Cited by 409Telemedicine and Telehealth ImplementationNursing care and researchTechnology Use by Older Adults

A systematic review of telehealth tools and interventions to support family caregivers

Open access
Chi, Nai-Ching, Demiris, George·2015·Journal of Telemedicine and Telecare

Abstract

We conducted a systematic review of studies employing telehealth interventions which focused on family caregivers’ outcomes. The Embase, CINHAL, Cochrane and PubMed databases were searched using combinations of keywords including “telehealth,” “telemedicine,” “telecare,” “telemonitoring,” “caregiver” and “family.” The initial search produced 4205 articles, of which 65 articles met the inclusion criteria. The articles included 52 experimental studies, 11 evaluation studies, one case study and one secondary analysis. Thirty-three articles focused on family caregivers of adult and older patients, while 32 articles focused on parental caregivers of paediatric patients. The technologies included video, web-based, telephone-based and telemetry/remote monitoring. Six main categories of interventions were delivered via technology: education, consultation (including decision support), psychosocial/cognitive behavioural therapy (including problem solving training), social support, data collection and monitoring, and clinical care delivery. More than 95% of the studies reported significant improvements in the caregivers’ outcomes and that caregivers were satisfied and comfortable with telehealth. The review showed that telehealth can positively affect chronic disease care, home and hospice care.

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  • eHealth interventions have included psychoeducation, coping strategies/self-management and social support, as well as remote monitoring, consultation (including decision support aid), psychosocial therapies and clinical care.

    “eHealth interventions have included psychoeducation, coping strategies/self-management and social support, as well as remote monitoring, consultation (including decision support aid), psychosocial therapies and clinical care (Chi & Demiris, 2015;Powell et al., 2008).”
  • One previous review has focussed on telehealth interventions including those delivered via phone calls and CD-ROM.

    “One previous review has focussed on telehealth interventions including those delivered via for example phone calls (including land-line phones) and CD-ROM (Chi & Demiris, 2015).”
  • Carers particularly appreciate the autonomy that eHealth interventions offer, as they can decide which components or strategies resonate with them, how much time to spend accessing the intervention, and when to do so.

    “Carers, as the end users, particularly appreciate the autonomy that eHealth interventions offer, as they can decide which components or strategies resonate with them, how much time to spend accessing the intervention, and when to do so [28,30].”

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Authors
Chi, N.-C., & Demiris, G.
Affiliations
University of Washington (US)
Corresponding author
Chi, Nai-Ching
Venue
Journal of Telemedicine and Telecare
Published
2014-12-04
Volume
21
Issue
1
Pages
37-44
ISSN
  • 1357-633X (ISSN-L)
  • 1758-1109
OpenAlex
W2042034007
Cited by
409
References
69
Citations by year
2026: 21 · 2025: 41 · 2024: 22 · 2023: 46 · 2022: 56 · 2021: 55 · 2020: 52 · 2019: 27 · 2018: 28 · 2017: 33 · 2016: 16 · 2015: 11
FWCI
3.13
Type
journal article
Language
en
Open access
Locations
  • Journal of Telemedicine and Telecare (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health
  • National Institute of Nursing Research (R01NR012213)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
  • Health Sciences › Health Professions › Pharmacy › Nursing care and research
  • Social Sciences › Demography › Technology Use by Older Adults
Keywords
telemedicine, family caregivers, caregiver outcomes, remote patient monitoring, remote monitoring, video-based intervention, telephone-delivered intervention, online intervention, caregiver education, decision support, psychosocial interventions, social support, chronic care, home care, hospice care, caregiver satisfaction
MeSH terms
Chronic Disease, Counseling, Family, Home Care Services, Humans, Patient Education as Topic, Social Support, Telemetry, Cognitive Behavioral Therapy, Caregivers, Telemedicine

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