Information communication technology

信息通信技术
  • 文章类型: Journal Article
    背景:通过信息通信技术远程提供与痴呆症相关的支持服务,定义为任何硬件或软件,包括电话和视频会议软件,在冠状病毒大流行期间增加。为指导今后信息通信技术的运用,这项研究探讨了在英国大流行期间提供和获得社会护理和支持服务的经验.
    方法:与社会护理和支持提供者的远程半结构化访谈,我们在2022年5月至12月期间对痴呆症患者和家庭照顾者进行了研究.与两名公共顾问(一名前家庭照顾者,一名痴呆症患者),并获得了在大流行期间提供和获得服务的信息。录音被逐字转录。采用归纳和演绎分析方法的混合,进行了专题分析。
    结果:进行了21次访谈(n=14个社会关怀和支持提供者;n=6个家庭照顾者;n=2个痴呆症患者)。产生了三个主题:适应不断变化的环境;通过信息通信技术应对未满足的需求,信息通信技术应该是一种工具,不是默认值。社会护理和支持提供者的创造力和动机促进了信息通信技术的采用,然而,可用的资源和指导各不相同。虽然一些痴呆症患者和家庭照顾者受益于通过信息通信技术获得服务以满足某些需求,格式并不适合所有人。
    结论:除了冠状病毒大流行,需要仔细考虑在服务交付中使用信息通信技术,为了避免剥夺一些痴呆症患者和家庭照顾者的权利,同时赋予人们如何访问服务的选择。在服务交付中建议使用信息通信技术的数字培训和准则可能有助于在当前形势下改善其使用情况,在未来的大流行中。
    BACKGROUND: The remote delivery of dementia-related support services by information communication technology, defined as any hardware or software, including the telephone and videoconferencing software, increased during the coronavirus pandemic. To guide the future use of information communication technology, this study explored the experiences of delivering and accessing social care and support services during the pandemic in the UK.
    METHODS: Remote semi-structured interviews with social care and support providers, people with dementia and family carers were conducted between May-December 2022. Topic guides were co-developed with two public advisors (one former family carer, one person with dementia) and garnered information on delivering and accessing services during the pandemic. Audio recordings were transcribed verbatim. Employing a mixture of inductive and deductive analytic approaches, a thematic analysis was conducted.
    RESULTS: Twenty-one interviews (n = 14 social care and support providers; n = 6 family carers; n = 2 people with dementia) were conducted. Three themes were generated: adapting to changing circumstances; responding to unmet needs by information communication technology and information communication technology should be a tool, not the default. Social care and support providers\' creativity and motivation facilitated the adoption of information communication technology, however, available resources and guidance varied. While some people with dementia and family carers benefitted from accessing services by information communication technology to address some needs, the format was not suitable for everyone.
    CONCLUSIONS: Beyond the coronavirus pandemic, the use of information communication technology within service delivery needs to be carefully considered, to avoid disenfranchising some people with dementia and family carers, while empowering people with the option of how to access services. Digital training and guidelines advising the use of information communication technology within service delivery may facilitate its improved use during the current landscape, and amidst future pandemics.
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  • 文章类型: Journal Article
    背景:社会脆弱对老年人的影响是深远的,包括死亡风险,功能衰退,falls,和残疾。然而,缺乏有效的策略来满足社会虚弱的老年人的需求,很少有研究揭示社会决定因素是如何运作的,或者在需要社会距离和隔离的时期,如COVID-19大流行期间,如何调整干预措施。为了弥补这些差距,我们使用JBI方法进行了范围审查,以确定最有可能帮助社会虚弱的老年人(年龄≥65岁)的干预措施.
