Telehealth Interventions for Family Caregivers of Persons with Chronic Health Conditions: A Systematic Review of Randomized Controlled Trials.

IF 3.1 Q2 HEALTH CARE SCIENCES & SERVICES
International Journal of Telemedicine and Applications Pub Date : 2021-05-21 eCollection Date: 2021-01-01 DOI:10.1155/2021/3518050
Lucinda J Graven, Robert L Glueckauf, Rachel A Regal, Nancy K Merbitz, Mia L A Lustria, Brittny A James
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引用次数: 0

Abstract

Objective: The purpose of this study was to provide an in-depth analysis of the components and outcomes of telehealth interventions for family caregivers of individuals with chronic health conditions.

Methods: A systematic review of 17 databases was conducted for randomized controlled trials published between January 2002 and January 2017. Interventions were analyzed based on type of telecommunication modality, caregiver and care recipient characteristics, intervention components, and caregiver outcomes.

Results: A total of 57 articles met criteria for inclusion. Telephone was the most frequently used mode of telehealth delivery and focused primarily on caregivers of older adults with dementia and stroke. Skills training was the most prevalent treatment strategy across telephone, web, and combined telephone and web modalities. Improved psychological functioning was reported most frequently across telehealth modalities.

Conclusion: Telehealth is an effective tool in delivering caregiver interventions and leads to significant improvement in caregiver outcomes. Telephone was used most often to deliver cognitive-behavioral and psychoeducational strategies as compared to web and combined telephone and web modalities. Further research is needed to examine the effects of telehealth interventions on caregiving skills and self-efficacy, as well as health outcomes.

Abstract Image

针对慢性病患者家庭护理人员的远程保健干预:随机对照试验的系统回顾。
研究目的本研究旨在深入分析针对慢性病患者家庭照顾者的远程医疗干预措施的内容和结果:对 17 个数据库中 2002 年 1 月至 2017 年 1 月间发表的随机对照试验进行了系统性回顾。根据远程通信方式的类型、照护者和照护对象的特征、干预内容和照护者的结果对干预措施进行了分析:共有 57 篇文章符合纳入标准。电话是最常用的远程保健方式,主要针对痴呆和中风老年人的护理者。技能培训是电话、网络以及电话和网络相结合模式中最常用的治疗策略。在各种远程保健模式中,心理功能得到改善的报道最多:结论:远程保健是提供护理干预的有效工具,能显著改善护理效果。与网络以及电话和网络相结合的方式相比,电话最常用于提供认知行为和心理教育策略。需要进一步研究远程医疗干预对护理技能和自我效能以及健康结果的影响。
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来源期刊
CiteScore
6.90
自引率
2.30%
发文量
19
审稿时长
12 weeks
期刊介绍: The overall aim of the International Journal of Telemedicine and Applications is to bring together science and applications of medical practice and medical care at a distance as well as their supporting technologies such as, computing, communications, and networking technologies with emphasis on telemedicine techniques and telemedicine applications. It is directed at practicing engineers, academic researchers, as well as doctors, nurses, etc. Telemedicine is an information technology that enables doctors to perform medical consultations, diagnoses, and treatments, as well as medical education, away from patients. For example, doctors can remotely examine patients via remote viewing monitors and sound devices, and/or sampling physiological data using telecommunication. Telemedicine technology is applied to areas of emergency healthcare, videoconsulting, telecardiology, telepathology, teledermatology, teleophthalmology, teleoncology, telepsychiatry, teledentistry, etc. International Journal of Telemedicine and Applications will highlight the continued growth and new challenges in telemedicine, applications, and their supporting technologies, for both application development and basic research. Papers should emphasize original results or case studies relating to the theory and/or applications of telemedicine. Tutorial papers, especially those emphasizing multidisciplinary views of telemedicine, are also welcome. International Journal of Telemedicine and Applications employs a paperless, electronic submission and evaluation system to promote a rapid turnaround in the peer-review process.
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