The effectiveness of psychoeducational interventions for family caregivers of people with dementia in Asia: A systematic review

BackgroundDementia is a growing health challenge in the Asia-Pacific region, where family caregivers experience substantial burden shaped by cultural expectations of filial piety. Psychoeducational interventions are recommended non-pharmacological strategies to support caregivers; however, no systematic review has evaluated their effectiveness specifically within Asian populations. Understanding their effectiveness is critical given cultural factors influencing caregiving experiences in Alzheimer's disease and other dementias.ObjectiveTo synthesize the effectiveness of psychoeducational interventions in reducing caregiver burden among Asian family caregivers of people with dementia, describe intervention characteristics, and identify factors influencing effectiveness.MethodsThis systematic review followed PRISMA 2020 guidelines. CINAHL, Cochrane, Embase, PubMed, PsycINFO, Scopus, and Web of Science were searched for studies published between 1 January 2012 and 1 November 2025. Two investigators independently conducted study selection, quality appraisal using the Joanna Briggs Institute critical appraisal tool, and data extraction. A narrative synthesis was conducted due to study heterogeneity.ResultsTen randomized controlled trials were included. Interventions varied in conceptual theories, delivery mode, format, and duration. Six studies reported significant reductions in caregiver burden. More effective interventions were delivered via telephone, provided individually, and implemented over three months. Some studies also reported improvements in self-efficacy, depression, perceived stress, and distress. None incorporated gender-sensitive approaches in intervention design or evaluation.ConclusionsPsychoeducational interventions show promise in alleviating burden among Asian family caregivers of people with dementia, including those with Alzheimer's disease. Tailoring delivery mode, format, and duration may optimize effectiveness. Future research should include diverse Asian populations and incorporate gender-sensitive approaches.