    方法:我们搜索了MEDLINE,CINAHL(EPSCO),EMBASE和COVID-19数据库以及灰色文献。使用PICOS框架制定合格标准。我们的结果根据研究进行了描述性总结,病人,干预和结果特征。数据综合涉及使用社会脆弱框架对已识别的干预措施进行图表和分类。结果:263项纳入研究,我们确定了495项干预措施,涉及约124,498名老年人,其中大多数是女性.最大比例的老年人(40.5%)的平均年龄为70-79岁。这495项干预措施分布在四个社会脆弱领域:社会资源(40%),自我管理(32%),社会行为活动(28%),和一般资源(0.4%)。其中,189种干预措施对改善孤独感有效,心理自我管理的社会、健康和福祉结果,自我管理教育,休闲活动,身体活动,信息通信技术和社会辅助机器人干预。在传染病暴发期间,确定了63种干预措施是可行的(例如,COVID-19,流感),以帮助社交虚弱的老年人。
    结论:我们的范围审查确定了有希望的干预措施,这些干预措施最有可能帮助患有社会脆弱的老年人。
    BACKGROUND: The impact of social frailty on older adults is profound including mortality risk, functional decline, falls, and disability. However, effective strategies that respond to the needs of socially frail older adults are lacking and few studies have unpacked how social determinants operate or how interventions can be adapted during periods requiring social distancing and isolation such as the COVID-19 pandemic. To address these gaps, we conducted a scoping review using JBI methodology to identify interventions that have the best potential to help socially frail older adults (age ≥65 years).
    METHODS: We searched MEDLINE, CINAHL (EPSCO), EMBASE and COVID-19 databases and the grey literature. Eligibility criteria were developed using the PICOS framework. Our results were summarized descriptively according to study, patient, intervention and outcome characteristics. Data synthesis involved charting and categorizing identified interventions using a social frailty framework.  RESULTS: Of 263 included studies, we identified 495 interventions involving ~124,498 older adults who were mostly female. The largest proportion of older adults (40.5%) had a mean age range of 70-79 years. The 495 interventions were spread across four social frailty domains: social resource (40%), self-management (32%), social behavioural activity (28%), and general resource (0.4%). Of these, 189 interventions were effective for improving loneliness, social and health and wellbeing outcomes across psychological self-management, self-management education, leisure activity, physical activity, Information Communication Technology and socially assistive robot interventions. Sixty-three interventions were identified as feasible to be adapted during infectious disease outbreaks (e.g., COVID-19, flu) to help socially frail older adults.
    CONCLUSIONS: Our scoping review identified promising interventions with the best potential to help older adults living with social frailty.
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  • 文章类型: Journal Article
    本文报告了33波纵向研究的结果,和互惠关系,工作场所数字化和工作量。月度数据是在2020年4月至2022年12月期间从德国的1661名员工中收集的。基于工作场所信息通信技术使用的理论模型,压力,和应对,我们假设数字化对工作量的积极和消极的内部影响,反之亦然。具有结构化残差(ALT-SR)的自回归潜在轨迹模型的结果在数字化中平均显示正线性轨迹,但不是随着时间的推移工作量。此外,更高的数字化与随后更高的工作量相关,反之亦然。这种结果模式表明了一种动态,交互过程,其中与数字化(工作负荷)平均轨迹的正偏差与随后更高水平的工作负荷(数字化)相关联。我们还发现了这些内部过程中线性趋势的证据,表明数字化对工作量的人内影响的强度,以及数字化的工作量,随着时间的推移变得更加积极。制定工作设计干预措施的从业者可以专注于减少数字化对工作量增加的不利影响的方法。同时鼓励数字化的潜力,以帮助员工有效应对他们的工作量。
    This article reports the results of a 33-wave longitudinal study of changes in, and reciprocal relations between, workplace digitalization and workload. Monthly data were collected between April 2020 and December 2022 from n = 1661 employees in Germany. Based on theoretical models of workplace information and communication technology use, stress, and coping, we hypothesized both positive and negative within-person effects of digitalization on workload, and vice versa. Results of an autoregressive latent trajectory model with structured residuals (ALT-SR) showed on-average positive linear trajectories in digitalization, but not in workload over time. Moreover, higher digitalization was associated with subsequently higher levels of workload, and vice versa. This pattern of results suggests a dynamic, reciprocal process wherein positive deviations from one\'s average trajectory of digitalization (workload) are associated with subsequently higher levels of workload (digitalization). We additionally find evidence for linear trends in these within-person processes, suggesting that the strength of the within-person effects of digitalization on workload, and of workload on digitalization, becomes more strongly positive over time. Practitioners developing work design interventions could focus on ways to reduce the detrimental impact of digitalization on increased workload, while simultaneously encouraging the potential of digitalization to help employees cope effectively with their workload.
