Web-Based Interventions to Improve Mental Health, General Caregiving Outcomes, and General Health for Informal Caregivers of Adults With Chronic Conditions Living in the Community: Rapid Evidence Review.
Web-Based Interventions to Improve Mental Health, General Caregiving Outcomes, and General Health for Informal Caregivers of Adults With Chronic Conditions Living in the Community: Rapid Evidence Review.
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DOI：
10.2196/jmir.7564
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发表时间：
2017-07-28
影响因子：
7.4
通讯作者：
Sherifali D
中科院分区：
文献类型：
--
作者：
Ploeg J;Markle-Reid M;Valaitis R;McAiney C;Duggleby W;Bartholomew A;Sherifali D
大多数患有慢性病的成年人住在家里，依靠非正式的照顾者提供支持。照料可能会造成负面影响，如精神和身体健康状况不佳。电子保健干预措施可以提供有效和方便的方式，为非正规护理人员提供教育和支持。然而，我们对基于网络的干预措施对社区居住的慢性病成年人的非正式照顾者的影响知之甚少。这项快速证据审查的目的是评估基于网络的干预措施对社区慢性病患者的非正式护理人员的心理健康、一般康复结果和一般健康的影响。对现有文献进行快速证据审查，以解决研究目的。检索了EMBASE、MEDLINE、PsychInfo、CINAHL、科克伦和Ageline，涵盖了1995年1月至2016年7月发表的所有研究。如果论文（1）包括基于网络的方式来提供干预;（2）包括非正式的，无报酬的成年照顾者的社区生活的成年人与慢性疾病;（3）是随机对照试验（RCT）或对照临床试验（CCT）;（4）报告任何照顾者的结果作为使用或暴露于干预。共纳入20篇文献（17项研究）。研究结果混合了各种护理结果的统计学显著性和非显著性结果。在纳入的17项研究中，10项至少有一项显著结局。最常见的评估结果是心理健康，包括抑郁症状，压力或痛苦和焦虑。12篇论文研究了干预措施对抑郁症状结局的影响; 4篇发现抑郁症状显著减少。8项研究检查了压力或痛苦的结果;其中4项研究发现，干预后压力或痛苦显着减少。三项研究检查了焦虑的结果;其中两项发现焦虑显着减少。其他显着的干预措施的结果被视为照顾者增益（即，积极的方面），知识，结合，减少愤怒，敌意，和消极情绪的结果。根据这一审查，不可能确定哪些干预措施是最有效的，因为研究在设计、样本和干预措施方面各不相同。研究结果表明，基于网络的干预措施可能会导致减少抑郁症状，焦虑，压力或痛苦之间的非正式照顾者的成年人在社区中的慢性疾病。这是第一次审查评估基于网络的技术对精神健康，一般康复结果和一般健康的照顾者的慢性疾病的成年人生活在社区的影响。需要进一步的严格研究，包括充分的研究，检查干预的关键组成部分和产生效果所需的剂量。
Most adults with chronic conditions live at home and rely on informal caregivers to provide support. Caregiving can result in negative impacts such as poor mental and physical health. eHealth interventions may offer effective and accessible ways to provide education and support to informal caregivers. However, we know little about the impact of Web-based interventions for informal caregivers of community-dwelling adults with chronic conditions. The purpose of this rapid evidence review was to assess the impact of Web-based interventions on mental health, general caregiving outcomes, and general health for informal caregivers of persons with chronic conditions living in the community. A rapid evidence review of the current literature was employed to address the study purpose. EMBASE, MEDLINE, PsychInfo, CINAHL, Cochrane, and Ageline were searched covering all studies published from January 1995 to July 2016. Papers were included if they (1) included a Web-based modality to deliver an intervention; (2) included informal, unpaid adult caregivers of community-living adults with a chronic condition; (3) were either a randomized controlled trial (RCT) or controlled clinical trial (CCT); and (4) reported on any caregiver outcome as a result of use or exposure to the intervention. A total of 20 papers (17 studies) were included in this review. Study findings were mixed with both statistically significant and nonsignificant findings on various caregiver outcomes. Of the 17 included studies, 10 had at least one significant outcome. The most commonly assessed outcome was mental health, which included depressive symptoms, stress or distress, and anxiety. Twelve papers examined the impact of interventions on the outcome of depressive symptoms; 4 found a significant decrease in depressive symptoms. Eight studies examined the outcome of stress or distress; 4 of these found a significant reduction in stress or distress as a result of the intervention. Three studies examined the outcome of anxiety; 2 of these found significant reductions in anxiety. Other significant results of the interventions were seen in the outcomes of caregiver gain (ie, positive aspects of caregiving), knowledge, bonding, reduction of anger-hostility, and negative mood. Based on this review, it is not possible to determine which interventions were most effective since studies differed in their design, sample, and intervention. Study results suggest that Web-based interventions may result in reduced depressive symptoms, anxiety, and stress or distress among informal caregivers of adults with chronic conditions in the community. This is the first review assessing the impact of Web-based technologies on mental health, general caregiving outcomes, and general health for caregivers of adults with chronic conditions living in the community. Further rigorous research is needed that includes adequately powered studies examining the critical components of the intervention and the dosage needed to have an effect.
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影响因子：
1.3
作者：
Klemm, Paula R.;Hayes, Evelyn R.;Milcarek, Barry
通讯作者：
Milcarek, Barry
DOI：
10.1186/1748-5908-5-56
发表时间：
2010-07-19
期刊：
Implementation science : IS
影响因子：
--
作者：
Ganann R;Ciliska D;Thomas H
通讯作者：
Thomas H
影响因子：
3.4
作者：
Kajiyama, Bruno;Thompson, Larry W.;Gallagher-Thompson, Dolores
通讯作者：
Gallagher-Thompson, Dolores
影响因子：
7.4
作者：
Hattink, Bart;Meiland, Franka;Droes, Rose-Marie
通讯作者：
Droes, Rose-Marie
影响因子：
5.1
作者：
Fisher, Kathryn;Griffith, Lauren;Ploeg, Jenny
通讯作者：
Ploeg, Jenny