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. 2016 Aug 16;2016(8):CD010321. doi: 10.1002/14651858.CD010321.pub2

2.

Programs to reduce factors influencing elderly abuse
Patient or population: Carers of elderly persons
Settings: Caregivers of family members suffering from dementia
Intervention: Reducing factors influencing elderly abuse through promoting the mental health of caregivers
Outcomes (duration of follow‐up) Summary of effects No of Participants
 (studies) Quality of the evidence
 (GRADE) Comments
Occurrence of abuse – caregivers: Caregiver’s abusive behaviours (Modified conflict tactics scale) (8 months) No statistical difference in abusive behaviour between the groups(adjusted OR 0.48, 95% CI 0.18 to 1.27) 260 caregivers
(1 study)
⊕⊕ΟΟ Low1 One low risk of bias study which appeared inadequately powered included this primary outcome
Anxiety and depression: total scores on hospital anxiety and depression scale (HADS) (8 months) Mean total HADS score lower for the intervention group of caregivers than the control (‐1.80 points (95% CI ‐3.29 to ‐0.31, P = 0.02) 260 caregivers
(1 study)
⊕⊕⊕Ο Moderate2 One low risk of bias study included this secondary outcome
GRADE Working Group grades of evidence
 High quality: Further research is very unlikely to change our confidence in the estimate of effect.
 Moderate quality: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate.
 Low quality: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate.
 Very low quality: We are very uncertain about the estimate.

1 Downgraded two level for very serious imprecision

2 Downgraded one level based on only one study reporting as a secondary outcome