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  • 文章类型: Journal Article
    人们对将数字信息和通信技术(ICT)用于精神保健目的越来越感兴趣。信息和通信技术工具可以提高心理健康素养和寻求帮助的行为。
    为了描述访问,精神分裂症和其他精神病患者对ICT的使用和感知。
    这项研究是在德班的一家城市精神病医院进行的,夸祖鲁-纳塔尔省(KZN),南非。
    参与者完成了关于他们的社会人口特征和获取,ICT的使用和感知。使用多个顺序逻辑回归来测试社会人口统计学因素与ICT使用和感知之间的关联。
    在165名参与者中(平均年龄=41岁±14.2),54.5%为男性,有37.6%的人就业,大多数(93.3%)居住在城市地区。大多数参与者(93%)在过去3个月内可以访问互联网和智能手机(89.8%)。年龄(AOR0.94,p=0.06,CI=0.88-1.00)和婚姻状况(AOR=0.26,p0.02,CI=1.62-253.74)与互联网使用相关,而年龄(AOR=0.95,p0.03,CI=0.9-1.00),婚姻状况(AOR=3.64,p=0.05,CI=1.03-12.90),收入(AOR=4.02,p<0.01,CI=1.69-9.54),就业状况(AOR=0.16,p<0.01,CI=0.06-0.44),和HIV感染者(AOR=5.41,p<0.01,CI=1.39-21.07)与互联网使用频率相关。年龄较大的参与者使用精神卫生保健应用程序的几率较低(AOR=0.93,p=0.02,CI=0.88-0.99)。收入较高的人以数字方式寻求心理健康信息的可能性增加(AOR=4.33,p=0.03,CI=1.13-7.54)。
    患有精神病的人确实可以使用数字技术,尽管使用模式可能受到社会人口统计学因素的影响。
    这项研究提供了有关非洲数字技术使用的基线数据。
    UNASSIGNED: There is growing interest in the use of digital information and communication technology (ICT) for mental health care purposes. Information and communication technology tools may enhance mental health literacy and help-seeking behaviour.
    UNASSIGNED: To describe the access to, use and perception of ICT in people with schizophrenia and other psychotic disorders.
    UNASSIGNED: The study was conducted at an urban psychiatric hospital in Durban, KwaZulu-Natal (KZN) province, South Africa.
    UNASSIGNED: Participants completed questionnaires on their socio-demographic characteristics and access to, use and perception of ICT. Multiple ordinal logistic regressions were used to test the association between socio-demographic factors and ICT use and perception.
    UNASSIGNED: Of the 165 participants (mean age = 41 years ± 14.2), 54.5% were male, 37.6% were employed, and most (93.3%) lived in an urban area. Most participants (93%) had access to the internet in past 3 months and a smartphone (89.8%). Age (AOR 0.94, p = 0.06, CI = 0.88-1.00) and marital status (AOR = 0.26, p 0.02, CI = 1.62-253.74) were associated with internet use, while age (AOR = 0.95, p 0.03, CI = 0.9-1.00), marital status (AOR = 3.64, p = 0.05, CI = 1.03-12.90), income (AOR = 4.02, p < 0.01, CI = 1.69-9.54), employment status (AOR = 0.16, p < 0.01, CI = 0.06-0.44), and living with HIV (AOR = 5.41, p < 0.01, CI = 1.39-21.07) were associated with frequency of internet use. Older participants had lower odds of using a mental health care app (AOR = 0.93, p = 0.02, CI= 0.88-0.99). Those with higher incomes had increased odds of seeking mental health information digitally (AOR = 4.33, p = 0.03, CI = 1.13-7.54).
    UNASSIGNED: People living with psychosis do have access to digital technology although pattern of use maybe influenced by sociodemographic factors.
    UNASSIGNED: This study provides baseline data on digital technology use in Africa.
