Dementia Caregivers’ Responses to 2 Internet-Based Intervention Programs
Open accessAbstract
Purpose: The aim of this study was to examine the impact on dementia caregivers’ experienced stress and health status of 2 Internet-based intervention programs. Design and methods: Ninety-one dementia caregivers were given the choice of being involved in either an Internet-based chat support group or an Internet-based video conferencing support group. Pre-post outcome measures focused on distress, health status, social support, and service utilization. Results: In contrast to the Chat Group, the Video Group showed significantly greater improvement in mental health status. Also, for the Video Group, improvements in self-efficacy, neuroticism, and social support were associated with lower stress response to coping with the care recipient’s cognitive impairment and decline in function. Implications: The results show that, of 2 Internet-based intervention programs for dementia caregivers, the video conferencing intervention program was more effective in improving mental health status and improvement in personal characteristics were associated with lower caregiver stress response.
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There was a trend for improvement in mental health outcomes.
“There was a trend for improvement in mental health outcomes.”
From Telehealth Interventions Delivering Home-based Support Group Videoconferencing: Systematic Review (2018) · cites this paper as [43]
All studies included results on feasibility, acceptability, and effectiveness, and some reported issues connected with implementation.
“All studies included results on feasibility, acceptability, and effectiveness, and some reported issues connected with implementation [33,36-38,40-44,47].”
From Telehealth Interventions Delivering Home-based Support Group Videoconferencing: Systematic Review (2018) · cites this paper as [43]
For comparative studies, changes in pre- and postintervention results were similar for face-to-face groups and usual care but significantly better than a text-based forum.
“For comparative studies, changes in pre- and postintervention results were similar for face-to-face groups [31,38] and usual care [47] but significantly better than a text-based forum [43].”
From Telehealth Interventions Delivering Home-based Support Group Videoconferencing: Systematic Review (2018) · cites this paper as [43]
For self-help groups, one study reported attendance rates dropping from 70% when groups were health professionally led to 50% for member-led groups.
“For the self-help groups, one study reported attendance rates dropping from 70% when the groups were health professionally led to 50% for member-led groups [43].”
From Telehealth Interventions Delivering Home-based Support Group Videoconferencing: Systematic Review (2018) · cites this paper as [43]
Two studies reported similar or higher levels of participation compared with the alternative intervention.
“Two studies reported similar or higher levels of participation compared with the alternative intervention [31,43].”
From Telehealth Interventions Delivering Home-based Support Group Videoconferencing: Systematic Review (2018) · cites this paper as [43]
The most common technical problem reported was audio difficulties, including delays, dropouts, and background noise, followed by problems in downloading software.
“The most common problem reported was audio difficulties, which included delays, dropouts, and background noise [33,37,38,44,45], followed by problems in downloading software [38,42,43].”
From Telehealth Interventions Delivering Home-based Support Group Videoconferencing: Systematic Review (2018) · cites this paper as [43]
Results were reported as similar to face-to-face groups.
“Results were reported as similar to face-to-face groups [38,43,47].”
From Telehealth Interventions Delivering Home-based Support Group Videoconferencing: Systematic Review (2018) · cites this paper as [43]
Some participants reported feeling more relaxed and open by being at home and valued the convenience.
“some participants reported feeling more relaxed and open by being at home and valued the convenience [33,34,36,42-46].”
From Telehealth Interventions Delivering Home-based Support Group Videoconferencing: Systematic Review (2018) · cites this paper as [43]
Treatment reliability and validity was assessed in four psychoeducational studies.
“Treatment reliability and validity was assessed in four psychoeducational studies [36,38,41,43].”
From Telehealth Interventions Delivering Home-based Support Group Videoconferencing: Systematic Review (2018) · cites this paper as [43]
Videoconferencing groups were considered superior to a text-based forum.
“Videoconferencing groups were considered superior in comparison with a text-based forum, with few people contributing to the forum and threaded discussions going off-topic [43].”
From Telehealth Interventions Delivering Home-based Support Group Videoconferencing: Systematic Review (2018) · cites this paper as [43]
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- Authors
- Marziali, E., & Garcia, L. J.
- Affiliations
- University of Toronto (CA)
- University of Ottawa (CA)
- Corresponding author
- Marziali, Elsa
- ORCID
- Garcia, Linda J.
- Venue
- American Journal of Alzheimer's Disease & Other Dementias®
- Publisher
- SAGE Publications
- Published
- 2011-01-31
- Volume
- 26
- Issue
- 1
- Pages
- 36-43
- ISSN
- 0888-4897 (ISSN-L)
- 1533-3175
- 1938-2731
- PMC
- PMC10845422
- OpenAlex
- W2154531114
- Cited by
- 186
- References
- 41
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 9 · 2023: 18 · 2022: 24 · 2021: 12 · 2020: 13 · 2019: 15 · 2018: 21 · 2017: 17 · 2016: 8 · 2015: 13 · 2014: 8 · 2013: 11 · 2012: 6
- FWCI
- 6.38
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Alzheimer s Disease & Other Dementias® (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Ontario Ministry of Health and Long-Term Care
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Keywords
- dementia caregivers, caregiver stress, online intervention, videoconferencing, caregiver mental health, social support, self-efficacy, neuroticism, service utilization, cognitive impairment
- MeSH terms
- Adaptation, Psychological, Aged, Dementia, Female, Health Status, Humans, Male, Surveys and Questionnaires, Self-Help Groups, Stress, Psychological, Caregivers, Outcome Assessment, Health Care, Internet, Videoconferencing
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