Xin Yao Lin, Francesca Falzarano, E-Shien Chang, Kristin Hon, Ruoying Zhang, Andy Hickner, Sara Czaja
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引用次数: 0
Abstract
Background: As the global population ages, the increasing number of individuals with chronic conditions places a growing burden on family caregivers. Behavioral interventions delivered via application-based platforms, including those on mobile phones, tablets, or the web, have emerged as a powerful tool for enhancing caregiver support.
Objective: This study aims to identify and describe application-based interventions for family caregivers of older adults with chronic conditions, focusing on their designs, features, and impact on caregiver outcomes.
Methods: This review is reported according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. A search of publications from 2007 through December 20, 2022, was conducted across PsycINFO (EBSCO), MEDLINE ALL (Ovid), Embase (Ovid), Web of Science Core Collection (A&HCI, BKCI-SSH, BKCI-S, CCR-EXPANDED, ESCI, IC, CPCI-SSH, CPCI-S, SCI-EXPANDED, and SSCI; Clarivate), ACM Guide to Computing Literature (ACM Digital Library), and Engineering Village (Elsevier) using relevant keywords.
Results: The database search identified 9482 studies, resulting in 290 full-text papers being assessed, and a final 49 studies were included. Forty-four unique applications were identified, demonstrating different designs and features. These studies primarily examined the impact of applications on caregiver well-being, burden, and mental health. While the majority of interventions were perceived as beneficial, several design and research limitations were noted.
Conclusions: While many interventions demonstrate positive effects on caregiver outcomes, there are significant gaps in research design, evaluation, and reporting. Future studies should prioritize greater integration of self-care practices, clarity of intervention components, rigorous adherence to behavioral intervention frameworks, and greater inclusivity in participant samples.
背景:随着全球人口老龄化,慢性病患者人数的增加给家庭照顾者带来了越来越大的负担。通过基于应用程序的平台(包括手机、平板电脑或网络平台)提供的行为干预已成为加强护理人员支持的有力工具。目的:本研究旨在确定和描述基于应用的老年慢性病家庭护理干预措施,重点关注其设计、特征和对护理结果的影响。方法:本综述按照PRISMA(系统评价和荟萃分析首选报告项目)指南进行报道。检索从2007年到2022年12月20日的出版物,使用相关关键词检索PsycINFO (EBSCO)、MEDLINE ALL (Ovid)、Embase (Ovid)、Web of Science核心馆藏(A&HCI、BKCI-SSH、BKCI-S、CCR-EXPANDED、ESCI、IC、CPCI-SSH、CPCI-S、SCI-EXPANDED和SSCI; Clarivate)、ACM计算文献指南(ACM数字图书馆)和Engineering Village(爱思唯尔)。结果:数据库检索确定了9482项研究,评估了290篇全文论文,最终纳入了49项研究。确定了44个独特的应用程序,展示了不同的设计和特征。这些研究主要考察了应用程序对照顾者幸福感、负担和心理健康的影响。虽然大多数干预措施被认为是有益的,但注意到一些设计和研究的局限性。结论:虽然许多干预措施显示出对护理者结果的积极影响,但在研究设计、评估和报告方面存在显著差距。未来的研究应优先考虑自我保健实践的更大整合,干预成分的清晰度,严格遵守行为干预框架,以及参与者样本的更大包容性。