Social and Preventive Medicine (FD, AR, MH, RD, MAR), University of Potsdam, Potsdam, Germany.
Social and Preventive Medicine (FD, AR, MH, RD, MAR), University of Potsdam, Potsdam, Germany.
Am J Geriatr Psychiatry. 2019 Apr;27(4):426-445. doi: 10.1016/j.jagp.2018.12.003. Epub 2018 Dec 6.
The aim of this study was to estimate the efficacy of technology-based interventions for informal caregivers of people with dementia (PWD).
PubMed, PsycINFO, and Cochrane Library databases were searched in August 2018, with no restrictions in language or publication date. Two independent reviewers identified 33 eligible randomized controlled trials (RCTs) conducting a technology-based intervention for informal carers of PWD. Meta-analyses for the outcome measures caregiver depression and caregiver burden were conducted with subgroup analyses according to mode of delivery (telephone, computer/web-based, combined interventions). To assess methodologic quality, the Cochrane risk-of-bias assessment was rated.
Meta-analyses revealed a small but significant postintervention effect of technology-based interventions for caregiver depression and caregiver burden. Combined interventions showed the strongest effects.
Technology-based interventions have the potential to support informal caregivers of PWD. Because of advantages such as high flexibility and availability, technology-based interventions provide a promising alternative compared with "traditional services," e.g., those for people living in rural areas. More high-quality RCTs for specific caregiver groups are needed.
本研究旨在评估基于技术的干预措施对痴呆症患者（PWD）的非正式照护者的疗效。
2018 年 8 月，我们在 PubMed、PsycINFO 和 Cochrane Library 数据库中进行了检索，对语言和出版日期没有限制。两名独立的审查员确定了 33 项符合条件的随机对照试验（RCT），这些试验对 PWD 的非正式照护者进行了基于技术的干预。对 caregiver 抑郁和 caregiver 负担的结局指标进行了荟萃分析，并根据交付模式（电话、计算机/基于网络、联合干预）进行了亚组分析。为了评估方法学质量，我们对 Cochrane 偏倚风险评估进行了评级。
荟萃分析显示，基于技术的干预对 caregiver 抑郁和 caregiver 负担有较小但显著的干预后效果。联合干预显示出最强的效果。
基于技术的干预措施有可能为痴呆症患者的非正式照护者提供支持。由于具有高度灵活性和可用性等优势，与“传统服务”相比，基于技术的干预措施为生活在农村地区的人等提供了有前途的替代方案。需要针对特定照护者群体开展更多高质量的 RCT。
