A systematic review on the implementation of eHealth interventions for informal caregivers of people with dementia

Hannah L. Christie*, Sara L. Bartels, Lizzy M. M. Boots, Huibert J. Tange, Frans R. J. Verhey, Marjolein E. de Vugt

*Corresponding author for this work

Research output: Contribution to journal(Systematic) Review article peer-review

45 Citations (Web of Science)

Abstract

Objectives: The objectives were to (1) systematically review the literature on the implementation of eHealth interventions for informal caregivers of people with dementia, and (2) identify determinants of successful implementation.

Methods: Online databases were searched for articles about eHealth interventions for informal caregivers of people with dementia, providing information on their implementation. Articles were independently screened and inductively analyzed using qualitative analysis. The analysis was mapped onto the Consolidated Framework for Implementation Research (CFIR; Damschroder et al., 2009).

Findings: 46 articles containing 204 statements on implementation were included. The statements on implementation were grouped into four categories: Determinants associated with the eHealth application, informal caregiver, implementing organization, or wider context. Mapping of the determinants on the CFIR revealed that studies have focused mostly on characteristics of the intervention and informal caregiver. Limited attention has been paid to organizational determinants and the wider context.

Conclusions: Despite prolific effectiveness and efficacy research on eHealth interventions for caregivers of people with dementia, there is a critical dearth of implementation research. Furthermore, there is a mismatch between eHealth intervention research and implementation frameworks, especially concerning organizational factors and wider context. This review underscores the importance of future implementation research in bridging the gap between research and practice.

Original languageEnglish
Pages (from-to)51-59
Number of pages9
JournalInternet interventions : The application of information technology in mental and behavioural health
Volume13
DOIs
Publication statusPublished - Sep 2018

Keywords

  • Dementia
  • Caregiver
  • Internet
  • eHealth
  • Implementation
  • Review
  • COGNITIVE-BEHAVIORAL THERAPY
  • FAMILY CAREGIVERS
  • COMMUNICATION TECHNOLOGY
  • SUPPORT
  • ONLINE
  • INTERNET
  • CARE
  • HEALTH
  • BURDEN
  • MODEL

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