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Feasibility, usability, and acceptability of psychoeducational videoconferencing interventions for informal caregivers: A systematic review of randomized controlled trials

心理干预 可用性 随机对照试验 出勤 电视会议 医学 护理部 家庭照顾者 远程医疗 系统回顾 医学教育 远程医疗 梅德林 医疗保健 心理学 多媒体 计算机科学 外科 人机交互 政治学 法学 经济 经济增长
作者
Elaine Sang,Karen B. Hirschman,Kathryn H. Bowles
出处
期刊:Research in Nursing & Health [Wiley]
卷期号:47 (1): 60-81
标识
DOI:10.1002/nur.22358
摘要

Abstract Psychoeducational videoconferencing interventions bypass traditional in‐person barriers to attendance and are effective in improving caregiving skills, self‐care, and wellness among informal caregivers. Information on their feasibility, usability, and acceptability from the caregivers' perspective is needed to inform future designs and developments. This systematic review follows PRISMA 2020 guidelines to integrate this information. Five databases were systematically searched for relevant randomized control trials published between January 2012 and December 2022. Reference lists were cross‐checked for additional studies. Relevant studies were appraised and had their data extracted. This review contains 14 randomized controlled trials. Retention rates ranged from 55.56% to 100%, and major reasons for withdrawing include deteriorating patient health, lack of interest, and technical difficulties ( feasibility ). Caregivers found the videoconference technology usable, although participants in one intervention experienced poor connectivity and persistent technical issues ( usability ). Most caregivers were satisfied with videoconferencing interventions, found their content applicable to their situation, and appreciated their structure ( acceptability ). Those in videoconferencing group interventions were satisfied with small caregiver group sizes ( acceptability ). Adding respite care to interventions and incorporating short and regular videoconferencing sessions may improve feasibility. Ensuring small group sizes in videoconferencing group interventions and using participatory design may enhance acceptability. Advocacy is needed for employees identifying as informal caregivers to receive employer support and for quality connectivity within underserved areas. This may improve the feasibility and usability of interventions, allowing caregivers to receive the support they need. In future studies, power analyses and recruiting more caregivers may better assess feasibility.
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