Web-based interventions aimed at improving the mental health effects of home caregivers for dementia: Meta-analysis (Preprint)

2019 ◽  
Author(s):  
Hui Feng ◽  
Yinan Zhao ◽  
Mingyue Hu ◽  
Hengyu Hu ◽  
Hui Li ◽  
...  
Keyword(s):  
Mental Health ◽  
Meta Analysis ◽  
The Elderly ◽  
Anxiety Symptoms ◽  
Average Score ◽  
Physical And Mental Health ◽  
Web Based ◽  
Negative Results ◽  
Cochrane Database ◽  
The Web

BACKGROUND Dementia is one of the major cause of disability and dependency among the elderly worldwide, and there are general psychological distresses among caregivers in dementia, such as depression and anxiety symptoms. The physical and mental health of the caregiver is a prerequisite and a promise to help the elderly stay alive and promote health. Web-based interventions can provide for a more convenient and efficient support and education, OBJECTIVE The purpose of this study was to examine the effect of internet-based interventions on mental health outcomes of family caregivers with dementia, and exploring which components of the web-based interventions play an important role.which are likely to reduce caregivers’ negative outcomes associated with care. METHODS A comprehensive literature search was conducted on PubMed, Embase, PsycINFO, Cochrane Database and CINAHL by using relevant terms such as web-based and caregiver as keywords, covering all studies published before June 2018. Two reviewers independently reviewed all published abstracts, according to the established inclusion and exclusion criteria ，we extracted the information about participants, interventions and results, respectively, and reviewed the quality of articles on the methods of randomized trials using the approach recommended by the Cochrane Handbook for systematic review for intervention. RESULTS A total of 815 caregivers participated in 6 articles, and 4 of the studies use depression as an outcome, according to the research after different interventions based on network after the intervention, depression scores average drop of 0.23 (95%CI -0.38 to -0.07, p<0.01), 2 studies show caregivers anxiety symptoms, the average score for anxiety dropped by 0.32 points (95% CI -0.50 to -0.14, p< 0.01), but in terms of coping, pain and stress, the web-based interventions have shown a poor effect. On the whole, the addition of professional psychological support on the basis of education can improve mental health of carers. CONCLUSIONS Internet-based interventions were generally effective in reducing anxiety and depression in dementia carers, although negative results were found in some studies. But in terms of burden and stress, further research is needed.

scholarly journals Prevalence and correlates of loneliness in India: A systematic review

2020 ◽  
Author(s):  
Md Mahbub Hossain ◽  
Neetu Purohit ◽  
Nusrat Khan ◽  
E. Lisako J. McKyer ◽  
Ping Ma ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
English Language ◽  
Meta Analysis ◽  
Empirical Studies ◽  
The Elderly ◽  
Current Evidence ◽  
Physical And Mental Health ◽  
Prevalence Studies ◽  
Factors Associated

Introduction: Loneliness is a critical psychosocial problem that affects mental health and wellbeing of the individuals and communities. This systematic review synthesized the current evidence on the prevalence and correlates of loneliness from empirical studies conducted in India.Methods: Adopting the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines, eight major databases and additional sources were searched. Studies were evaluated using following criteria: peer-reviewed journal articles, published in English language, presenting any quantitative form of evidence on loneliness, and studies conducted in India among the Indian population. A meta-analysis of the prevalence studies and narrative synthesis of the overall status and factors associated with loneliness were conducted.Results: Among 1290 studies, only 13 met our criteria. All the studies reported a high burden of loneliness among the participants. The pooled prevalence among 3169 participants was 41% (95% confidence interval [CI] 18% - 63%). The burden of loneliness was higher among the elderly participants (44%, 95% CI 5% - 83%) compared to younger participants (24%, 95% CI 22% - 27%). Factors associated with loneliness included aging, family structure, marital status, religious practices, group membership, educational attainment, source and level of income, psychological attributes, and comorbid physical and mental health conditions among the affected individuals. Conclusion: This review identified and evaluated the status and severity of loneliness and its correlates, which may inform future studies examining complex psychopathological and social dynamics associated with loneliness. Lastly, the current evidence necessitates the development of multipronged interventions to address the risk factors and alleviate the burden of loneliness in India.

scholarly journals Web-Based Interventions Supporting Adolescents and Young People With Depressive Symptoms: Systematic Review and Meta-Analysis (Preprint)

2017 ◽  
Author(s):  
Maritta Välimäki ◽  
Katriina Anttila ◽  
Minna Anttila ◽  
Mari Lahti
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Information And Communication Technology ◽  
Communication Technology ◽  
Meta Analysis ◽  
Intervention Group ◽  
Short Term ◽  
Web Based ◽  
Information And Communication ◽  
The Web

