Computer and telephone delivered interventions to support caregivers of people with dementia: a systematic review of research output and quality.
Computer and telephone delivered interventions to support caregivers of people with dementia: a systematic review of research output and quality.
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DOI：
10.1186/s12877-017-0654-6
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发表时间：
2017-11-16
期刊：
影响因子：
4.1
通讯作者：
Sanson-Fisher R
中科院分区：
文献类型：
--
作者：
Waller A;Dilworth S;Mansfield E;Sanson-Fisher R
评估对痴呆症患者照顾者电话和计算机提供的干预措施的可接受性、使用率和有效性的研究的范围、数量和质量。检索Medline、EMBASE、CINAHL和Cochrane数据库(1990年1月至2016年12月)。符合条件的论文被归类为基于数据的描述性、测量性或干预性研究。干预研究首先根据交付方式(例如电话、计算机)进行分类；然后根据有效实践和护理组织(EPOC)的研究设计方法标准进行评估。对与健康相关的结果的影响；以及干预措施的可接受性、可行性和利用率也进行了评估。出版物数量以每年13%的速度增长(p<；0.001)。一半是描述性研究(n=92，50%)，描述了照顾者对技术的可接受性、获取或利用的看法。其余(n=89，48%)报告了旨在改善照顾者结局的干预措施。只有34个符合EPOC设计标准。通过计算机(n=10)、多种方式(n=9)或电话(n=15)进行干预。包括心理教育、同伴支持、技能培训和健康评估在内的各种干预措施改善了照顾者的幸福感。虽然在很大程度上可以接受，但基于计算机的干预的使用情况是不同的，随着时间的推移，使用往往会减少。通过电话和计算机提供的干预措施有可能加强现有的痴呆症护理。需要进行高质量的试验，以便就最有效的干预措施类型提出明确建议。那些为照料者提供以下服务的机构：获得管理痴呆症患者及其自身健康的实用战略、来自同行和/或临床医生的建议和支持；以及针对二元组的方案。本文的在线版本(10.1186/s12877-0170654-6)包含补充材料，可供授权用户使用。
To assess the scope, volume and quality of research on the acceptability, utilisation and effectiveness of telephone- and computer-delivered interventions for caregivers of people living with dementia. Medline, EMBASE, CINAHL and Cochrane databases were searched (Jan 1990 – Dec 2016). Eligible papers were classified as data-based descriptive, measurement or intervention studies. Intervention studies were first categorised according to mode of delivery (e.g. telephone, computer); then assessed against the Effective Practice and Organisation of Care (EPOC) methodological criteria for research design. Impact on health-related outcomes; and the acceptability, feasibility and utilisation of interventions were also assessed. The number of publications increased by 13% each year (p < 0.001). Half were descriptive studies (n = 92, 50%) describing caregiver views on acceptability, access or utilization of technology. The remainder (n = 89, 48%) reported on interventions designed to improve caregiver outcomes. Only 34 met EPOC design criteria. Interventions were delivered via computer (n = 10), multiple modalities (n = 9) or telephone (n = 15). Interventions that incorporated various elements of psycho-education, peer support, skills training and health assessments led to improvements in caregiver wellbeing. While largely acceptable, utilisation of computer-based interventions was variable, with use often decreasing over time. Interventions delivered via telephone and computer have the potential to augment existing dementia care. High-quality trials are required to make clear recommendations about the types of interventions that are most effective. Those that provide caregivers with: access to practical strategies to manage care of the person with dementia and their own wellbeing, advice and support from peers and/or clinicians; and that target the dyad should be explored. The online version of this article (10.1186/s12877-017-0654-6) contains supplementary material, which is available to authorized users.
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影响因子：
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作者：
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