Department of Nursing, Wonju College of Medicine, Yonsei University, Wonju, Republic of Korea.
Department of Nursing, and Department of Biomedicine, Health & Life Convergence Sciences, BK21 Four, Biomedical and Healthcare Research Institute, Mokpo National University, Muan-gun, Republic of Korea.
Dement Geriatr Cogn Disord. 2022;51(3):203-213. doi: 10.1159/000524780. Epub 2022 May 24.
BACKGROUND: Dementia was caregivers experience tremendous difficulties both physically and psychologically, leading to high levels of depression and caregiver burden. The advantage of mobile interventions has been recognized due to its freedom from time and space restrictions. OBJECTIVES: A systematic review and meta-analysis was conducted to evaluate effectiveness of app-based mobile interventions for dementia caregivers. METHOD: We searched nine different databases including CINAHL, the Cochrane Library, Embase, MEDLINE, PsycINFO, the ACM digital library, IEEE Xplore, KoreaMed, and RISS for publications on app-based mobile interventions targeting dementia caregivers published in English or Korean. Meta-analysis was conducted using Comprehensive Meta-Analysis (CMA) version 3.0. Standard mean difference (SMD) was used to estimate the effectiveness of the intervention on caregiver-related outcomes of caregiver burden, depression, stress, caregiving competency, and quality of life (QoL). RESULTS: Five studies (three randomized controlled trials and two quasi-experimental studies) with a total of 230 participants were included. Using a mobile device, interventions were used to provide information and feedback, perform monitoring, and conduct skill training. Pooled analysis showed favorable effects of app-based mobile interventions for caregivers on caregiver burden (SMD = -0.315, 95% CI: -0.681 to 0.052), depression (SMD = -0.236, 95% CI: -0.517 to 0.046), stress (SMD = -0.295, 95% CI: -0.708 to 0.118), competency (SMD = 0.434, 95% CI: 0.093-0.775), and QoL (SMD = 0.794, 95% CI: 0.310-1.278). CONCLUSION: Types of mobile devices, lengths, and contents of interventions varied between included studies. Given that only five studies were included, the current meta-analysis could not confirm the effectiveness of app-based mobile interventions. However, this study suggests that app-based mobile interventions for dementia caregivers might have positive effects on diverse caregiving-related issues such as caregiver burden, depression, stress, competency, and QoL.
背景：痴呆症患者的照顾者在身体和心理上都面临巨大困难，导致抑郁和照顾者负担水平高。移动干预的优势在于它不受时间和空间的限制。
目的：系统评价和荟萃分析评估基于应用程序的移动干预对痴呆症照顾者的效果。
方法：我们搜索了包括 CINAHL、Cochrane 图书馆、Embase、MEDLINE、PsycINFO、ACM 数字图书馆、IEEE Xplore、韩国医学文献信息服务系统和 RISS 在内的九个不同数据库，以获取针对痴呆症照顾者的基于应用程序的移动干预的英文或韩文出版物。使用 Comprehensive Meta-Analysis（CMA）版本 3.0 进行荟萃分析。使用标准均数差（SMD）来估计干预对照顾者负担、抑郁、压力、照顾能力和生活质量（QoL）等与照顾者相关的结果的效果。
结果：纳入了五项研究（三项随机对照试验和两项准实验研究），共 230 名参与者。使用移动设备，干预措施用于提供信息和反馈、进行监测和进行技能培训。汇总分析表明，基于应用程序的移动干预对照顾者的照顾者负担（SMD=-0.315，95%CI：-0.681 至 0.052）、抑郁（SMD=-0.236，95%CI：-0.517 至 0.046）、压力（SMD=-0.295，95%CI：-0.708 至 0.118）、能力（SMD=0.434，95%CI：0.093-0.775）和生活质量（SMD=0.794，95%CI：0.310-1.278）有积极影响。
结论：纳入研究中移动设备的类型、干预的时长和内容各不相同。由于仅纳入了五项研究，当前的荟萃分析无法确认基于应用程序的移动干预的效果。然而，本研究表明，针对痴呆症照顾者的基于应用程序的移动干预可能对各种与照顾相关的问题，如照顾者负担、抑郁、压力、能力和生活质量，产生积极影响。
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