Loading…
Internet-Based Supportive Interventions for Family Caregivers of People With Dementia: Systematic Review and Meta-Analysis
Caring for people with dementia is perceived as one of the most stressful and difficult forms of caring. Family caregivers always experience high levels of psychological burden and physical strain, so effective and practical support is essential. Internet-based supportive interventions can provide c...
Saved in:
Published in: | Journal of medical Internet research 2020-09, Vol.22 (9), p.e19468-e19468 |
---|---|
Main Authors: | , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
cited_by | cdi_FETCH-LOGICAL-c429t-3c3b642ac25c82ec11aa593c4681912ad328e7aa16fb3671ef359c4f6e49497a3 |
---|---|
cites | cdi_FETCH-LOGICAL-c429t-3c3b642ac25c82ec11aa593c4681912ad328e7aa16fb3671ef359c4f6e49497a3 |
container_end_page | e19468 |
container_issue | 9 |
container_start_page | e19468 |
container_title | Journal of medical Internet research |
container_volume | 22 |
creator | Leng, Minmin Zhao, Yajie Xiao, Hongmei Li, Ce Wang, Zhiwen |
description | Caring for people with dementia is perceived as one of the most stressful and difficult forms of caring. Family caregivers always experience high levels of psychological burden and physical strain, so effective and practical support is essential. Internet-based supportive interventions can provide convenient and efficient support and education to potentially reduce the physical and psychological burden associated with providing care.
This review aimed to (1) assess the efficacy of internet-based supportive interventions in ameliorating health outcomes for family caregivers of people with dementia, and (2) evaluate the potential effects of internet-based supportive intervention access by caregivers on their care recipients.
An electronic literature search of the PubMed, EMBASE, Web of Science, CINAHL, Cochrane Library, and PsycINFO databases was conducted up to January 2020. Two reviewers (ML and YZ) worked independently to identify randomized controlled trials (RCTs) that met the inclusion criteria and independently extracted data. The quality of the included RCTs was evaluated using the approach recommended by the Cochrane Handbook for Systematic Reviews of Interventions. Standardized mean differences (SMDs) with 95% CIs were applied to calculate the pooled effect sizes.
In total, 17 RCTs met the eligibility criteria and were included in this systematic review. The meta-analysis showed that internet-based supportive interventions significantly ameliorated depressive symptoms (SMD=-0.21; 95% CI -0.31 to -0.10; P |
doi_str_mv | 10.2196/19468 |
format | article |
fullrecord | <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_9ac88aab40fc4dd6bcb21145497cb29f</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_9ac88aab40fc4dd6bcb21145497cb29f</doaj_id><sourcerecordid>2441257951</sourcerecordid><originalsourceid>FETCH-LOGICAL-c429t-3c3b642ac25c82ec11aa593c4681912ad328e7aa16fb3671ef359c4f6e49497a3</originalsourceid><addsrcrecordid>eNpVkcFu1DAQhiMEoqX0FZAvSFwCGdtJbA5IZaGwUhGIgjhaE2eydZXEi-1dtDw97m6p2pNHnk-f_esvilOoXnPQzRvQslGPimOQQpVKtfD43nxUPIvxuqp4JTU8LY4E1xUXSh0Xf5dzojBTKt9jpJ5dbtZrH5LbEttvtjQn5-fIBh_YOU5u3LEFBlplIkTmB_aN_Hok9sulK_aBphse37LLXUw0YXKWfaetoz8M5559oYTl2YzjLrr4vHgy4Bjp9PY8KX6ef_yx-FxefP20XJxdlFZynUphRddIjpbXVnGyAIi1FjbHBQ0ce8EVtYjQDJ1oWqBB1NrKoSGppW5RnBTLg7f3eG3WwU0YdsajM_sLH1YGc2I7ktFolULsZDVY2fdNZzsOIOvsyZMesuvdwbXedBP1NqcNOD6QPtzM7sqs_Na0NYCqVRa8uhUE_3tDMZnJRUvjiDP5TTRcSuB1q2vI6MsDaoOPMdBw9wxU5qZzs-88cy_u_-mO-l-y-AfCHKiP</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2441257951</pqid></control><display><type>article</type><title>Internet-Based Supportive Interventions for Family Caregivers of People With Dementia: Systematic Review and Meta-Analysis</title><source>Publicly Available Content Database</source><source>Social Science Premium Collection</source><source>Library & Information Science Collection</source><source>PubMed Central</source><creator>Leng, Minmin ; Zhao, Yajie ; Xiao, Hongmei ; Li, Ce ; Wang, Zhiwen</creator><creatorcontrib>Leng, Minmin ; Zhao, Yajie ; Xiao, Hongmei ; Li, Ce ; Wang, Zhiwen</creatorcontrib><description>Caring for people with dementia is perceived as one of the most stressful and difficult forms of caring. Family caregivers always experience high levels of psychological burden and physical strain, so effective and practical support is essential. Internet-based supportive interventions can provide convenient and efficient support and education to potentially reduce the physical and psychological burden associated with providing care.