BACKGROUND Although previous studies on information and communication technology (ICT)–based intervention on mental health among adolescents with depressive symptoms have already been combined in a number of systematic reviews, coherent information is still missing about interventions used, participants’ engagement of these interventions, and how these interventions work. OBJECTIVE We conducted a systematic review and meta-analysis of trials to describe the effectiveness of Web-based interventions to support adolescents with depression or depressive symptoms, anxiety, and stress. We also explored the content of the interventions, as there has previously been a lack of coherent understanding of the detailed content of the Web-based interventions for these purposes. METHODS We included parallel randomized controlled trials targeted at adolescents, or young people in the age range of 10 and 24 years, with symptoms or diagnoses of depression and anxiety. The interventions were from original studies aimed to support mental health among adolescents, and they were delivered via Web-based information and communication technology. RESULTS Out of 2087 records identified, 27 papers (22 studies) met the inclusion criteria. On the basis of a narrative analysis of 22 studies, a variety of Web-based interventions were found; the most commonly used intervention was based on cognitive behavioral therapy. Meta-analysis was further conducted with 15 studies (4979 participants). At the end of the intervention, a statistically significant improvement was found in the intervention group (10 studies) regarding depressive symptoms (P=.02, median 1.68, 95% CI 3.11-0.25) and after 6 months (3 studies; P=.01, median 1.78, 95% CI 3.20-0.37). Anxiety symptoms (8 studies; P<.001, median 1.47, 95% CI 2.36-0.59) and moods and feelings (2 studies; P=.04, median 5.55, 95% CI 10.88-0.22) improved as well in the Web-based intervention group, but there was no difference in stress scores. However, adolescents in the intervention group left the study early more often, both in short-term studies (11 studies; P=.007, median 1.31, 95% CI 1.08-1.58) and mid-term studies (3 studies; P=.02, median 1.65, 95% CI 1.09-2.49). We did not find any studies that had assessed the costs of the Web-based interventions. CONCLUSIONS Despite widely reported promises that information technology use is beneficial to adolescents with depression, the results of our review show only short-term effects on adolescents’ mental well-being, whereas long-term effects remain questionable because of the limited number of studies reviewed. Information about the economic benefits of Web-based interventions is still lacking. The quality of the studies, especially biases related to attrition rates and selective reporting, still needs serious attention.

scholarly journals Prevalence and correlates of loneliness in India: A systematic review

2020 ◽  
Author(s):  
Md Mahbub Hossain ◽  
Neetu Purohit ◽  
Nusrat Khan ◽  
E. Lisako J. McKyer ◽  
Ping Ma ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
English Language ◽  
Meta Analysis ◽  
Empirical Studies ◽  
The Elderly ◽  
Current Evidence ◽  
Physical And Mental Health ◽  
Prevalence Studies ◽  
Factors Associated

<p></p><p><b>Introduction:</b> Loneliness is a critical psychosocial problem that affects mental health and wellbeing of the individuals and communities. This systematic review synthesized the current evidence on the prevalence and correlates of loneliness from empirical studies conducted in India. </p><p><br></p><p><b>Methods:</b> Adopting the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines, eight major databases and additional sources were searched. Studies were evaluated using following criteria: peer-reviewed journal articles, published in English language, presenting any quantitative form of evidence on loneliness, and studies conducted in India among the Indian population. A meta-analysis of the prevalence studies and narrative synthesis of the overall status and factors associated with loneliness were conducted.</p><p><br></p><p><b>Results:</b> Among 1290 studies, only 13 met our criteria. All the studies reported a high burden of loneliness among the participants. The pooled prevalence among 3169 participants was 41% (95% confidence interval [CI] 18% - 63%). The burden of loneliness was higher among the elderly participants (44%, 95% CI 5% - 83%) compared to younger participants (24%, 95% CI 22% - 27%). Factors associated with loneliness included aging, family structure, marital status, religious practices, group membership, educational attainment, source and level of income, psychological attributes, and comorbid physical and mental health conditions among the affected individuals. </p><p><br></p><p> </p><p><b>Conclusion:</b> This review identified and evaluated the status and severity of loneliness and its correlates, which may inform future studies examining complex psychopathological and social dynamics associated with loneliness. Lastly, the current evidence necessitates the development of multipronged interventions to address the risk factors and alleviate the burden of loneliness in India. </p><p></p>

scholarly journals Prevalence and correlates of loneliness in India: A systematic review

