REVIEW ARTICLE An international systematic review of dementia caregiving interventions for Chinese families Kris Pui Kwan Ma 1 | Anne Saw 2 1 Department of Family Medicine, University of Washington, Seattle, Washington 2 Department of Psychology, DePaul University, Chicago, Illinois Correspondence Kris Pui Kwan Ma, Department of Family Medicine, University of Washington, 4225 Roosevelt Way NE, Suite 308, Box 354696, Seattle, WA 98105, USA. Email: krisma@uw.edu Objectives: Older Asians and Chinese are among the least studied populations in the dementia caregiving literature. This review seeks to critically synthesize the literature on intervention characteristics, components and tailoring strategies for dementia family caregivers in Chinese communities globally. Methods: Five electronic databases (PsychINFO, PubMed, CINAHL, ScienceDirect and Google Scholar) were searched for articles published between 1980 and July 2018. The protocol of this review was registered with PROSPERO (CRD42019132800). Results: Twenty-nine unique interventions across 39 papers met inclusion criteria. Results from descriptive and thematic syntheses revealed that most interventions were psychoeducational, CBT-based, multicomponent, structured, and less than a year in duration. Disease education, management of behavioral and psychological symptoms of dementia, stress coping techniques, and referral to community resources were fre- quently included in interventions. Community-, culture- and language-focused strate- gies were used to tailor interventions. The most common tailoring strategies were: (a) using community networks and media for outreach and recruitment; (b) making transla- tions and language adaptations to the intervention materials; and (c) focusing on trust and therapeutic alliance. Most interventions produced desired outcomes, particularly reducing caregiver burden and increasing self-efficacy. Conclusions: To our knowledge, this is the first review to date that systematically synthesized the characteristics and tailoring of dementia caregiving interventions for Chinese families globally. Current findings suggest that most interventions are effec- tive, although many only superficially address Chinese culture. Future research should incorporate Chinese values and cross-cultural challenges into caregiving inter- ventions for deep-level adaptations that could potentially be more effective to engage and support Chinese caregivers. KEYWORDS Alzheimer's disease, caregiver, Chinese, culture, dementia 1 | INTRODUCTION As the world population ages, the global prevalence of older adults with dementia is expected to surge from 35.6 million in 2010 to 115.4 million in 2050. 1 The Chinese constitutes the world's largest population, with 1.42 billion living in China and approximately 11 million living overseas. 2,3 In China alone, there were 9.5 million older adults diagnosed with dementia in 2015, and this number is expected to rise exponentially. 4 Given the progressive deteriora- tion of functioning, intensive and expensive long-term care are needed for individuals with dementia, placing potential burden on family caregivers. Received: 16 January 2020 Accepted: 8 August 2020 DOI: 10.1002/gps.5400 Int J Geriatr Psychiatry. 2020;1–22. wileyonlinelibrary.com/journal/gps © 2020 John Wiley & Sons Ltd 1