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  • 文章类型: Journal Article
    考虑到环境在人们生活中的不可否认的作用和重要性,本研究旨在调查信息和通信技术(ICT)和外国直接投资(FDI)对实现环境可持续性的综合影响。由于社会碳排放量的增加及其对社会经济方面甚至政治紧张局势的破坏性环境影响已成为挑战,研究的主要问题是政府有什么战略,特别是石油出口国,过去用来降低他们发现的污染水平,未来他们想遵循什么政策?在欧佩克石油出口国采取的政策中,外国直接投资(FDI)和信息和通信技术(ICT)的发展是否有效地防止了有害的环境影响?可再生能源消费数据,信息和通信技术的使用强度,外国直接投资(FDI),城市化被用作解释变量,和二氧化碳(CO2)排放量作为因变量。选择的目标国家是2000年至2020年的石油出口国(OPEC),使用的分析方法是面板VAR。结果表明,在外国直接投资中造成冲击,劳动力,城市人口,可再生能源消费减少了二氧化碳,同时对资本形成总额造成冲击,增加了二氧化碳。ICT的冲击对CO2的影响也是微不足道的,可以忽略不计。方差分析的结果还表明,城市人口,劳动力,外国直接投资变量在解释二氧化碳行为方面贡献最大;因此,欧佩克国家有必要关注FDI,并尝试增加对外国直接投资的吸引力,以减少CO2。JEL:C23,F43,F64.
    Considering the undeniable role and importance of the environment in people\'s lives, the present study is designed to investigate the combined effect of information and communication technology (ICT) and foreign direct investment (FDI) on achieving environmental sustainability. Since the increasing emission of carbon in society and its destructive environmental effects on social economic aspects and even political tensions have become a challenge, the main question of the research is what strategies have governments, especially oil exporting countries, used in the past to reduce the level they have discovered pollution and what policies do they want to follow in the future? Among the policies undertaken by the OPEC oil exporting countries, has the action for foreign direct investment (FDI) and the development of information and communication technology (ICT) been effective in preventing harmful environmental effects? For this purpose, data on renewable energy consumption, the intensity of use of information and communication technology, foreign direct investment (FDI), and urbanization have been used as explanatory variables, and carbon dioxide (CO2) emission as a dependent variable. The target countries selected are oil exporting countries (OPEC) for the period 2000 to 2020, and the analysis method used is panel VAR. The results showed that creating a shock in FDI, labor force, urban population, and renewable energy consumption decreases CO2 while creating a shock in Gross capital formation increases CO2. The impact of shock of ICT on CO2 is also insignificant and can be ignored. The results of variance analysis also showed that urban population, labor force, and FDI variables have the largest contribution in explaining the behavior of CO2; therefore, it is necessary to pay attention to FDI and try to increase the attraction of foreign direct investment to reduce CO2 in OPEC countries. JEL: C23, F43, F64.
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  • 文章类型: Journal Article
    发展中国家城市固体废物(MSW)的数量迅速增加和管理不善,水和土壤污染。目前的MSW管理方案涉及许多问题,如缺乏技术资源,战略管理,社会意识,公众参与,等。全球范围内,新政策形式的大量努力,已经制定了计划和监管法案,使用先进的系统收集和运输(C&T)方法,集成技术。然而,由于缺乏可靠的资源和数据集,很少有研究针对低收入和中等收入国家解决这一问题。本文解决了当前C&T方法面临的挑战,并重点介绍了信息通信技术在监控中的应用,捕获,数据管理,规划,实时跟踪和通信。这种系统的小型审查是基于技术资源的可用性,消费者对不同技术在管理过程中的接受度和成本效益。研究表明,大多数发达国家的C&T方法是根据其地理范围设计的,气候因素,废物特性和兼容技术,从而实现可持续的城市生活垃圾管理。然而,发展中国家在管理其城市生活垃圾方面采取了同样单调的方法,在C&T过程中失败。该案例研究为研究人员和决策者提供了宝贵的资源,可以根据最近的技术干预措施构建更好的C&T流程,基础设施建设,社会和经济地位。
    The rapid increase in quantities and the mismanagement of municipal solid waste (MSW) in developing countries are increasing the environmental impacts such as air, water and soil contamination. The present scenario of MSW management deals with numerous issues such as lack of technological resources, strategical management, social awareness, public participation, etc. Globally, numerous efforts in the form of new policies, schemes and regulatory acts have been made to develop a systematic collection and transportation (C&T) method using advanced, integrated technologies. However, very few studies have addressed this issue for low- and middle-income countries due to the lack of availability of reliable resources and data sets. This paper addresses the present challenges in C&T methods and highlights the application of information communication technology in monitoring, capturing, data management, planning, live tracking and communication. This systematic mini-review is based on the availability of technical resources, consumer acceptance and cost-effectiveness of different technologies in managing the processes. The study revealed that the C&T methods in most developed countries are designed based on their geographical stretch, climatic factors, waste characteristics and compatible technology, resulting in sustainable MSW management. However, developing countries have followed the same monotonous approach in managing their MSW, which fails in C&T process. The case study provides a valuable resource for researchers and policymakers to frame a better C&T process based on the recent technological interventions, infrastructure development, and social and economic status.