This review aimed to (1) assess the efficacy of internet-based supportive interventions in ameliorating health outcomes for family caregivers of people with dementia, and (2) evaluate the potential effects of internet-based supportive intervention access by caregivers on their care recipients.
An electronic literature search of the PubMed, EMBASE, Web of Science, CINAHL, Cochrane Library, and PsycINFO databases was conducted up to January 2020. Two reviewers (ML and YZ) worked independently to identify randomized controlled trials (RCTs) that met the inclusion criteria and independently extracted data. The quality of the included RCTs was evaluated using the approach recommended by the Cochrane Handbook for Systematic Reviews of Interventions. Standardized mean differences (SMDs) with 95% CIs were applied to calculate the pooled effect sizes.
In total, 17 RCTs met the eligibility criteria and were included in this systematic review. The meta-analysis showed that internet-based supportive interventions significantly ameliorated depressive symptoms (SMD=-0.21; 95% CI -0.31 to -0.10; P<.001), perceived stress (SMD=-0.40; 95% CI -0.55 to -0.24; P<.001), anxiety (SMD=-0.33; 95% CI -0.51 to -0.16; P<.001), and self-efficacy (SMD=0.19; 95% CI 0.05-0.33; P=.007) in dementia caregivers. No significant improvements were found in caregiver burden, coping competence, caregiver reactions to behavioral symptoms, or quality of life. Six studies assessed the unintended effects of internet-based supportive intervention access by caregivers on their care recipients. The results showed that internet-based supportive interventions had potential benefits on the quality of life and neuropsychiatric symptoms in care recipients.
Internet-based supportive interventions are generally effective at ameliorating depressive symptoms, perceived stress, anxiety, and self-efficacy in dementia caregivers and have potential benefits on care recipients. Future studies are encouraged to adopt personalized internet-based supportive interventions to improve the health of family caregivers and their care recipients.
PROSPERO CRD42020162434; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=162434.</description><identifier>ISSN: 1438-8871</identifier><identifier>ISSN: 1439-4456</identifier><identifier>EISSN: 1438-8871</identifier><identifier>DOI: 10.2196/19468</identifier><identifier>PMID: 32902388</identifier><language>eng</language><publisher>Canada: JMIR Publications</publisher><subject>Caregivers - psychology ; Dementia - psychology ; Humans ; Internet-Based Intervention - statistics & numerical data ; Quality of Life - psychology ; Review</subject><ispartof>Journal of medical Internet research, 2020-09, Vol.22 (9), p.e19468-e19468</ispartof><rights>Minmin Leng, Yajie Zhao, Hongmei Xiao, Ce Li, Zhiwen Wang. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 09.09.2020.</rights><rights>Minmin Leng, Yajie Zhao, Hongmei Xiao, Ce Li, Zhiwen Wang. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 09.09.2020. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c429t-3c3b642ac25c82ec11aa593c4681912ad328e7aa16fb3671ef359c4f6e49497a3</citedby><cites>FETCH-LOGICAL-c429t-3c3b642ac25c82ec11aa593c4681912ad328e7aa16fb3671ef359c4f6e49497a3</cites><orcidid>0000-0002-0983-6133 ; 0000-0002-1276-5815 ; 0000-0003-1732-3554 ; 0000-0002-0655-6435 ; 0000-0001-7165-6259</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,723,776,780,881,27903,27904,33591,33886,36992</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32902388$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Leng, Minmin</creatorcontrib><creatorcontrib>Zhao, Yajie</creatorcontrib><creatorcontrib>Xiao, Hongmei</creatorcontrib><creatorcontrib>Li, Ce</creatorcontrib><creatorcontrib>Wang, Zhiwen</creatorcontrib><title>Internet-Based Supportive Interventions for Family Caregivers of People With Dementia: Systematic Review and Meta-Analysis</title><title>Journal of medical Internet research</title><addtitle>J Med Internet Res</addtitle><description>Caring for people with dementia is perceived as one of the most stressful and difficult forms of caring. Family caregivers always experience high levels of psychological burden and physical strain, so effective and practical support is essential. Internet-based supportive interventions can provide convenient and efficient support and education to potentially reduce the physical and psychological burden associated with providing care.
This review aimed to (1) assess the efficacy of internet-based supportive interventions in ameliorating health outcomes for family caregivers of people with dementia, and (2) evaluate the potential effects of internet-based supportive intervention access by caregivers on their care recipients.
