Abstract:
Background There is a need for improved access to evidence-based interventions supporting the wellbeing of caregivers of adults with acquired brain injury (ABI). Remotely delivered interventions could address this need. The present systematic review sought to collate studies evaluating remotely delivered interventions designed to improve the wellbeing of caregivers of adults with an ABI, to summarise findings and to comment on the quality of this research. Methods Systematic searches were conducted up until December 2023. Study characteristics, populations, interventions and outcomes were outlined, and papers were appraised on methodological quality. The review was pre-registered (PROSPERO: CRD42020189235). Results Eleven studies meeting inclusion criteria were identified. Methodological quality was generally low to adequate. Most studies evaluated an intervention for caregivers of people with stroke, with a variety of types of interventions trialled. The majority of studies reported non-significant findings on wellbeing outcomes when compared to control conditions. Conclusions There is limited evidence supporting a remotely delivered intervention to improve wellbeing outcomes for ABI caregivers. Specific recommendations are provided, including the development of a core set of outcomes and replication of findings over time, which can improve research into the development and evaluation of remote interventions for this population.
摘要:
背景:有必要改善以证据为基础的干预措施,以支持成人获得性脑损伤(ABI)的护理人员的健康。远程提供的干预措施可以满足这一需求。本系统评价旨在整理评估远程提供干预措施的研究,旨在改善患有ABI的成年人的护理人员的健康。总结研究结果并评论这项研究的质量。方法系统检索直至2023年12月。研究特点,人口,概述了干预措施和结果,并对论文进行了方法学质量评价。审查已预先注册(PROSPERO:CRD42020189235)。结果共确定了11项符合纳入标准的研究。方法学质量普遍低到足够。大多数研究评估了对中风患者护理人员的干预措施,进行了各种类型的干预试验。与对照条件相比,大多数研究报告了关于健康结果的非重要发现。结论支持远程提供干预以改善ABI护理人员的健康状况的证据有限。提出了具体建议,包括开发一套核心成果和随着时间的推移复制发现,这可以改善对该人群远程干预措施的开发和评估的研究。