{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T18:14:00Z","timestamp":1788545640012,"version":"build-2803163510"},"reference-count":45,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T00:00:00Z","timestamp":1788307200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Appl Gerontol"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Evidence on family caregivers of people with dementia in rural and remote areas remains limited, and burden levels and associated factors lack systematic quantitative synthesis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To synthesize burden and associated factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Nine databases were searched through November 2025 following PRISMA. Quality was appraised with the Joanna Briggs Institute checklist. Comparable data were meta-analyzed; others were narratively synthesized.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twelve studies involving 1,416 caregivers were included. Pooled mean scores were 45.19 for the 22-item Zarit Burden Interview (95% CI 29.49\u201360.89) and 19.90 for the 12-item version (95% CI 12.98\u201326.82). Burden was associated with behavioral and psychological symptoms of dementia (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      = 0.44, 95% CI 0.16\u20130.65), poorer caregiver mental health (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      = 0.48, 95% CI 0.38\u20130.56), and longer dementia or caregiving duration (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      = 0.29, 95% CI 0.13\u20130.43). Narrative synthesis implicated functional impairment, greater caregiving demands, lower self-efficacy, and economic disadvantage. Despite low-to-very-low certainty, findings indicate substantial, multifactorial burden and prioritize caregiver support.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PROSPERO<\/jats:title>\n                    <jats:p>CRD420261277658.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/07334648261483301","type":"journal-article","created":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T19:20:41Z","timestamp":1788376841000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Caregiver Burden and Associated Factors Among Family Caregivers of People With Dementia in Rural and Remote Areas: A Systematic Review and Meta-Analysis"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-9048-8065","authenticated-orcid":false,"given":"Changxing","family":"Xie","sequence":"first","affiliation":[{"name":"Da Lian University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qihang","family":"Chang","sequence":"additional","affiliation":[{"name":"Da Lian University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haoning","family":"Bu","sequence":"additional","affiliation":[{"name":"Da Lian University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiang","family":"Guo","sequence":"additional","affiliation":[{"name":"Da Lian University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiaxin","family":"Yu","sequence":"additional","affiliation":[{"name":"Da Lian University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fei","family":"Jiang","sequence":"additional","affiliation":[{"name":"Da Lian Seventh People\u2019s Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,2]]},"reference":[{"key":"e_1_3_6_2_1","doi-asserted-by":"crossref","unstructured":"Abubakar M. 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