An electronic literature search of the PubMed, EMBASE, Web of Science, CINAHL, Cochrane Library, and PsycINFO databases was conducted up to January 2020. Two reviewers (ML and YZ) worked independently to identify randomized controlled trials (RCTs) that met the inclusion criteria and independently extracted data. The quality of the included RCTs was evaluated using the approach recommended by the Cochrane Handbook for Systematic Reviews of Interventions. Standardized mean differences (SMDs) with 95% CIs were applied to calculate the pooled effect sizes.
In total, 17 RCTs met the eligibility criteria and were included in this systematic review. The meta-analysis showed that internet-based supportive interventions significantly ameliorated depressive symptoms (SMD=-0.21; 95% CI -0.31 to -0.10; P<.001), perceived stress (SMD=-0.40; 95% CI -0.55 to -0.24; P<.001), anxiety (SMD=-0.33; 95% CI -0.51 to -0.16; P<.001), and self-efficacy (SMD=0.19; 95% CI 0.05-0.33; P=.007) in dementia caregivers. No significant improvements were found in caregiver burden, coping competence, caregiver reactions to behavioral symptoms, or quality of life. Six studies assessed the unintended effects of internet-based supportive intervention access by caregivers on their care recipients. The results showed that internet-based supportive interventions had potential benefits on the quality of life and neuropsychiatric symptoms in care recipients.
Internet-based supportive interventions are generally effective at ameliorating depressive symptoms, perceived stress, anxiety, and self-efficacy in dementia caregivers and have potential benefits on care recipients. Future studies are encouraged to adopt personalized internet-based supportive interventions to improve the health of family caregivers and their care recipients.
PROSPERO CRD42020162434; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=162434.</description><subject>Caregivers - psychology</subject><subject>Dementia - psychology</subject><subject>Humans</subject><subject>Internet-Based Intervention - statistics & numerical data</subject><subject>Quality of Life - psychology</subject><subject>Review</subject><issn>1438-8871</issn><issn>1439-4456</issn><issn>1438-8871</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNpVkcFu1DAQhiMEoqX0FZAvSFwCGdtJbA5IZaGwUhGIgjhaE2eydZXEi-1dtDw97m6p2pNHnk-f_esvilOoXnPQzRvQslGPimOQQpVKtfD43nxUPIvxuqp4JTU8LY4E1xUXSh0Xf5dzojBTKt9jpJ5dbtZrH5LbEttvtjQn5-fIBh_YOU5u3LEFBlplIkTmB_aN_Hok9sulK_aBphse37LLXUw0YXKWfaetoz8M5559oYTl2YzjLrr4vHgy4Bjp9PY8KX6ef_yx-FxefP20XJxdlFZynUphRddIjpbXVnGyAIi1FjbHBQ0ce8EVtYjQDJ1oWqBB1NrKoSGppW5RnBTLg7f3eG3WwU0YdsajM_sLH1YGc2I7ktFolULsZDVY2fdNZzsOIOvsyZMesuvdwbXedBP1NqcNOD6QPtzM7sqs_Na0NYCqVRa8uhUE_3tDMZnJRUvjiDP5TTRcSuB1q2vI6MsDaoOPMdBw9wxU5qZzs-88cy_u_-mO-l-y-AfCHKiP</recordid><startdate>20200909</startdate><enddate>20200909</enddate><creator>Leng, Minmin</creator><creator>Zhao, Yajie</creator><creator>Xiao, Hongmei</creator><creator>Li, Ce</creator><creator>Wang, Zhiwen</creator><general>JMIR Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-0983-6133</orcidid><orcidid>https://orcid.org/0000-0002-1276-5815</orcidid><orcidid>https://orcid.org/0000-0003-1732-3554</orcidid><orcidid>https://orcid.org/0000-0002-0655-6435</orcidid><orcidid>https://orcid.org/0000-0001-7165-6259</orcidid></search><sort><creationdate>20200909</creationdate><title>Internet-Based Supportive Interventions for Family Caregivers of People With Dementia: Systematic Review and Meta-Analysis</title><author>Leng, Minmin ; Zhao, Yajie ; Xiao, Hongmei ; Li, Ce ; Wang, Zhiwen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c429t-3c3b642ac25c82ec11aa593c4681912ad328e7aa16fb3671ef359c4f6e49497a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Caregivers - psychology</topic><topic>Dementia - psychology</topic><topic>Humans</topic><topic>Internet-Based Intervention - statistics & numerical data</topic><topic>Quality of Life - psychology</topic><topic>Review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Leng, Minmin</creatorcontrib><creatorcontrib>Zhao, Yajie</creatorcontrib><creatorcontrib>Xiao, Hongmei</creatorcontrib><creatorcontrib>Li, Ce</creatorcontrib><creatorcontrib>Wang, Zhiwen</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Journal of medical Internet research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Leng, Minmin</au><au>Zhao, Yajie</au><au>Xiao, Hongmei</au><au>Li, Ce</au><au>Wang, Zhiwen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Internet-Based Supportive Interventions for Family Caregivers of People With Dementia: Systematic Review and Meta-Analysis</atitle><jtitle>Journal of medical Internet research</jtitle><addtitle>J Med Internet Res</addtitle><date>2020-09-09</date><risdate>2020</risdate><volume>22</volume><issue>9</issue><spage>e19468</spage><epage>e19468</epage><pages>e19468-e19468</pages><issn>1438-8871</issn><issn>1439-4456</issn><eissn>1438-8871</eissn><abstract>Caring for people with dementia is perceived as one of the most stressful and difficult forms of caring. Family caregivers always experience high levels of psychological burden and physical strain, so effective and practical support is essential. Internet-based supportive interventions can provide convenient and efficient support and education to potentially reduce the physical and psychological burden associated with providing care.
