title: Family-centred approaches to healthcare interventions in chronic diseases in adults: a quantitative systematic review.
abstract: BACKGROUND
  Increasingly there is a focus on self-care strategies for both malignant and non-malignant conditions. Models of self-care interventions have focussed on the individual and less on the broader context of family and society. In many societies, decision-making and health seeking behaviours, involve family members.
  
  
  OBJECTIVE
  To identify elements of effective family-centred self-care interventions that are likely to improve outcomes of adults living with chronic conditions.
  
  
  METHODS
  Review paper.
  
  
  METHODS
  MEDLINE (Ovid), CINAHL, Academic Search Complete, PsychInfo and Scopus between 2000-2014.
  
  
  METHODS
  Quantitative studies targeting patient outcomes through family-centred interventions in adults were retrieved using systematic methods in January, 2015. Search terms used were: 'family', 'spouse', 'carer', 'caregiver', 'chronic', 'chronic disease', 'self-care', 'self-management' and 'self-efficacy'. Reference lists were reviewed. Risk of bias assessment was performed using the Cochrane Collaboration's tool. Data were reported using a narrative summary approach.
  
  
  RESULTS
  Ten studies were identified. Improvements were noted in readmission rates, emergency department presentations, and anxiety levels using family-centred interventions compared with controls. Elements of effective interventions used were a family-centred approach, active learning strategy and transitional care with appropriate follow-up.
  
  
  CONCLUSIONS
  Involving the family in self-care has shown some positive results for patients with chronic conditions. The benefits of family-centred care may be more likely in specific socio-cultural contexts.
  
  
  CONCLUSIONS
  The review has year limits and further research needs to identify support for both the patients and family caregivers.
authors.affiliation: Centre for Cardiovascular and Chronic Care, Faculty of Health, University of Technology Sydney, Broadway, New South Wales, Australia.
authors.forename: Hiba
authors.initials: H
authors.lastname: Deek
authors.affiliation: Western Australian Centre for Rural Health, University of Western Australia, Geraldton, Western Australia, Australia.
authors.forename: Sandra
authors.initials: S
authors.lastname: Hamilton
authors.affiliation: Faculty of Health, University of Technology Sydney, Broadway, New South Wales, Australia.
authors.forename: Nicola
authors.initials: N
authors.lastname: Brown
authors.affiliation: Centre for Cardiovascular and Chronic Care, Faculty of Health, University of Technology Sydney, Broadway, New South Wales, Australia.
authors.forename: Sally C
authors.initials: SC
authors.lastname: Inglis
authors.affiliation: Centre for Cardiovascular and Chronic Care, Faculty of Health, University of Technology Sydney, Broadway, New South Wales, Australia.
authors.forename: Michelle
authors.initials: M
authors.lastname: Digiacomo
authors.affiliation: Centre for Cardiovascular and Chronic Care, Faculty of Health, University of Technology Sydney, Broadway, New South Wales, Australia.
authors.forename: Phillip J
authors.initials: PJ
authors.lastname: Newton
authors.affiliation: Rafic Hariri School of Nursing, American University of Beirut, Lebanon.
authors.forename: Samar
authors.initials: S
authors.lastname: Noureddine
authors.affiliation: Transplantation Research Laboratory at the Victor Chang Institute, St Vincent Hospital, Darlinghurst, New South Wales, Australia.
authors.forename: Peter S
authors.initials: PS
authors.lastname: MacDonald
authors.affiliation: Johns Hopkins School of Nursing Baltimore, Maryland, USA.
authors.forename: Patricia M
authors.initials: PM
authors.lastname: Davidson
mesh_terms: D002908:Chronic Disease / Q000628:therapy*; D005190:Family; D015438:Health Behavior; D006801:Humans; D010358:Patient Participation; D018802:Patient-Centered Care / Q000379:methods*; D012648:Self Care / Q000379:methods*
keywords: chronic disease; family; literature review; nursing; self-care; spouse