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  • 文章类型: Journal Article
    背景:本研究的理由是COVID-19大流行的结果,由于老年人参与面对面互动和社交活动的机会较少,这可能会导致与他们的社会交往沟通方式的变化。这项研究的目的是探讨大流行开始时老年人的社交联系方法与情绪幸福感之间的关系。
    方法:在第10波(2020年6月至2021年1月)的国家健康和老龄化趋势研究中,选择了2500名老年人医疗保险受益人(65岁以上)进行横断面分析。参与者在关于大流行之前和期间与家人和朋友的沟通形式的简短问卷中进行了测量。情绪幸福感的结果是根据悲伤/沮丧和孤独的单个项目进行测量的;以及大流行期间的6项Likert焦虑量表。使用配对样本t检验来检查大流行之前和期间之间的沟通形式。进行了分层回归以评估沟通形式与情绪幸福感结果之间的关系。
    结果:我们发现,在大流行期间,沟通频率总体上有所下降。回归分析的结果表明,信息通信技术(ICT)与负面的情绪健康结果相关,而面对面的社交与较低水平的负面影响有关。
    结论:这些研究结果表明,使用更高水平的ICT对老年人的情绪健康有负面影响,与面对面接触的积极含义形成鲜明对比。这些发现强调了ICT在大流行期间老年人情绪健康中的作用。
    BACKGROUND: The rationale for the present study is a result of the COVID-19 pandemic, as there are fewer opportunities available for older adults to engage in face-to-face interaction and social activities, which may result in changes in the communication methods with their social contacts. The purpose of this study was to explore the relationship between methods of social connectedness and emotional well-being outcomes among older adults at the start of the pandemic.
    METHODS: Two thousand five hundred and fifty-eight older adults Medicare beneficiaries (65 + years of age) in the National Health and Aging Trends Study at wave 10 (June 2020 to January 2021) were selected for cross-sectional analysis. Participants were measured on brief questionnaires regarding forms of communication with family and friends before and during the pandemic. Emotional well-being outcomes were measured on single items of sadness/depressed and loneliness; as well as a 6-item Likert scale of anxiety during the pandemic. Paired sample t-tests were utilized to examine the forms of communication between before and during pandemic. Hierarchical regressions were conducted to assess the relationship between forms of communication and emotional well-being outcomes.
    RESULTS: We found that there were overall decreases in communication frequency during pandemic. Findings from regression analyses indicated information communication technology (ICT) are associated with negative emotional well-being outcomes, whereas in-person social contact are associated with lower levels of negative affect.
    CONCLUSIONS: These findings suggest utilizing higher levels of ICT has negative implications for older adults\' emotional well-being, contrasting with the positive implication of in-person contacts. These findings highlight the role of ICT in emotional well-being among older adults during pandemic.
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  • 文章类型: Journal Article
    BACKGROUND: A large number of information and communication technology (ICT) based interventions exist for suicide prevention. However, not much is known about which of these ICTs are implemented in clinical settings and their implementation characteristics. In response, this scoping review aimed to systematically explore the breadth of evidence on ICT-based interventions for suicide prevention implemented in clinical settings and then to identify and characterize implementation barriers and facilitators, as well as evaluation outcomes, and measures.
