Stroke caregiving in Asia: A scoping review of caregiver burden

Abstract

Background: Caregiver burden in stroke care is a major issue in Asia, influenced by cultural norms, socioeconomic disparities, and variations in healthcare systems. Objective: This scoping review aimed to map and synthesize evidence on the levels and domains of caregiver burden among stroke caregivers in Asian countries. Methods: A comprehensive search was conducted in PubMed, SCOPUS, ProQuest, and ScienceDirect for full-text English-language articles published between 2020 and 2025. This review followed the PRISMA-ScR framework. Studies were screened using predefined criteria, and data were extracted using a standardized data extraction form. Thematic analysis was applied to identify burden domains and cross-country variations. Results: Fifteen studies from China, Iran, India, South Korea, Thailand, Singapore, Turkey, and Pakistan were included. Eight burden domains were identified, with physical and emotional burden being the most predominant. Variations between countries were associated with cultural expectations, gender roles, socioeconomic conditions, and healthcare infrastructure. Countries with stronger health systems report a more manageable burden, while those with weaker systems experience higher financial and emotional stress. Conclusion: This scoping review underscores the urgent need for health policies that prioritize caregiver support through financial assistance, psychoeducation, mental health services, and digital innovation. Community-based strategies tailored to the sociocultural context are crucial for improving caregiver well-being and optimizing post-stroke recovery.

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