.ShumanC.EllisK. R.BanerjeeT.DockhamB.YakushevaO.NorthouseL. (2017). Effectiveness of implementing a dyadic psychoeducational intervention for cancer patients and family caregivers. Supportive Care in Cancer, 25(11), 3395–3406. https://doi.org/10.1007/s00520-017-3758-9
60.
TufanaruC.MunnZ.AromatarisE.CampbellJ.HoppL. (2020). Chapter 3: Systematic reviews of effectiveness. In AromatarisE.MunnZ. (Eds.), Joanna Briggs Institute manual for evidence synthesis. The Joanna Briggs Institute. https://jbi-global-wiki.refined.site/space/MANUAL
61.
*ValebergB. T.KolstadE.SmåstuenM. C.MiaskowskiC.RustøenT. (2013). The PRO-SELF pain control program improves family caregivers’ knowledge of cancer pain management. Cancer Nursing, 36(6), 429–435. https://doi.org/10.1097/NCC.0b013e3182747bcf
62.
WhiteheadL.JacobE.TowellA.Abu-QamarM.Cole-HeathA. (2018). The role of the family in supporting the self-management of chronic conditions: A qualitative systematic review. Journal of Clinical Nursing, 27(1–2), 22–30. https://doi.org/10.1111/jocn.13775
63.
WohlinC. (2014). Guidelines for snowballing in systematic literature studies and a replication in software engineering. In Proceedings of the 18th International Conference on Evaluation and Assessment in Software Engineering (Article 38, pp. 1–10). http://doi.org/10.1145/2601248.2601268
WrightL. M.BellJ. M. (2009). Beliefs and illness: A model for healing. 4th Floor Press.
66.
WrightL. M.BellJ. M. (2021). Illness beliefs: The heart of healing in families and individuals (3rd revised ed.). 4th Floor Press.
67.
WrightL. M.LeaheyM. (2013). Nurses and families: A guide to family assessment and intervention (6th ed.). F.A. Davis.
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