Reducing caregiver stress with internet-based interventions: a systematic review of open-label and randomized controlled trials

Hu, Chunling; Kung, Simon; Rummans, Teresa A.; Clark, Matthew M.; Lapid, Maria I.

doi:10.1136/amiajnl-2014-002817

Cited by 106 publications

(63 citation statements)

References 67 publications

(104 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…• In about 2/3 of studies, caregivers who use Internet-based services have significantly reduced stress and improved quality of life for MH disorders [12]. They use interactive communities to bulletin board therapy groups.…”

Section: Methodsmentioning

confidence: 99%

“…Many Internet-based materials and opportunities to learn exist for caregivers of patients, for those with MH (dementia, schizophrenia, anorexia) and medical disorders [12]. Services included webcasts, discussion boards, online classes, learning modules, and chat rooms; the best outcomes were best for satisfaction and comfort with services via cell phones [61].…”

Section: Methodsmentioning

confidence: 99%

“…A review of 115 studies on e-mental health (eMH) from 2005 to 2010 reported that 94% were peer-reviewed and 51% were described as primarily research [12,13]. Most of the research (76%) originated in the United States, Australia, or the Netherlands.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

New Frontiers in Healthcare and Technology: Internet-and Web-Based Mental Options Emerge to Complement In-Person and Telepsychiatric Care Options

Hilty¹,

Chan²,

Torous³

et al. 2015

J Health Med Informat

View full text Add to dashboard Cite

Background: Web and Internet-based resources are remarkably popular with the public, patients and others as a way to access mental health information, tools for self-care, advice/consultation from a professional, and providerdirected treatments.Objective: This paper provides a framework of a spectrum that includes person-centered health education options (conceptual endpoint), patient and caregiver-centered mental health care interventions (evidence-based literature review), and more formal provider-directed treatments (conceptual endpoint). Methods:The evidence-based literature review was focused on treatment studies, using a minimum of three key words and the 1996-2015 period, resulting in 13,612 articles. This was reduced to 388 (title words used), to 125 (abstracts for methods, design, and outcomes) and 40 (evidence-based criteria of guidelines). Results:Technology is frequently used, is readily accessible and satisfies persons, patients, and caregivers. Its impact on openness to engage with others and begin self-care appears very positive; its ability to help people change behaviors and engage additional clinical services appears modest, though this is inadequately evaluated. Formal treatments over the Internet, asynchronous care models, or traditional video-based synchronous services are as good as or better than in-person services, though an incomplete range of services has been evaluated. Relatively few treatment studies assess outcomes, compare in-person and e-MentalHealth care, and or compare technology-based care options to one another; hybrid models of care have emerged, but have rarely been studied. Conclusions:For persons or patients not in care, use of the internet for common, non-acute problems appears to work, though a one-time clinical evaluation may help them place options in context. Clinicians and patients should specifically plan how to use technology and exercise sound judgment, based on guidelines when available. More research is needed on the application of new technologies to clinical care, with randomized trials and health services studies for effectiveness suggested. Internet-based mental health (MH) education and services are on the rise, as more patients, caregivers, and MH providers are using the Internet. This is driven by consumers or persons at-large, before they become patients in traditional services, and transitions our thinking from clinic-based care past patient-centered care to person-centered care known as participatory medicine [19][20][21]. MH-related, technology-based services exist on a continuum: self-help/support groups -well-prepared materials for patient psychoeducation and provider professional education -tips for assessment and selfcare (e.g., depression) -informal provider consultation online -asynchronous communication with providers -MH services with professionals like teleMH ((TMH) care or; Internet-based cognitive behavioral treatment (CBT) [22][23][24][25][26][27][28][29][30]. New Frontiers in Healthcare andConsumers, patients, caregivers and provi...

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

New Frontiers in Healthcare and Technology: Internet-and Web-Based Mental Options Emerge to Complement In-Person and Telepsychiatric Care Options

Hilty¹,

Chan²,

Torous³

et al. 2015

J Health Med Informat

View full text Add to dashboard Cite

show abstract

“…In this respect, different reviews pointed out that programs addressing family caregivers of older people should take advantage of interactivity, connecting caregivers to peers and professional staff [11,24]. The online group component seem actually to be the most used and valued one of any given website, application or intervention [13].…”

Section: Peer Support Programsmentioning

confidence: 99%

“…Research evidence demonstrated that support services delivered via the web can effectively support family caregivers of older people in needs of help, sustaining their psychological and social wellbeing, enhancing confidence and self-efficacy [8][9][10][11][12]. Among the advantages, these services allow caregivers also to overcome time and logistic barriers to access support services [13].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Web-Based Psychosocial Interventions for Family Caregivers of Older People: What Do We Know?

Barbabella¹,

Poli²

2016

J Psychol Psychother

View full text Add to dashboard Cite

Lessons learned from the implementation of a video health coaching technology intervention to improve self‐care of family caregivers of adults with heart failure

Hirschman

Bowles

Garcia‐Gonzalez

et al. 2020

Research in Nursing & Health

View full text Add to dashboard Cite

Individuals with heart failure (HF) typically live in the community and are cared for at home by family caregivers. These caregivers often lack supportive services and the time to access those services when available. Technology can play a role in conveniently bringing needed support to these caregivers. The purpose of this article is to describe the implementation of a virtual health coaching intervention with caregivers of HF patients (“Virtual Caregiver Coach for You”—ViCCY). A randomized controlled trial is currently in progress to test the efficacy of the intervention to improve self‐care. In this trial, 250 caregivers will be randomly assigned to receive health information via a tablet computer (hereafter, tablet) plus 10 live health coaching sessions delivered virtually (intervention group; n = 125) or health information via a tablet only (control group; n = 125). Each tablet has specific health information websites preloaded. To inform others embarking on similar technology projects, here we highlight the technology challenges encountered with the first 15 caregivers who received the ViCCY intervention and the solutions used to overcome those challenges. Several adaptations to the implementation of ViCCY were needed to address hardware, software, and network connectivity challenges. Even with a well‐designed research implementation plan, it is important to re‐examine strategies at every step to solve implementation barriers and maximize fidelity to the intervention. Researcher and interventionist flexibility in adapting to new strategies is essential when implementing a technology‐based virtual health coaching intervention.

show abstract

Reducing caregiver stress with internet-based interventions: a systematic review of open-label and randomized controlled trials

Abstract: Internet-based interventions were mostly effective in reducing aspects of caregiver stress and improving their well-being. Further studies to assess outcomes for caregivers and their recipients' health, different technology delivery methods, and the cost of such interventions are needed.

Cited by 106 publications

References 67 publications

New Frontiers in Healthcare and Technology: Internet-and Web-Based Mental Options Emerge to Complement In-Person and Telepsychiatric Care Options

New Frontiers in Healthcare and Technology: Internet-and Web-Based Mental Options Emerge to Complement In-Person and Telepsychiatric Care Options

Effectiveness of Web-Based Psychosocial Interventions for Family Caregivers of Older People: What Do We Know?

Lessons learned from the implementation of a video health coaching technology intervention to improve self‐care of family caregivers of adults with heart failure

Contact Info

Product

Resources

About