[E-mental health interventions for family caregivers of older adults: a review].
OBJECTIVE
To present a systematic overview of the different e-mental health interventions for caregivers of older adults.


METHODS
Systematic literature research of implemented and evaluated e-mental interventions for caregivers of older adults.


RESULTS
Thirteen e-mental health interventions are included: six telephone, one camera and six internet interventions. In general, research on user friendliness and client satisfaction shows positive results. The effectiveness of three e-mental health interventions have been studied. The family-based structural in-home intervention with the computer telephone integrated system shows a decrease in depressive symptoms after six and eighteen month. The telephone linked computer system did not show positive mental health effects for the total group of family caregivers. After online lessons, caregivers were more capable to organize respite care and to manage disruptive and challenging behaviours of the care recipient. Their ability to solve their own problems increased and their subjective burden decreased. A cost analysis of an internet intervention shows a reduction in costs in comparison to regular care.


CONCLUSIONS
E-mental health interventions for caregivers of older adults are encouraging, although research in this field is still in its infancy. Research on the effectiveness and cost-effectiveness of these type of interventions is needed. In addition, the opportunities of internet interventions could be used more extensively.
Mann-Poll
P S
PS
Wetenschappelijk medewerker Programma Ouderen, Trimbos-instituut, Utrecht.
de Lange
J
J
Pot
A M
AM
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers / Q000523:psychology*; D003156:Community Mental Health Services / Q000379:methods*; D003362:Cost-Benefit Analysis; D003866:Depressive Disorder / Q000517:prevention & control; D005260:Female; D017048:Health Care Costs; D006299:Health Services for the Aged; D006801:Humans; D020407:Internet; D008297:Male; D012144:Respite Care / Q000523:psychology; D013689:Telephone; D016896:Treatment Outcome