This review aimed to (1) assess the efficacy of internet-based supportive interventions in ameliorating health outcomes for family caregivers of people with dementia, and (2) evaluate the potential effects of internet-based supportive intervention access by caregivers on their care recipients.
An electronic literature search of the PubMed, EMBASE, Web of Science, CINAHL, Cochrane Library, and PsycINFO databases was conducted up to January 2020. Two reviewers (ML and YZ) worked independently to identify randomized controlled trials (RCTs) that met the inclusion criteria and independently extracted data. The quality of the included RCTs was evaluated using the approach recommended by the Cochrane Handbook for Systematic Reviews of Interventions. Standardized mean differences (SMDs) with 95% CIs were applied to calculate the pooled effect sizes.
In total, 17 RCTs met the eligibility criteria and were included in this systematic review. The meta-analysis showed that internet-based supportive interventions significantly ameliorated depressive symptoms (SMD=-0.21; 95% CI -0.31 to -0.10; P<.001), perceived stress (SMD=-0.40; 95% CI -0.55 to -0.24; P<.001), anxiety (SMD=-0.33; 95% CI -0.51 to -0.16; P<.001), and self-efficacy (SMD=0.19; 95% CI 0.05-0.33; P=.007) in dementia caregivers. No significant improvements were found in caregiver burden, coping competence, caregiver reactions to behavioral symptoms, or quality of life. Six studies assessed the unintended effects of internet-based supportive intervention access by caregivers on their care recipients. The results showed that internet-based supportive interventions had potential benefits on the quality of life and neuropsychiatric symptoms in care recipients.
Internet-based supportive interventions are generally effective at ameliorating depressive symptoms, perceived stress, anxiety, and self-efficacy in dementia caregivers and have potential benefits on care recipients. Future studies are encouraged to adopt personalized internet-based supportive interventions to improve the health of family caregivers and their care recipients.
PROSPERO CRD42020162434; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=162434.</abstract><cop>Canada</cop><pub>JMIR Publications</pub><pmid>32902388</pmid><doi>10.2196/19468</doi><orcidid>https://orcid.org/0000-0002-0983-6133</orcidid><orcidid>https://orcid.org/0000-0002-1276-5815</orcidid><orcidid>https://orcid.org/0000-0003-1732-3554</orcidid><orcidid>https://orcid.org/0000-0002-0655-6435</orcidid><orcidid>https://orcid.org/0000-0001-7165-6259</orcidid><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1438-8871 |
ispartof | Journal of medical Internet research, 2020-09, Vol.22 (9), p.e19468-e19468 |
issn | 1438-8871 1439-4456 1438-8871 |
language | eng |
recordid | cdi_doaj_primary_oai_doaj_org_article_9ac88aab40fc4dd6bcb21145497cb29f |
source | Publicly Available Content Database; Social Science Premium Collection; Library & Information Science Collection; PubMed Central |
subjects | Caregivers - psychology Dementia - psychology Humans Internet-Based Intervention - statistics & numerical data Quality of Life - psychology Review |
title | Internet-Based Supportive Interventions for Family Caregivers of People With Dementia: Systematic Review and Meta-Analysis |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-23T11%3A08%3A28IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Internet-Based%20Supportive%20Interventions%20for%20Family%20Caregivers%20of%20People%20With%20Dementia:%20Systematic%20Review%20and%20Meta-Analysis&rft.jtitle=Journal%20of%20medical%20Internet%20research&rft.au=Leng,%20Minmin&rft.date=2020-09-09&rft.volume=22&rft.issue=9&rft.spage=e19468&rft.epage=e19468&rft.pages=e19468-e19468&rft.issn=1438-8871&rft.eissn=1438-8871&rft_id=info:doi/10.2196/19468&rft_dat=%3Cproquest_doaj_%3E2441257951%3C/proquest_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c429t-3c3b642ac25c82ec11aa593c4681912ad328e7aa16fb3671ef359c4f6e49497a3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2441257951&rft_id=info:pmid/32902388&rfr_iscdi=true |