Barriers and facilitators to web-based support for informal caregivers of people with dementia: A systematic review and meta-synthesis

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing Pub Date : 2025-04-08 DOI:10.1016/j.gerinurse.2025.03.027

Dingxin Xu , Bo Zhang , Jing Wang, Qianru Cheng

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引用次数: 0

Abstract

Objective

To identify barriers and facilitators to web-based support for informal caregivers of people with dementia.

Methods

A systematic review and meta-synthesis was conducted. The Consolidated Framework for Implementation Research (CFIR) was used as a data extraction and synthesis guide.

Results

Totally 26 studies were included in the study. Twenty-two barriers and 23 facilitators were identified across all 5 domains of the CFIR. The key facilitators were user-friendliness, communication with peers and professionals, social connection and solidarity, convenience and flexibility, and personalization. Primary barriers included time restriction, lack of technological literacy, accessibility of technological infrastructure, too complex designs, risk of losing the “human touch”, privacy and security concerns, and cost and price.

Conclusion

Future studies should focus on socioeconomic and cultural contexts, local policies, and laws in providing web-based support to informal caregivers of people with dementia. The findings highlighted the value of practical guidance and refinement of existing frameworks.

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为痴呆症患者非正式照护者提供网络支持的障碍和促进因素：系统综述和综合

目的确定为痴呆症患者非正式照护者提供网络支持的障碍和促进因素。方法进行系统综述和综合分析。实施研究综合框架（CFIR）被用作数据提取和综合指南。结果共纳入26项研究。在CFIR的所有5个领域中确定了22个障碍和23个促进因素。主要的促进因素是用户友好性、与同行和专业人士的沟通、社会联系和团结、便利性和灵活性以及个性化。主要障碍包括时间限制、缺乏技术知识、技术基础设施的可及性、过于复杂的设计、失去“人情味”的风险、隐私和安全问题以及成本和价格。结论未来的研究应关注社会经济和文化背景、当地政策和法律，为痴呆症患者的非正式照顾者提供网络支持。调查结果突出了实际指导和改进现有框架的价值。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Geriatric Nursing 医学-护理

CiteScore

3.80

自引率

7.40%

发文量

257

审稿时长

>12 weeks

期刊介绍： Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.