Family-centred approaches to healthcare interventions in chronic diseases in adults: A quantitative systematic review

Hiba Deek, Sandra Hamilton, Nicola Brown, Sally C. Inglis, Michelle Digiacomo, Phillip J. Newton, Samar Noureddine, Peter S. Macdonald, Patricia M. Davidson

Research output: Contribution to journalReview articlepeer-review


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. Design: Review paper. Data sources: MEDLINE (Ovid), CINAHL, Academic Search Complete, PsychInfo and Scopus between 2000-2014. Review 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. Limitations: The review has year limits and further research needs to identify support for both the patients and family caregivers.

Original languageEnglish (US)
Pages (from-to)968-979
Number of pages12
JournalJournal of advanced nursing
Issue number5
StatePublished - May 1 2016


  • Chronic disease
  • Family
  • Literature review
  • Nursing
  • Self-care
  • Spouse

ASJC Scopus subject areas

  • Nursing(all)


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