2020 ◽  
Author(s):  
Md Mahbub Hossain ◽  
Neetu Purohit ◽  
Nusrat Khan ◽  
E. Lisako J. McKyer ◽  
Ping Ma ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
English Language ◽  
Meta Analysis ◽  
Empirical Studies ◽  
The Elderly ◽  
Current Evidence ◽  
Physical And Mental Health ◽  
Prevalence Studies ◽  
Factors Associated

<p></p><p><b>Introduction:</b> Loneliness is a critical psychosocial problem that affects mental health and wellbeing of the individuals and communities. This systematic review synthesized the current evidence on the prevalence and correlates of loneliness from empirical studies conducted in India. </p><p><br></p><p><b>Methods:</b> Adopting the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines, eight major databases and additional sources were searched. Studies were evaluated using following criteria: peer-reviewed journal articles, published in English language, presenting any quantitative form of evidence on loneliness, and studies conducted in India among the Indian population. A meta-analysis of the prevalence studies and narrative synthesis of the overall status and factors associated with loneliness were conducted.</p><p><br></p><p><b>Results:</b> Among 1290 studies, only 13 met our criteria. All the studies reported a high burden of loneliness among the participants. The pooled prevalence among 3169 participants was 41% (95% confidence interval [CI] 18% - 63%). The burden of loneliness was higher among the elderly participants (44%, 95% CI 5% - 83%) compared to younger participants (24%, 95% CI 22% - 27%). Factors associated with loneliness included aging, family structure, marital status, religious practices, group membership, educational attainment, source and level of income, psychological attributes, and comorbid physical and mental health conditions among the affected individuals. </p><p><br></p><p> </p><p><b>Conclusion:</b> This review identified and evaluated the status and severity of loneliness and its correlates, which may inform future studies examining complex psychopathological and social dynamics associated with loneliness. Lastly, the current evidence necessitates the development of multipronged interventions to address the risk factors and alleviate the burden of loneliness in India. </p><p></p>

Application of mobile health to support the elderly during the COVID-19 outbreak: A systematic literature review (Preprint)

2021 ◽  
Author(s):  
Saeedeh Fehresti ◽  
Elham Monaghesh
Keyword(s):  
Mental Health ◽  
Health Services ◽  
Mobile Health ◽  
The Elderly ◽  
Mental Health Consultation ◽  
Inclusion Criteria ◽  
Physical And Mental Health ◽  
Current Crisis ◽  
Health Service Provision ◽  
Positive Effects

BACKGROUND The COVID-19 outbreak has affected the elderly's physical and mental health. The application of information and communication technology, such as mobile health (m-health), can play a significant role in combating this pandemic by changing the behavior and lifestyle of the elderly during this time of crisis. OBJECTIVE This systematic review aimed to synthesize m-health capabilities in providing health services to the elderly during the COVID-19 pandemic, and to identify the factors associated with the success of these tools. METHODS To find the relevant studies, a search was conducted in PubMed, Web of Science, Scopus, ProQuest, and Google Scholar. The inclusion criteria were: studies in English that used m-health intervention in all aspects of elderly healthcare during the COVID-19 outbreak, published in peer-reviewed journals from 31 December 2019, and had any research design and methodology. Two authors independently took all the steps of this review, and finally performed narrative synthesis to report the findings. RESULTS Our initial search identified 421 studies, of which 10 met the inclusion criteria. The data analysis showed that all the m-health interventions had positive effects on the health of the elderly. The m-health services for the elderly during the current pandemic were used for therapy, information provision, self-help, monitoring, and mental health consultation purposes. The results also indicated that various factors affected the elderly's use of m-health tools. CONCLUSIONS The application of m-health keeps the elderly and healthcare providers safe, accelerates health service provision, reduces the costs of service delivery, and decreases the risk of morbidity and mortality during the COVID-19 outbreak. The successful use of m-health tools for the elderly in health programs during the current crisis greatly depends on supporting the elderly and overcoming the barriers.

scholarly journals When the Bough Breaks: A Systematic Review and Meta-Analysis of Mental Health Symptoms in Mothers of Young Children during the COVID-19 Pandemic

2021 ◽  
Author(s):  
Nicole Racine ◽  
Rachel Eirich ◽  
Jessica Cookee ◽  
Jenney Zhu ◽  
Paolo Pador ◽  
...  
Keyword(s):  
Mental Health ◽  
Young Children ◽  
Maternal Mental Health ◽  
Meta Analysis ◽  
Random Effect ◽  
Well Being ◽  
Anxiety Symptoms ◽  
Study Quality ◽  
Depression And Anxiety ◽  
Meta Analyses

