Telecommunications Technology as an Aid to Family Caregivers of Persons With Dementia

Czaja, Sara J.; Rubert, Mark P.

doi:10.1097/00006842-200205000-00011

Cited by 124 publications

(79 citation statements)

References 10 publications

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“…[166][167][168] Improvements in caregiver outcomes like depression and strain have been demonstrated in interventions involving technology. Caregivers also report they find the on-line resources useful and appreciate the ability to communicate with each other and health care professionals.…”

Section: Caregiver Interventionsmentioning

confidence: 99%

Systematic review of recent dementia practice guidelines

2014

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Level Type of Evidence + +High quality meta-analyses, systematic reviews of randomised controlled trials (RCTs), or RCTs with a very low risk of bias. +Well conducted meta-analyses, systematic reviews of RCTs, or RCTs with a low risk of bias. -Meta-analyses, systematic reviews of RCTs, or RCTs with a high risk of bias + +High quality systematic reviews of case control or cohort studies. High quality case control or cohort studies with a very low risk of confounding or bias and a high probability that the relationship is causal 2 + Well conducted case control or cohort studies with a low risk of confounding or bias and a moderate probability that the relationship is causal -Case control or cohort studies with a high risk of confounding or bias and a significant risk that the relationship is not causal 3Non-analytic studies, e.g. case reports, case series 4 Expert opinion Levels of evidence and grades of recommendation Statement of IntentThese guidelines are not intended to serve as a standard of medical care. Standards of medical care are determined on the basis of all clinical data available for an individual case and are subject to change as scientific knowledge advances and patterns of care evolve.The contents of this publication are guidelines to clinical practice, based on the best available evidence at the time of development. Adherence to these guidelines may not ensure a successful outcome in every case. These guidelines should neither be construed as including all proper methods of care, nor exclude other acceptable methods of care. Each physician is ultimately responsible for the management of his/her unique patient, in the light of the clinical data presented by the patient and the diagnostic and treatment options available. ForewordDementia represents a major public health concern in Singapore and worldwide. Being the most prevalent neurodegenerative disease, dementia is expected to affect 55,000 patients in Singapore by the year 2020. The commonest cause of dementia is Alzheimer's disease with vascular dementia being the next most important cause. Right from the stage of mild dementia up to the stages of severe dementia, this condition poses a significant health and socio-economic burden to patients, caregivers and the nation as a whole. Early diagnosis will allow appropriate use of pharmacological and non-pharmacological management. Along with disease stabilization, efforts to address caregiver burden, patient safety and medico legal concerns should form the principles of management. Clear practise guidelines will allow holistic and optimal care in dementia.I am pleased to present the revised clinical practise guidelines for dementia. In this regard the workgroup has performed a thorough review of the existing literature to recommend both pharmacological and nonpharmacological aspects of management for patients ranging from mild cognitive impairment to severe dementia. This revised guidelines also highlights issues related to the management of mild cognitive impairment, young onset dementia and e...

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Section: Caregiver Interventionsmentioning

confidence: 99%

Systematic review of recent dementia practice guidelines

2014

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“…Examples include ComputerLink 13 , the REACH computer-integrated telephone system (CTIS 14 ); AlzOnline 15 , Caring for Others 16 and the DEM-DISC (DEMentia Digital Interactive Social Chart 17 ). These schemes usually include an online information resource related to dementia care and local services, which can be accessed using simple search tools [13][14][15]17 . Other schemes have used online question and answer forums or educational classes 13,15 .…”

Section: Abstract: Caregiver Dementia Technology Ict Grounded Thementioning

confidence: 99%

“…Other schemes have used online question and answer forums or educational classes 13,15 . Telephone conferencing has also been used to allow caregivers to discuss topics and share experiences 14,16 . These studies have shown positive outcomes, including improved decision confidence, self-efficacy, mood and stress [13][14][15][16] .…”

Section: Abstract: Caregiver Dementia Technology Ict Grounded Thementioning

confidence: 99%

“…Telephone conferencing has also been used to allow caregivers to discuss topics and share experiences 14,16 . These studies have shown positive outcomes, including improved decision confidence, self-efficacy, mood and stress [13][14][15][16] . In summary, numerous ICT solutions have been developed to support caregivers of persons with dementia.…”

Section: Abstract: Caregiver Dementia Technology Ict Grounded Thementioning

confidence: 99%

“…Self-efficacy can increase perseverance, improve resilience and influence perceived difficulty or burden of a task 26 . Previous ICT solutions have used group forums and conference call systems for weekly or monthly peer-support meetings 14,16 . Designing such systems to enable caregivers to learn about the achievements of others (known as 'vicarious experience') and receive encouragement and positive feedback ('verbal persuasion') may help improve caregiver self-efficacy.…”

Section: Previous 'Informal' Researchmentioning

confidence: 99%

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