    METHODS: We conducted this review following the Joanna Briggs Institute methodology for scoping reviews. A search strategy was applied to the following six databases between August 17-20, 2021: MEDLINE, Embase, CINAHL, PsycINFO, Web of Science, and Library, Information Science and Technology Abstracts. We also supplemented our search with Google searches and hand-searching reference lists of relevant reviews. To be included in this review, studies must include ICT-based interventions for any spectrum of suicide-related thoughts and behaviours including non-suicidal self-injury. Additionally, these ICTs must be implemented in clinical settings, such as emergency department and in-patient units. We used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) checklist to prepare this full report.
    RESULTS: This review included a total of 75 citations, describing 70 studies and 66 ICT-based interventions for suicide prevention implemented in clinical settings. The majority of ICTs were computerized interventions and/or applications (n = 55). These ICTs were commonly used as indicated strategies (n = 49) targeting patients who were actively presenting with suicide risk. The three most common suicide prevention intervention categories identified were post-discharge follow-up (n = 27), screening and/or assessment (n = 22), and safety planning (n = 20). A paucity of reported information was identified related to implementation strategies, barriers and facilitators. The most reported implementation strategies included training, education, and collaborative initiatives. Barriers and facilitators of implementation included the need for resource supports, knowledge, skills, motivation as well as engagement with clinicians with research teams. Studies included outcomes at patient, clinician, and health system levels, and implementation outcomes included acceptability, feasibility, fidelity, and penetration.
    CONCLUSIONS: This review presents several trends of the ICT-based interventions for suicide prevention implemented in clinical settings and identifies a need for future research to strengthen the evidence base for improving implementation. More effort is required to better understand and support the implementation and sustainability of ICTs in clinical settings. The findings can also serve as a future resource for researchers seeking to evaluate the impact and implementation of ICTs.
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  • 文章类型: Journal Article
    教育口语技术是一种用于提高口语表现的数字专业知识。这项研究考察了使用教育口语技术工具的效果:FORVO,YouGlish,和奥尔德第8版。提高学生的口语表现。使用准实验前测-后测两组设计。测试,问卷,采访,和教师日志用于收集通过综合抽样选择的82名一年级信息通信和技术(IT)学生的数据。实验组学生通过教育口语技术工具学习口语技能,而对照组学生使用常规方法学习。当定量数据通过独立样本T检验进行分析时,定性数据通过专题分析进行分析。研究发现,实验组和对照组学生的口语表现存在统计学差异。因此,通过教育口语技术学习的学习者与传统学习的学生相比,他们的口语表现有所提高。主要是,通过教育口语技术学习的学生很流利,连贯,他们的演讲准确,丰富的词汇资源,使用了各种语法范围,发音更好。此外,学生对使用教育口语技术工具有积极的看法。因此,这项研究建议研究人员,教师,和学生利用教育技术,并与最新技术保持一致。
    Educational speaking technology is a digital expertise used to enhance speaking performance. This research examined the effects of using educational speaking technology tools: FORVO, YouGlish, and OALD 8th ed. to enhance students\' speaking performance. A quasi-experimental pretest-posttest two groups design was used. Test, questionnaire, interview, and teacher-log were used to gather the data from 82 first-year Information communication and Technology (IT) students selected through comprehensive sampling. The experimental group students had learned speaking skills through educational speaking technology tools while the control group students learned using the conventional method. When the quantitative data were analyzed through independent samples T-test, the qualitative data were analyzed through thematic analysis. The findings of the study uncovered that there was a statistical difference between the experimental and control group students in their speaking performance. Accordingly, the learners who had learned through educational speaking technology have enhanced their speaking performance compared to the students that learned conventionally. Predominantly, students who learned through educational speaking technology were fluent, coherent, and accurate in their speech, rich in lexical resources, used a variety of grammatical ranges, and better in pronunciation. Besides, the students\' have positive perceptions towards using educational speaking technology tools. Consequently, this study recommends researchers, teachers, and students to make the use of educational technology and to go in line with the state of the art.
