J Am Med Inform Assoc - Reducing caregiver stress with internet-based interventions: a systematic review of open-label and randomized controlled trials.

Tópicos

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Resumo

JECTIVE: The high level of stress associated with caring for others with medical conditions has been recognized for some time. Reducing caregiver stress can improve caregiver quality of life as well as improve the care they provide to loved ones. This systematic review assesses the effectiveness of internet-based interventions to decrease caregiver stress.MATERIALS AND METHODS: A comprehensive literature search of Ovid MEDLINE (1946-2013), Embase (1988-2013), PsycINFO (1987-2013), and CINAHL was conducted using terms related to caregiver and internet-based interventions. Internet-based interventions involving informal caregivers in an open-label or randomized controlled trial setting were included. A pair of raters independently reviewed all published abstracts. Data regarding participants, interventions, and outcomes were extracted and, for randomized trials, methodology quality was also reviewed.RESULTS: Eight open-label trials met the review criteria: three showed positive benefit in reducing caregiver stress, four were partially positive (some outcomes positive, others negative), and one was a negative study. Sixteen randomized trials met the review criteria: six showed positive benefit, five were partially positive, and five were negative. There were no clear patterns as to the variables (such as study duration and complexity of intervention) associated with better outcomes, although earlier studies typically had more negative outcomes.DISCUSSION: 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.

Resumo Limpo

jectiv high level stress associ care other medic condit recogn time reduc caregiv stress can improv caregiv qualiti life well improv care provid love one systemat review assess effect internetbas intervent decreas caregiv stressmateri method comprehens literatur search ovid medlin embas psycinfo cinahl conduct use term relat caregiv internetbas intervent internetbas intervent involv inform caregiv openlabel random control trial set includ pair rater independ review publish abstract data regard particip intervent outcom extract random trial methodolog qualiti also reviewedresult eight openlabel trial met review criteria three show posit benefit reduc caregiv stress four partial posit outcom posit other negat one negat studi sixteen random trial met review criteria six show posit benefit five partial posit five negat clear pattern variabl studi durat complex intervent associ better outcom although earlier studi typic negat outcomesdiscuss internetbas intervent most effect reduc aspect caregiv stress improv wellb studi assess outcom caregiv recipi health differ technolog deliveri method cost intervent need

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