Parents have experienced considerable challenges and stress during the COVID-19 pandemic, which may impact their well-being. This meta-analysis sought to identify: 1) the prevalence of depression and anxiety in parents of young children (&lt; age 5) during the COVID-19 pandemic, and 2) sociodemographic (e.g., parent age, minority status) and methodological moderators (e.g., study quality) that explain heterogeneity among studies. A systematic search was conducted across four databases from January 1st, 2020 to March 3st, 2021. A total of 18 non-overlapping studies (9,101 participants), all focused on maternal mental health, met inclusion criteria. Random-effect meta-analyses were conducted. Pooled prevalence estimates for clinically significant depression and anxiety symptoms for mothers of young children during the COVID-19 pandemic were 27.4% (95% CI: 21.5-34.3) and 43.5% (95% CI:27.5-60.9), respectively. Prevalence of clinically elevated depression and anxiety symptoms were higher in Europe and North America and among older mothers. Clinically elevated depressive symptoms were lower in studies with a higher percentage of racial and ethnic minority individuals. In comparison, clinically elevated anxiety symptoms were higher among studies of low study quality and in samples with highly educated mothers. Policies and resources targeting improvements in maternal mental health are essential.

scholarly journals Pengembangan tes membaca bahasa Indonesia berbasis web bagi mahasiswa Thailand di Universitas Negeri Yogyakarta

LingTera ◽  
2019 ◽  
Vol 6 (1) ◽  
pp. 91-99
Author(s):  
Aleeyah Masae
Keyword(s):  
Reading Comprehension ◽  
Test Reliability ◽  
Choice Test ◽  
Elementary Level ◽  
Average Score ◽  
Web Based ◽  
Test Items ◽  
Thai Students ◽  
Bahasa Indonesia ◽  
The Web

Penelitian ini bertujuan untuk menghasilkan instrumen tes hasil belajar pemahaman membaca Bahasa Indonesia berbasis web yang dapat digunakan oleh mahasiswa Thailand tingkat dasar. Subjek yang terlibat dalam uji coba adalah 12 mahasiswa Thailand yang kuliah di Universitas Negeri Yogyakarta (UNY). Uji coba tes berjumlah tiga orang, sedangkan uji coba kelayakan web berjumlah sembilan orang. Data yang digali dalam penelitian ini adalah data dari angket dan data uji coba tes. Data dari angket menggunakan teknik analisis deskriptif kuantitatif dan data uji coba tes analisis menggunakan program ITEMAN. Hasil penelitian ini adalah sebagai berikut: (1) Proses pengembangan UKBIPUTH berbasis web terdiri atas dua tahap, yaitu tahap pengembangan tes dan pengembangan web. Tahap pengembangan tes diawali dengan penyusunan kisi-kisi, menyusun butir-butir soal dan ditelaah butir tes oleh ahli serta merevisi, uji coba tes, dan analisis butir tes. Selanjutnya tahap pengembangan web diawali dengan mendesain flowchart dan storyboard serta pembuatan produk, kemudian produk divalidasi oleh ahli media, uji coba skala kecil, dan uji coba skala besar; (2) Karakteristik tes pilihan ganda, tes benar/salah, dan tes menjodohkan memiliki validitas isi tes baik dan koefisien reliabilitas tes masing-masing kategori tinggi. Analisis butir tes berdasarkan tingkat kesukaran butir tes baik dan efektivitas pengecoh butir tes baik; (3) Hasil penilaian dari aspek tampilan web dengan berkategori baik; (4) Hasil penilaian dari aspek sistem web dengan berkategori baik. Developing web-based Indonesian language reading test for Thai students at the Universitas Negeri Yogyakarta AbstractThis study aims to develop an elementary level web-based Indonesian reading comprehension test for Thai students. The data collection instruments included evaluation sheets for the material and media experts and questionnaires to individual students on the field trials. The test items were analysed using the Iteman. The quantitative descriptive analysis technique was used to analyse the data. The results of this study are as follows: (1) The process of developing the web-based UKBIPUTH is done in two steps; they are the development of test and the development of web. The development of test was started by developing test items and later validated by the experts, test try-out, and finally test items analysis; (2) Characteristics of the multiple-choice test, true-false test, and matching test are described as follows: the content validation was good and the test reliability of Alpha respectively 0.748, 0.762, and 0.772. Based on the analysis by using ITEMAN item, the tests have a good difficulty index and the effectiveness of the test items distractors are good because the distractors work well; (3) The final product gets the evaluation in the aspect of appearance which is categorized ‘good’ with an average score of 3.80; (4) The final product gets the evaluation in the system aspects is categorized as ‘good’ with an average score of 4.10. The web-based test tool, UKBIPUTH is fit to be used to measure elementary level Indonesian reading comprehension of Thai students.

