%0期刊文章%@ 1438- 8871% I JMIR出版物%V 19卡塔尔世界杯8强波胆分析% N 9% P e313% T基于互联网的老年人照顾者干预的组成部分和结果:系统回顾%A Guay,Cassioppée %A Auger,Claudine %A Demers,Louise %A Mortenson,W Ben %A Miller,William C %A Gélinas-Bronsard,Dominique %A Ahmed,Sara +康复学院，医学院，Université de Montréal, 7077，大道du Parc，蒙特利尔，QC，加拿大，1 514 796 4551，cassioppee.guay@gmail.com %K系统回顾%K护理人员%K老年人%K基于互联网的干预措施%K互联网%K行为改变%D 2017 %7 19.09.2017 %9回顾%J J医疗互联网Res %G英语%X背景:当试图获得干预措施以改善他们的福祉和生活质量时，家庭护理人员面临许多挑战。基于互联网的干预措施为远程支持他们提供了新的和可获得的机会，并有助于减轻他们的负担。然而，人们对这些组成部分、行为改变技术的使用和这些基于互联网的干预措施的结果之间的联系知之甚少。目的:本研究旨在提供关于基于互联网的老年人照顾者干预效果的最佳现有证据的更新。具体来说，行为改变技术的组成部分和使用，以及它们如何影响干预的效果。方法:系统综述检索了2000年至2015年发表的一手资料研究。纳入的研究由独立评分者使用GRADE标准对高水平的证据进行评分，并报告通过互联网为50岁及以上人群的护理人员提供干预措施的护理人员特定结果。叙述综合确定了干预成分(如内容、多媒体使用、交互式在线活动和提供支持)、行为改变技术和照顾者结果(如对压力源、中介和心理健康的影响)。 The risk of bias within the included studies was assessed. Results: A total of 2338 articles were screened and 12 studies describing 10 Internet-based interventions were identified. Seven of these interventions led to statistically significant improvements in caregiver outcomes (eg, reducing depression or anxiety, n=4). These efficacious interventions used interactive components, such as online exercises and homework (n=4) or questionnaires on health status (n=2) and five of them incorporated remote human support, either by professionals or peers. The most frequently used behavior change techniques included in efficacious interventions were provision of social support (n=6) and combinations of instructions to guide behavior change and barrier identification (n=5). The design and aim of the included studies did not permit determining exactly which component and/or behavior change technique was more efficacious in producing positive outcomes in caregivers. The risk for selection bias was low for all the studies, and low to high for performance, detection, and attrition biases. Conclusions: In sum, Internet-based interventions that incorporate professional and social support, and provide instructions to change behavior and problem solve in an interactive manner appear to lead to positive outcomes in caregivers. Studies isolating the specific effect of components are needed to improve our understanding of the underlying mechanism of action. %M 28928109 %R 10.2196/jmir.7896 %U //www.mybigtv.com/2017/9/e313/ %U https://doi.org/10.2196/jmir.7896 %U http://www.ncbi.nlm.nih.gov/pubmed/28928109