Geelong, Faculty of Health, School of Nursing and Midwifery, Deakin University, Geelong, Victoria, 3220, Australia.
Geelong, Faculty of Health, School of Nursing and Midwifery and Epworth HealthCare, Deakin University, Geelong, Victoria, 3220, Australia.
BMC Cancer. 2018 Mar 2;18(1):244. doi: 10.1186/s12885-018-4160-9.
Carers looking after someone with cancer often experience negative impacts on their own health. M-health interventions have been designed to provide information and support to patients and their carers. However, the effectiveness of technology-based interventions for carers is less well understood. The objectives were to assess the feasibility, useability and acceptability of technology-based interventions among carers of people living with cancer.
A systematic search of the CINAHL, MEDLINE and PSYCINFO databases was performed using terms related to web-based interventions and smartphone applications, carers and cancer. Studies were included if a randomised controlled trial or pilot study was conducted, focused on adult carers looking after another adult with cancer and were published between January 2007-June 2017. Articles were excluded if they reported qualitative results only or were evaluating existing websites and applications. Feasibility was measured by attrition, recruitment rates and frequency of intervention use; useability was measured by the ease of intervention use and the role of features to minimise errors in use. Acceptability was measured by carers' perception of the appropriateness of the content and their ability to incorporate the intervention into their daily routines.
Of the 729 articles, six articles met the inclusion criteria. Attrition ranged from 14% - 77%, recruitment rates from 20% - 66% and intervention useability varied across studies. Half of the studies implemented measures to improve useability. Overall, carers rated the content of the interventions as appropriate and reported improved knowledge and communication. Acceptability was further demonstrated as carers preferred the flexibility available with web-based interventions.
Technology-based interventions are suitable for use among carers of people with cancer. Further research is required to fully assess the impact of technology as an information and support mechanism for carers.
照顾癌症患者的护理人员自身的健康往往会受到负面影响。移动医疗干预措施旨在为患者及其护理人员提供信息和支持。然而，基于技术的干预措施对护理人员的效果还不太清楚。本研究旨在评估基于技术的干预措施在癌症患者护理人员中的可行性、可用性和可接受性。
系统检索 CINAHL、MEDLINE 和 PSYCINFO 数据库，使用与基于网络的干预措施和智能手机应用程序、护理人员和癌症相关的术语。如果随机对照试验或试点研究是针对照顾癌症成年患者的成年护理人员进行的，并且发表时间在 2007 年 1 月至 2017 年 6 月之间，则纳入研究。如果仅报告定性结果或评估现有网站和应用程序，则排除这些文章。可行性通过失访率、招募率和干预使用频率来衡量；可用性通过干预使用的容易程度和减少使用错误的功能来衡量。可接受性通过护理人员对内容的适当性以及将干预措施融入其日常生活的能力来衡量。
在 729 篇文章中，有 6 篇文章符合纳入标准。失访率从 14%到 77%不等，招募率从 20%到 66%不等，干预措施的可用性在不同的研究中有所不同。一半的研究实施了提高可用性的措施。总体而言，护理人员认为干预措施的内容合适，并报告说他们的知识和沟通得到了改善。护理人员更喜欢基于网络的干预措施的灵活性，这进一步证明了其可接受性。
基于技术的干预措施适合癌症患者的护理人员使用。需要进一步的研究来全面评估技术作为护理人员信息和支持机制的影响。