scholarly journals Web-Based Mindfulness Interventions for Mental Health Treatment: Systematic Review and Meta-Analysis

10.2196/10278 ◽  
2018 ◽  
Vol 5 (3) ◽  
pp. e10278 ◽  
Author(s):  
Julia Sevilla-Llewellyn-Jones ◽  
Olga Santesteban-Echarri ◽  
Ingrid Pryor ◽  
Patrick McGorry ◽  
Mario Alvarez-Jimenez
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Anxiety Disorder ◽  
Clinical Sample ◽  
Meta Analysis ◽  
Web Based ◽  
Mindfulness Skills ◽  
Mindfulness Interventions ◽  
Depression Disorder

Background Web-based mindfulness interventions are increasingly delivered through the internet to treat mental health conditions. Objective The objective of this study was to determine the effectiveness of web-based mindfulness interventions in clinical mental health populations. Secondary aims were to explore the impact of study variables on the effectiveness of web-based mindfulness interventions. Methods We performed a systematic review and meta-analysis of studies investigating the effects of web-based mindfulness interventions on clinical populations. Results The search strategy yielded 12 eligible studies. Web-based mindfulness interventions were effective in reducing depression in the total clinical sample (n=656 g=−0.609, P=.004) and in the anxiety disorder subgroup (n=313, g=−0.651, P<.001), but not in the depression disorder subgroup (n=251, P=.18). Similarly, web-based mindfulness interventions significantly reduced anxiety in the total clinical sample (n=756, g=−0.433, P=.004) and the anxiety disorder subgroup (n=413, g=−0.719, P<.001), but not in the depression disorder group (n=251, g=−0.213, P=.28). Finally, web-based mindfulness interventions improved quality of life and functioning in the total sample (n=591, g=0.362, P=.02) in the anxiety disorder subgroup (n=370, g=0.550, P=.02) and mindfulness skills in the total clinical sample (n=251, g=0.724, P<.001). Conclusions Results support the effectiveness of web-based mindfulness interventions in reducing depression and anxiety and in enhancing quality of life and mindfulness skills, particularly in those with clinical anxiety. Results should be interpreted with caution given the high heterogeneity of web-based mindfulness interventions and the low number of studies included.

Anaemia and physical and mental health in the very old: An individual participant data meta-analysis of four longitudinal studies of ageing

2020 ◽  
Author(s):  
Leah Palapar ◽  
Ngaire Kerse ◽  
Anna Rolleston ◽  
Wendy P J den Elzen ◽  
Jacobijn Gussekloo ◽  
...  
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Standard Deviation ◽  
Cognitive Function ◽  
Functional Ability ◽  
Meta Analysis ◽  
Physical And Mental Health ◽  
Very Old ◽  
Self Rated Health ◽  
Over Time

Abstract Objective To determine the physical and mental health of very old people (aged 80+) with anaemia. Methods Individual level meta-analysis from five cohorts of octogenarians (n = 2,392): LiLACS NZ Māori, LiLACS NZ non-Māori, Leiden 85-plus Study, Newcastle 85+ Study, and TOOTH. Mixed models of change in functional ability, cognitive function, depressive symptoms, and self-rated health over time were separately fitted for each cohort. We combined individual cohort estimates of differences according to the presence of anaemia at baseline, adjusting for age at entry, sex, and time elapsed. Combined estimates are presented as differences in standard deviation units (i.e. standardised mean differences–SMDs). Results The combined prevalence of anaemia was 30.2%. Throughout follow-up, participants with anaemia, on average, had: worse functional ability (SMD −0.42 of a standard deviation across cohorts; CI -0.59,-0.25); worse cognitive scores (SMD -0.27; CI -0.39,-0.15); worse depression scores (SMD -0.20; CI -0.31,-0.08); and lower ratings of their own health (SMD -0.36; CI -0.47,-0.25). Differential rates of change observed were: larger declines in functional ability for those with anaemia (SMD −0.12 over five years; CI -0.21,-0.03) and smaller mean difference in depression scores over time between those with and without anaemia (SMD 0.18 over five years; CI 0.05,0.30). Conclusion Anaemia in the very old is a common condition associated with worse functional ability, cognitive function, depressive symptoms, and self-rated health, and a more rapid decline in functional ability over time. The question remains as to whether anaemia itself contributes to worse outcomes or is simply a marker of chronic diseases and nutrient deficiencies.

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