From: E-learning as valuable caregivers’ support for people with dementia – A systematic review
Study | Characteristics of subjects | Type of an e-learning tool and the length of the intervention | Outcome measures | Results, statistically significant differences |
---|---|---|---|---|
Hattink et al. [45] (RCT) | Participants, including informal caregivers (72/142, 50.7%), volunteers (24/142, 16.9%), and professional caregivers (46/142, 32.4%). | a multilingual e-learning portal - the European Skills Training and Reskilling (STAR); 2–4 months | questionnaires, statistical analysis | The STAR training portal seems to be useful, friendly, person-centred approach, increases caregiver’s empathy. In the experimental group, however, there was a significant reduction in self-reported sense of competence. |
Ho et al. [46] (survey study) | 279 dementia family carers. | dementia e-learning educational program (ADCarer.com); July 2011–January 2012 (survey) | self-administered questionnaire, statistical analysis | The results indicate that caregivers especially appreciated the convenience of the e-learning program, flexibility in choosing topics suitable to them, saving travelling time, and handling behavioural and psychological symptoms of dementia. |
Kajiyama et al. [25] (RCT) | Informal caregivers - (N = 150) were randomly divided into the iCare Condition (ICC) or to the Education/Information-Only Condition (EOC). | iCare Stress Management e-Training Program; 3 months | self-report measures of stress (primary outcome), depression (CES-D) and quality of life (secondary outcomes), statistical analysis | The main outcome was a change in perceived stress; it was significant for the ICC but not the EOC (p = .017). Future efforts to improve dropout rate and increase caregiver’s motivation to participate in the program. |
Nunez-Naveira et al. [24] (RCT) | 61 informal carers (30 carers in the experimental group, 31 in the control group); age range: 25–88 years. | e-learning platform (understAID application) accessible through a smartphone or tablet; 3 months | the Center for Epidemiologic Studies Depression Scale (CES-D); self-completion questionnaire; statistical analysis | After using understAID the caregivers in the experimental group significantly decreased their depressive symptomatology; overall, 33.3% of the caregivers were satisfied with the application and approximately 50% of the participants assessed it as technically and pedagogically acceptable. |
Pot et al. [47] (experimental study) | 149 family caregivers (69.8% females, 30.2% males, average age: 61.5 years). | a guided self-help Internet intervention “mastery over dementia” (MoD) | Informant Questionnaire on Cognitive Decline in the Elderly, CES-D, Hospital Anxiety and Depression Scale, user evaluation, statistical analysis | MoD appears to be accessible for a broad range of family carers of people with dementia in terms of reach, adherence and user evaluation. The only drawback was a high percentage of carers who did not finish all lessons (55.7%). |
Wijma et al. [48] (survey study) | 35 informal caregivers (mean age = 55 years; 77% females, 23% males). | a virtual reality simulation movie and e-learning course: Through the D’mentia Lens (TDL); 3 weeks | pre- and post-test questionnaires, statistical analysis | TDL is feasible and acceptable for informal carers. Caregivers improved in empathy, confidence in caring for the person with dementia, and they had positive interactions with the person with dementia. |