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  • 文章类型: Journal Article
    背景:对痴呆症患者的非正式护理不仅会影响主要照顾者的福祉,还会改变他们的角色以及与社会环境的互动。新的在线干预措施可能有助于获得社会支持。最近,一个在线社交支持平台,Inlife,是在荷兰开发的,旨在加强非正式支持网络中的社会支持和积极互动。
    目的:本研究旨在评估Inlife对痴呆症患者照顾者的有效性。
    方法:对96名痴呆患者照顾者进行了一项随机对照试验。参与者被随机分配到Inlife干预或等待列表对照组。Inlife使用16周后,等待列表控制组可以开始使用Inlife。在基线(T0)评估效果,8周(T1),和16周(T2)。16周随访评估(T2)作为主要终点,用于评估通过在线自我报告问卷评估的主要和次要结果变量的结果。主要结果包括对护理人员能力的感受和感知的社会支持。次要结果包括获得支持,孤独的感觉,心理抱怨(例如,焦虑,stress),和生活质量。
    结果:在主要结局方面,干预组(n=48)相对于对照组(n=48)没有显着改善(护理能力感:b=-0.057,95%CI-0.715至0.602,P=.87;感知社会支持:b=-15.877,95%CI-78.284至46.530,P=.62)或任何次要结局。这与我们的定性发现形成鲜明对比,这些发现表明Inlife具有促进日常生活中护理过程的潜力。对于所有Inlife用户来说,坚持并不是最佳的。额外的符合方案和敏感性分析也显示,对于高活跃的Inlife用户或特定亚组,没有有益的结果。当成为更大网络的一部分时,Inlife用户更加活跃。
    结论:研究人员在幸福感和生活质量的定量指标方面,对在线护理人员干预的有效性应保持适度。然而,在线工具有可能促进日常生活中的照顾者过程。吸取的经验教训包括在电子健康中利用人类互动力量的重要性,利用用户的社会资本,以及需要开发研究方法,以确定对护理人员在生态上有效的日常生活中的益处。
    背景:荷兰试验注册NTR6131;https://trialsearch。谁。int/Trial2。aspx?试验ID=NTR6131。
    未经批准:RR2-10.1186/s13063-017-2097-y。
    BACKGROUND: Informal care for people with dementia not only affects the well-being of the primary caregiver but also changes their roles and interactions with the social environment. New online interventions might facilitate access to social support. Recently, an online social support platform, Inlife, was developed in the Netherlands and aims to enhance social support and positive interactions in informal support networks.
    OBJECTIVE: This study aimed to evaluate the effectiveness of Inlife for caregivers of people with dementia.
    METHODS: A randomized controlled trial with 96 caregivers of people with dementia was performed. Participants were randomly assigned to the Inlife intervention or the waiting list control group. After 16 weeks of Inlife use, the waiting list control group could start using Inlife. Effects were evaluated at baseline (T0), 8 weeks (T1), and 16 weeks (T2). The 16-week follow-up assessment (T2) served as the primary endpoint to evaluate the results for the primary and secondary outcome variables evaluated with online self-report questionnaires. The primary outcomes included feelings of caregiver competence and perceived social support. The secondary outcomes included received support, feelings of loneliness, psychological complaints (eg, anxiety, stress), and quality of life.
    RESULTS: No significant improvements were demonstrated for the intervention group (n=48) relative to the control group (n=48) for the primary outcomes (feeling of carer competence: b=-0.057, 95% CI -0.715 to 0.602, P=.87; perceived social support: b=-15.877, 95% CI -78.284 to 46.530, P=.62) or any secondary outcome. This contrasts with our qualitative findings showing the potential of Inlife to facilitate the care process in daily life. Adherence was not optimal for all Inlife users. Additional per-protocol and sensitivity analyses also revealed no beneficial results for high active Inlife users or specific subgroups. Inlife users were more active when part of a larger network.
    CONCLUSIONS: Researchers should be modest regarding the effectiveness of online caregiver interventions in terms of quantitative measures of well-being and quality of life. Nevertheless, online tools have the potential to facilitate the caregiver process in daily life. Lessons learned include the importance of harnessing the power of human interaction in eHealth, making use of the user\'s social capital, and the need to develop research methods that can identify benefits in daily life that are ecologically valid for caregivers.
    BACKGROUND: Netherlands Trial Register NTR6131; https://trialsearch.who.int/Trial2.aspx?TrialID=NTR6131.
    UNASSIGNED: RR2-10.1186/s13063-017-2097-y.
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