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Effectiveness of computer-mediated interventions for informal carers of people with dementia-a systematic review.

McKechnie, V; Barker, C; Stott, J; (2014) Effectiveness of computer-mediated interventions for informal carers of people with dementia-a systematic review. Int Psychogeriatr , 26 (10) pp. 1619-1637. 10.1017/S1041610214001045. Green open access

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Abstract

ABSTRACT Background: Caring for a friend or relative with dementia can be burdensome and stressful, and puts carers at increased risk of physical and psychological problems. A number of psychosocial interventions, some delivered by computer, have been developed to support carers. This review evaluates the outcomes of computer-mediated interventions. Methods: PsychINFO, MEDLINE, and CINAHL Plus were searched for papers published between January 2000 and September 2012. Study quality was evaluated using a modified version of Downs and Black's (1998) checklist. Results: Fourteen empirical studies, evaluating a range of complex, multifaceted interventions, met inclusion criteria. The most commonly measured variables were carer burden/stress and depression. In general, higher quality studies found that interventions did have an effect on these variables. Two higher quality studies also found that anxiety was reduced following intervention. Most studies found that positive aspects of caring were increased through these interventions, as was carer self-efficacy. There were mixed results in relation to social support, and physical aspects of caring did not seem to be affected. Program impact measures indicated general acceptability of these interventions. Conclusions: The findings support the provision of computer-mediated interventions for carers of people with dementia. Future studies would benefit from design improvements, such as articulating clearly defined aims, having a control group, having adequate statistical power, and measuring a greater range of factors important to carers themselves.

Type: Article
Title: Effectiveness of computer-mediated interventions for informal carers of people with dementia-a systematic review.
Open access status: An open access version is available from UCL Discovery
DOI: 10.1017/S1041610214001045
Publisher version: http://dx.doi.org/10.1017/S1041610214001045
Additional information: © International Psychogeriatric Association 2014 The online version of this article is published within an Open Access environment subject to the conditions of the Creative Commons Attribution licence.
Keywords: Dementia; Alzheimer’s disease; social support; carers
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery.ucl.ac.uk/id/eprint/1428701
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