Effects of telehealth interventions on the caregiver burden and mental health for caregivers of people with dementia: a systematic review and meta-analysis.
Aging Ment Health
; : 1-13, 2024 Jun 30.
Article
en En
| MEDLINE
| ID: mdl-38946249
ABSTRACT
OBJECTIVES:
To systematically evaluate the effects of telehealth interventions on the caregiver burden and mental health of caregivers for people with dementia (PWD).METHOD:
Relevant randomized controlled trials (RCTs) of telehealth interventions on caregivers were extracted from nine electronic databases (PubMed, The Cochrane Library, Web of Science, Embase, CINAHL, SinoMed, CNKI, WanFang, and VIP). The retrieval time was from inception to 26 July 2023.RESULTS:
Twenty-two articles with 2132 subjects were included in the final analysis. The meta-analysis demonstrated that telehealth interventions exerted a significant effect in reducing caregiver burden (SMD -0.14, 95â¯% CI -0.25, -0.02, p = 0.02), depression (SMD = -0.17; 95%CI -0.27, -0.07, p < 0.001) and stress (SMD = -0.20, 95%CI -0.37, -0.04, p = 0.01). However, no statistically significant effect was observed on anxiety (SMD = -0.12, 95%CI -0.27, 0.03, p = 0.12). Moreover, subgroup analysis showed that tailored interventions were associated with more evident reductions in depression (SMD = -0.26; 95%CI -0.40, -0.13, p < 0.001) than standardized interventions (SMD = -0.08; 95%CI -0.22, 0.06, p = 0.25). In addition, telehealth was effective in relieving depression in Internet-based (SMD = -0.17, 95%CI -0.30, -0.03, p = 0.01) and Telephone-based group (SMD = -0.18, 95%CI -0.34, -0.02, p = 0.03), while there was no significant difference in the Internet and Telephone-based group (SMD = -0.18, 95%CI -0.54, 0.18, p = 0.32).CONCLUSION:
Telehealth could effectively reduce the burden and relieve the depression and stress of caregivers of PWD, while its effect on anxiety requires further research. Overall, telehealth has potential benefits in dementia care.
Texto completo:
1
Bases de datos:
MEDLINE
Idioma:
En
Revista:
Aging Ment Health
Asunto de la revista:
GERIATRIA
/
PSICOLOGIA
Año:
2024
Tipo del documento:
Article
País de afiliación:
China