Effectiveness of Internet-based Psychosocial Interventions among Family Caregivers of People with Schizophrenia: A Systematic Review.

Internet-based interventions have long been available in mental health care, offering alternative options for caring for patients and caregivers. This review aimed to evaluate the effectiveness of internet-based psychosocial interventions on psychological distress, caregiving burden, expressed emoti...

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Publicado en:Pacific Rim International Journal of Nursing Research Vol. 27; no. 3; pp. 564 - 585
Autores principales: Watcharagan Kaewwanna, Patraporn Bhatarasakoon, Voranut Kitsumban
Formato: research systematic review tables/charts Journal Article
Publicado: Thailand Nursing & Midwifery Council Jul-Sep2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul-Sep2023
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      pub: Thailand Nursing & Midwifery Council
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        10.60099/prijnr.2023.262390
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        atl: Effectiveness of Internet-based Psychosocial Interventions among Family Caregivers of People with Schizophrenia: A Systematic Review.
      aug:
        au:
          Watcharagan Kaewwanna
          Patraporn Bhatarasakoon
          Voranut Kitsumban
        affil: Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
      sug:
        subj:
          Internet
          Telepsychiatry
          Family
          Caregiver Support
          Schizophrenia
          Psychological Distress
          Caregiver Burden
          Emotions
          Health Knowledge
          Psychotic Disorders
          Hospitalization
          Psychotherapy
          Human
          Systematic Review
          Medline
          Embase
          CINAHL Database
          Cochrane Library
          Descriptive Statistics
          Treatment Outcomes
      ab: Internet-based interventions have long been available in mental health care, offering alternative options for caring for patients and caregivers. This review aimed to evaluate the effectiveness of internet-based psychosocial interventions on psychological distress, caregiving burden, expressed emotion, knowledge about psychosis among family caregivers of people with schizophrenia, and hospitalization of the patients. A systematic search was conducted on June 20, 2022, in six databases (MEDLINE, EMBASE, CINAHL, Scopus, Cochrane Library, and ProQuest) from 2010 onwards in English and Thai. The review was conducted based on the JBI approach and reported following the PRISMA guidelines. The protocol was registered in PROSPERO as CRD42021255318. Five out of 20 studies were included in the review. Meta-analysis was impossible due to the methodological heterogeneity across the included studies; therefore, narrative synthesis was utilized. Psychological distress was not improved as reported in one study; however, the caregiving burden was improved in another study. Two studies reported expressed emotion; however, they were impossible to combine due to methodological differences, and the results contradicted each other. Knowledge about psychosis was also found to contradict results in two individual studies. Hospitalization was not impacted by the intervention based on one study. Four studies were randomized control trials, and another was a quasi-experimental research study. One out of four of the former did not mention blinding during randomization, which creates potential performance and detection bias. A robust randomized control trial should be carried out with a similar outcome measurement to decrease the heterogeneity and enhance the possibility for further meta-analysis and the ability to recommend for practice.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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