Telehealth in Informal Caregivers of Stroke Survivors: A Systematic Review

<b>Background</b>: There has been an increase in people with disabilities who require continuous care, which often falls to informal carers (ICs). Stroke is one of the conditions where ICs are most needed. Therefore, it is necessary for ICs to improve their caregiving skills and self-car...

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Main Authors: Juan Carlos Zuil-Escobar, Jose Antonio Martín-Urrialde, Juan Andrés Mesa-Jiménez, Rocío Palomo-Carrión, Carmen Belén Martínez-Cepa
Format: Article
Language:English
Published: MDPI AG 2024-03-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/13/6/1810
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author Juan Carlos Zuil-Escobar
Jose Antonio Martín-Urrialde
Juan Andrés Mesa-Jiménez
Rocío Palomo-Carrión
Carmen Belén Martínez-Cepa
author_facet Juan Carlos Zuil-Escobar
Jose Antonio Martín-Urrialde
Juan Andrés Mesa-Jiménez
Rocío Palomo-Carrión
Carmen Belén Martínez-Cepa
author_sort Juan Carlos Zuil-Escobar
collection DOAJ
description <b>Background</b>: There has been an increase in people with disabilities who require continuous care, which often falls to informal carers (ICs). Stroke is one of the conditions where ICs are most needed. Therefore, it is necessary for ICs to improve their caregiving skills and self-care capacity. Telehealth (TH) can facilitate them. The aim of this systematic review is to summarize the evidence of the effects of interventions on ICs of stroke patients. <b>Methods</b>: The search was conducted in Pubmed, Scopus, Web of Science, CINALH, Psychology and Behavioral Sciences Collection, and APA PsycInfo. Key search terms included “stroke”, “informal caregiver” and “telemedicine”. Only randomised clinical trials were included. <b>Results</b>: A total of 2031 articles were found in the databases, 476 were screened and 19 clinical trials met the eligibility criteria. Different TH programmes have evaluated many outcomes related to physical and emotional health. The TH tools included phone, videophone, web-based interventions, and social media. The most investigated outcome was depression; although contradictory results were found, the TH may have helped to prevent an increase in depressive symptoms. There were inconsistent results on the caregiving burden and the preparedness of the IC. However, TH has positive effects on the health of the ICs, reducing the number of unhealthy days, anxiety, task difficulty perception, and improving psychological health. <b>Conclusions</b>: TH may be a useful tool to improve the abilities and health of ICs of SS. No adverse effects have been reported. More quality studies evaluating the effects of telemedicine on the ICs of stroke survivors, as well as the most appropriate doses, are needed.
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spelling doaj.art-eb4054d83b354cb6b5627d670b3420872024-03-27T13:48:22ZengMDPI AGJournal of Clinical Medicine2077-03832024-03-01136181010.3390/jcm13061810Telehealth in Informal Caregivers of Stroke Survivors: A Systematic ReviewJuan Carlos Zuil-Escobar0Jose Antonio Martín-Urrialde1Juan Andrés Mesa-Jiménez2Rocío Palomo-Carrión3Carmen Belén Martínez-Cepa4Departamento de Fisioterapia, Facultad de Medicina, Universidad San Pablo-CEU, CEU Universities, Urbanización Montepríncipe, 28668 Alcorcón, SpainDepartamento de Fisioterapia, Facultad de Medicina, Universidad San Pablo-CEU, CEU Universities, Urbanización Montepríncipe, 28668 Alcorcón, SpainDepartamento de Fisioterapia, Facultad de Medicina, Universidad San Pablo-CEU, CEU Universities, Urbanización Montepríncipe, 28668 Alcorcón, SpainPhysiotherapy Department, Universidad de Castilla-La Mancha, 45071 Toledo, SpainDepartamento de Fisioterapia, Facultad de Medicina, Universidad San Pablo-CEU, CEU Universities, Urbanización Montepríncipe, 28668 Alcorcón, Spain<b>Background</b>: There has been an increase in people with disabilities who require continuous care, which often falls to informal carers (ICs). Stroke is one of the conditions where ICs are most needed. Therefore, it is necessary for ICs to improve their caregiving skills and self-care capacity. Telehealth (TH) can facilitate them. The aim of this systematic review is to summarize the evidence of the effects of interventions on ICs of stroke patients. <b>Methods</b>: The search was conducted in Pubmed, Scopus, Web of Science, CINALH, Psychology and Behavioral Sciences Collection, and APA PsycInfo. Key search terms included “stroke”, “informal caregiver” and “telemedicine”. Only randomised clinical trials were included. <b>Results</b>: A total of 2031 articles were found in the databases, 476 were screened and 19 clinical trials met the eligibility criteria. Different TH programmes have evaluated many outcomes related to physical and emotional health. The TH tools included phone, videophone, web-based interventions, and social media. The most investigated outcome was depression; although contradictory results were found, the TH may have helped to prevent an increase in depressive symptoms. There were inconsistent results on the caregiving burden and the preparedness of the IC. However, TH has positive effects on the health of the ICs, reducing the number of unhealthy days, anxiety, task difficulty perception, and improving psychological health. <b>Conclusions</b>: TH may be a useful tool to improve the abilities and health of ICs of SS. No adverse effects have been reported. More quality studies evaluating the effects of telemedicine on the ICs of stroke survivors, as well as the most appropriate doses, are needed.https://www.mdpi.com/2077-0383/13/6/1810caregivercaregiver burdenstroketelemedicine
spellingShingle Juan Carlos Zuil-Escobar
Jose Antonio Martín-Urrialde
Juan Andrés Mesa-Jiménez
Rocío Palomo-Carrión
Carmen Belén Martínez-Cepa
Telehealth in Informal Caregivers of Stroke Survivors: A Systematic Review
Journal of Clinical Medicine
caregiver
caregiver burden
stroke
telemedicine
title Telehealth in Informal Caregivers of Stroke Survivors: A Systematic Review
title_full Telehealth in Informal Caregivers of Stroke Survivors: A Systematic Review
title_fullStr Telehealth in Informal Caregivers of Stroke Survivors: A Systematic Review
title_full_unstemmed Telehealth in Informal Caregivers of Stroke Survivors: A Systematic Review
title_short Telehealth in Informal Caregivers of Stroke Survivors: A Systematic Review
title_sort telehealth in informal caregivers of stroke survivors a systematic review
topic caregiver
caregiver burden
stroke
telemedicine
url https://www.mdpi.com/2077-0383/13/6/1810
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