Implementation of e-mental health interventions for informal caregivers – a systematic review of what we know and where to go next

• Introduction: E-mental health interventions have the potential to provide accessible mental health support to informal caregivers who commonly experience mental health problems. However, e-mental health interventions for informal caregivers are frequently not implemented. Methods: A mixed-methods systematic review was undertaken to explore what factors impact the implementation of e-mental health interventions for informal caregivers. Within the review, a thematic synthesis utilizing primarily deductive coding based on the Consolidated Framework for Implementation Research was used to identify implementation barriers and facilitators.Results: The thematic synthesis included 44 reports resulting in identification of 152 barriers and facilitators. Barriers and facilitators were commonly related to the intervention and individual characteristic domains of the framework, including barriers such as lack of diversity in informal care scenarios included in the intervention and lack of support, and facilitators such as user-friendly design and providing benefits to informal caregivers (e.g. improved wellbeing). Barriers and facilitators related to the outer and inner setting, and the implementation process were less commonly explored but included lack of resources as a barrier, and alignment between the intervention and organizational goals as a facilitator. Conclusions: Implementation barriers and facilitators identified in this review can be used to inform future intervention development and implementation strategy development and planning. Future research should focus on exploring the perspectives of professionals who may be involved in implementation of e-mental health interventions for informal caregivers to improve our understanding of factors that influence e-mental health implementation within implementing organisations.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Health Sciences (hsv//eng)

SAMHÄLLSVETENSKAP  -- Psykologi (hsv//swe)

SOCIAL SCIENCES  -- Psychology (hsv//eng)

Nyckelord

informal caregiver

systematic review

e-mental health

implementation

Publikations- och innehållstyp

ref (ämneskategori)

kon (ämneskategori)