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Development, Implementation, and Outcomes of Web-Based Interventions for Family
Caregivers of Individuals with Dementia: A Scoping Review
#MMPMID41341683
Wu J
; Zhao Z
; Ma Y
; Liu T
; Xiao M
; Wang J
Risk Manag Healthc Policy
2025[]; 18
(?): 3739-3753
PMID41341683
show ga
PURPOSE: This scoping review aims to summarize the landscape of web-based
interventions for family caregivers of individuals with dementia, with a specific
focus on their design, implementation approaches, and outcomes. METHODS: This
scoping review followed Arksey and O'Malley's five-stage framework and conducted
a comprehensive literature search of publications up to October 1, 2025. Six
databases were systematically searched, with relevant studies collected and
cataloged. The analysis focused on the theoretical foundations, development,
content, and implementation of interventions, as well as intervention outcomes.
Descriptive statistics were employed for data analysis. RESULTS: A total of 41
studies met the inclusion criteria, representing 37 unique web-based
interventions. Half of the studies were conducted in the United States and the
Netherlands. Over 80% (80.5%) of the interventions were delivered via websites,
with a smaller proportion (19.5%) provided through applications. The
interventions typically featured components including providing information and
care skills guidance (85.4%), peer support (41.5%), contact with professionals
(43.9%), decision support (39.0%), psychological support (90.2%), and self-care
guidance (90.2%). Although a substantial portion of interventions demonstrated
notable improvements in caregiver burden and stress within the intervention
groups, differences between the intervention and control groups were often not
substantial. Additionally, approximately two-thirds (68.3%) of the interventions
lacked theoretical guidance in their development and implementation. CONCLUSION:
The scoping review indicates that existing web-based interventions have potential
benefits in supporting family caregivers of individuals with dementia, but there
are notable gaps in personalization, theoretical guidance, and strategies to
enhance adherence. Future studies should focus on strengthening the theoretical
frameworks that guide intervention design and implementation, improving adherence
strategies, and exploring more flexible and personalized online tools to reduce
caregiver burden and stress, thereby enhancing the effectiveness and scalability
of these interventions.