Adherence to Online Interventions for Family Caregivers of People With Dementia: A Meta-Analysis and Systematic Review.

Autor:	Atefi GL; Department of Psychiatry and Neuropsychology, Alzheimer Centre Limburg (GLA, MEV), Maastricht University, Maastricht, The Netherlands. Electronic address: g.atefi@maastrichtuniversity.nl., Koh WQ; School of Health and Rehabilitation Sciences (WQK), The University of Queensland, Brisbane, Australia., Kohl G; Research Department of Clinical (GK), Educational and Health Psychology, University College London, London, UK., Seydavi M; Department of Clinical Psychology (MS, MA), Faculty of Psychology and Education, Kharazmi University, Tehran, Iran., Swift JK; Department of Psychology (JKS), Idaho State University, 921 S. 8th St, Pocatello, ID., Akbari M; Department of Clinical Psychology (MS, MA), Faculty of Psychology and Education, Kharazmi University, Tehran, Iran. Electronic address: m.akbari@khu.ac.ir., de Vugt ME; Department of Psychiatry and Neuropsychology, Alzheimer Centre Limburg (GLA, MEV), Maastricht University, Maastricht, The Netherlands.
Jazyk:	angličtina
Zdroj:	The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry [Am J Geriatr Psychiatry] 2024 Oct; Vol. 32 (10), pp. 1271-1291. Date of Electronic Publication: 2024 Apr 24.
DOI:	10.1016/j.jagp.2024.04.008
Abstrakt:	Objective: Online interventions hold promise in supporting the well-being of family caregivers and enhancing the quality of care they provide for individuals with long-term or chronic conditions. However, dropout rates from support programs among specific groups of caregivers, such as caregivers of people with dementia, pose a challenge. Focused reviews are needed to provide more accurate insights and estimates in this specific research area. Methods: A meta-analysis of dropout rates from available online interventions for family caregivers of people with dementia was conducted to assess treatment acceptability. A systematic search yielded 18 studies involving 1,215 caregivers. Results: The overall pooled dropout rate was 18.4%, with notable heterogeneity indicating varied intervention adherence. Interventions incorporating human contact, interactive features, and personalization strategies for specific types and stages of dementia predicted significantly lower dropout rates. Methodological assessment revealed variability in study quality. Conclusion: Findings support the effectiveness of social support, personalization strategies, and co-design in enhancing intervention adherence among dementia family caregivers. Further research is needed to explore factors influencing dropout rates and conduct robust trials to refine the implementation of future interventions. Competing Interests: DISCLOSURES The research presented in this article received funding from the European Union's Horizon 2020 research and innovation program under the Marie Sklodowska-Curie grant agreement 813196 and was carried out within the framework of the Dementia: Intersectoral Strategy for Training and Innovation Network for Current Technology (DISTINCT) Innovative Training Network. All authors declare that they have no conflicts of interest. (Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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