Evidence map›Paper›PMID 31605517›Full record

ArticleJournal of medical Internet research2019

Process Evaluation of Nurse-Led Online Self-Management Support for Family Caregivers to Deal With Behavior Changes of a Relative With Dementia (Part 1): Mixed Methods Study.

Judith G Huis In Het Veld, Iris F M van Asch, Bernadette M Willemse, Paul-Jeroen Verkade, Anne Margriet Pot, Marco M Blom, Rob B M Groot Zwaaftink, Anneke L Francke

Open access · goldAbstract read
In one paragraph

Article in Journal of medical Internet research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 3 pooled it
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 3 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Article
  7. Review
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 2 countries.

Judith G Huis In Het VeldAmsterdam UMC, Vrije Universiteit Amsterdam, Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam, Netherlands.ORCID 0000-0003-4020-9610
Iris F M van AschNetherlands Institute of Mental Health and Addiction, Trimbos Institute, Utrecht, Netherlands.ORCID 0000-0003-1557-9433
Bernadette M WillemseNetherlands Institute of Mental Health and Addiction, Trimbos Institute, Utrecht, Netherlands.ORCID 0000-0002-3890-8159
Paul-Jeroen VerkadeThe Geriant Foundation, Region North of Amsterdam, Netherlands.ORCID 0000-0001-7031-5962
Anne Margriet PotWorld Health Organization, Geneva, Switzerland.ORCID 0000-0003-2917-4322
Marco M BlomDutch Alzheimer's Society, Amersfoort, Netherlands.ORCID 0000-0002-2962-2247
Rob B M Groot ZwaaftinkDutch Alzheimer's Society, Amersfoort, Netherlands.ORCID 0000-0002-0625-0823
Anneke L FranckeAmsterdam UMC, Vrije Universiteit Amsterdam, Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam, Netherlands.ORCID 0000-0001-7953-0693
Alzheimer Nederland · NLTrimbos Institute · NLAmsterdam University Medical Centers · NLNetherlands Institute for Health Services Research · NLReumaNederland · NLWorld Health Organization · CH

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundCoping with behavioral changes is a daily challenge for family caregivers in all phases of dementia, and assistance is needed for it. An online self-management support intervention was therefore developed and conducted involving the following elements: (1) email contact with a specialized dementia nurse, (2) online videos, and (3) e-bulletins containing information about behavior changes and how to manage them.

objectiveThe aim of this study was to understand (1) family caregivers' actual use of various elements of the online self-management support, (2) family caregivers' evaluation and satisfaction with the various elements, and (3) nurses' usage and evaluations of the online support through the tailored email contacts.

methodsA mixed methods design was used in this process evaluation, combining quantitative and qualitative methods including analyses of dementia nurses' registration forms, the number of clicks on online videos and e-bulletins, evaluation questions answered by family caregivers in a survey questionnaire, semistructured interviews with family caregivers and nurses, and analysis of the content of the email contacts.

resultsThe actual use of various elements of the online self-management support by family caregivers varied: 78% (21/27) of family caregivers had an email contact with the specialist nurse, 80% (43/54) of family caregivers clicked on an online video, and 37% (30/81) clicked on an e-bulletin. Family caregivers showed positive evaluations and satisfaction. The tailor-made approach in the personal email contacts in particular was valued by the family caregivers. Nurses' evaluations about providing self-management support online were mixed as it was a relatively new task for them.

conclusionsAn important insight is that not all participants made optimum use of the various elements of the intervention. Nurses also said that the email contacts were more often used to express feelings about coping with behavioral changes. More research is needed to investigate the reasons why people accept, adopt, and adhere to online interventions to reduce cases where they are not used and to back them up appropriately with tailored (online) information and advice for their personal situations.

Indexed as

CaregiversData CollectionDementiaFemaleHealth BehaviorHumansMaleNursesProcess Assessment, Health CareSelf-ManagementSurveys and QuestionnairesTelemedicinecaregiverdementiaeHealthinternet

Identifiers

PMID31605517
PMCPMC6914225
OpenAlexW2954323763

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.