Abstract
Objective: This article is a systematic review of the impact of technology-based intervention on outcomes related to care providers for those who survived a stroke. Materials and Methods: Literature was identified in the PubMed, PsycINFO, Scopus, and Cochrane databases for evidence on technology-based interventions for stroke survivors' caregivers. The search was restricted for all English-language articles from 1970 to February 2015 that implied technology-based interventions. This review included studies that measured the impact of these types of approaches on one or more of the following: depression and any of the following -problem-solving ability, burden, health status, social support, preparedness, and healthcare utilization by care recipient -as secondary outcomes. Telephone or face-to-face counseling sessions were not of interest for this review. The search strategy yielded five studies that met inclusion criteria: two randomized clinical trials and three pilot/preliminary studies, with diverse approaches and designs. Results: Four studies have assessed the primary outcome, two of which reported significant decreases in caregivers' depressive symptoms. Two studies had measured each of the following outcomes -burden, problem-solving ability, health status, and social support -and they revealed no significant differences following the intervention. Only one study assessed caregivers' preparedness and showed improved posttest scores. Healthcare services use by the care recipient was assessed by one study, and the results indicated significant reduction in emergency department visits and hospital re-admissions. Conclusions: Despite various study designs and small sample sizes, available data suggest that an intervention that incorporates a theoretical-based model and is designed to target caregivers as early as possible is a promising strategy. Furthermore, there is a need to incorporate a cost-benefit analysis in future studies.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 223-231 |
| Number of pages | 9 |
| Journal | Telemedicine and e-Health |
| Volume | 22 |
| Issue number | 3 |
| DOIs | |
| State | Published - Mar 1 2016 |
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Keywords
- E-health
- Telecommunications
- Telehealth
- Telemedicine
- Teleneurology
ASJC Scopus subject areas
- Medicine(all)
- Health Informatics
- Health Information Management
Cite this
The impact of technology-based interventions on informal caregivers of stroke survivors : A systematic review. / Aldehaim, Abdulkarim Yousef; Alotaibi, Faisal F.; Uphold, Constance R.; Dang, Stuti.
In: Telemedicine and e-Health, Vol. 22, No. 3, 01.03.2016, p. 223-231.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The impact of technology-based interventions on informal caregivers of stroke survivors
T2 - A systematic review
AU - Aldehaim, Abdulkarim Yousef
AU - Alotaibi, Faisal F.
AU - Uphold, Constance R.
AU - Dang, Stuti
PY - 2016/3/1
Y1 - 2016/3/1
N2 - Objective: This article is a systematic review of the impact of technology-based intervention on outcomes related to care providers for those who survived a stroke. Materials and Methods: Literature was identified in the PubMed, PsycINFO, Scopus, and Cochrane databases for evidence on technology-based interventions for stroke survivors' caregivers. The search was restricted for all English-language articles from 1970 to February 2015 that implied technology-based interventions. This review included studies that measured the impact of these types of approaches on one or more of the following: depression and any of the following -problem-solving ability, burden, health status, social support, preparedness, and healthcare utilization by care recipient -as secondary outcomes. Telephone or face-to-face counseling sessions were not of interest for this review. The search strategy yielded five studies that met inclusion criteria: two randomized clinical trials and three pilot/preliminary studies, with diverse approaches and designs. Results: Four studies have assessed the primary outcome, two of which reported significant decreases in caregivers' depressive symptoms. Two studies had measured each of the following outcomes -burden, problem-solving ability, health status, and social support -and they revealed no significant differences following the intervention. Only one study assessed caregivers' preparedness and showed improved posttest scores. Healthcare services use by the care recipient was assessed by one study, and the results indicated significant reduction in emergency department visits and hospital re-admissions. Conclusions: Despite various study designs and small sample sizes, available data suggest that an intervention that incorporates a theoretical-based model and is designed to target caregivers as early as possible is a promising strategy. Furthermore, there is a need to incorporate a cost-benefit analysis in future studies.
AB - Objective: This article is a systematic review of the impact of technology-based intervention on outcomes related to care providers for those who survived a stroke. Materials and Methods: Literature was identified in the PubMed, PsycINFO, Scopus, and Cochrane databases for evidence on technology-based interventions for stroke survivors' caregivers. The search was restricted for all English-language articles from 1970 to February 2015 that implied technology-based interventions. This review included studies that measured the impact of these types of approaches on one or more of the following: depression and any of the following -problem-solving ability, burden, health status, social support, preparedness, and healthcare utilization by care recipient -as secondary outcomes. Telephone or face-to-face counseling sessions were not of interest for this review. The search strategy yielded five studies that met inclusion criteria: two randomized clinical trials and three pilot/preliminary studies, with diverse approaches and designs. Results: Four studies have assessed the primary outcome, two of which reported significant decreases in caregivers' depressive symptoms. Two studies had measured each of the following outcomes -burden, problem-solving ability, health status, and social support -and they revealed no significant differences following the intervention. Only one study assessed caregivers' preparedness and showed improved posttest scores. Healthcare services use by the care recipient was assessed by one study, and the results indicated significant reduction in emergency department visits and hospital re-admissions. Conclusions: Despite various study designs and small sample sizes, available data suggest that an intervention that incorporates a theoretical-based model and is designed to target caregivers as early as possible is a promising strategy. Furthermore, there is a need to incorporate a cost-benefit analysis in future studies.
KW - E-health
KW - Telecommunications
KW - Telehealth
KW - Telemedicine
KW - Teleneurology
UR - http://www.scopus.com/inward/record.url?scp=84962183237&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84962183237&partnerID=8YFLogxK
U2 - 10.1089/tmj.2015.0062
DO - 10.1089/tmj.2015.0062
M3 - Article
C2 - 26274910
AN - SCOPUS:84962183237
VL - 22
SP - 223
EP - 231
JO - Telemedicine and e-Health
JF - Telemedicine and e-Health
SN - 1530-5627
IS - 3
ER -