Huang Di, Wu Dongjun, Moyle Wendy
School of Nursing and Midwifery, Griffith University, Brisbane, Queensland, Australia.
J Clin Nurs. 2025 Oct;34(10):3981-3994. doi: 10.1111/jocn.17817. Epub 2025 May 28.
Dementia education is critical for equipping informal carers with the necessary skills and knowledge to provide effective care. However, delivering comprehensive and accessible education remains challenging, particularly in resource-limited settings. Digital tools have emerged as innovative solutions to bridge these gaps, yet limited attention has been given to how such interventions are implemented in diverse caregiving contexts.
This scoping review aims to identify, synthesise and critically map the implementation strategies employed in digital education programmes designed for informal carers of people living with dementia. It also explores the contextual challenges and enabling factors associated with adopting and delivering such interventions across different care settings.
A scoping review was conducted following the PRISMA-ScR and JBI guidelines. The study adheres to the PRISMA-ScR checklist to ensure transparent and comprehensive reporting. Comprehensive searches were performed in eleven databases, covering studies published up to February 2024. Out of 2747 identified records, duplicates were removed and studies were screened based on predefined inclusion criteria. Ultimately, 18 studies were included in the review.
The findings revealed three core areas: (a) types of digital tools used, including online platforms, video conferencing, mobile applications and SMS services; (b) educational domains addressed, such as knowledge and skills, psychological support, communication and social interaction, and environmental and technological adaptation; and (c) implementation strategies and outcomes, highlighting personalisation, cultural sensitivity and technological adaptability, which improved knowledge, emotional well-being and carer self-efficacy. Based on these findings, a theoretical framework was developed that proposed a progressive model-Foundational, Competency and Growth-that aligns digital tools with carers' evolving needs and caregiving stages.
The scoping review demonstrates the potential of digital tools in informal carers' dementia education. To optimise their effectiveness, educational strategies should integrate active, adaptive and culturally tailored approaches, addressing carers' needs at both individual and systemic levels. Future research should explore the scalability, inclusivity and long-term impact of digital dementia education programmes to enhance carer support and patient outcomes.
痴呆症教育对于使非正式护理人员具备提供有效护理所需的技能和知识至关重要。然而,提供全面且易于获取的教育仍然具有挑战性,尤其是在资源有限的环境中。数字工具已成为弥合这些差距的创新解决方案,但对于此类干预措施在不同护理环境中的实施方式关注有限。
本范围综述旨在识别、综合并批判性地梳理为痴呆症患者的非正式护理人员设计的数字教育项目中所采用的实施策略。它还探讨了在不同护理环境中采用和实施此类干预措施相关的背景挑战及促成因素。
按照PRISMA - ScR和JBI指南进行范围综述。该研究遵循PRISMA - ScR清单以确保透明且全面的报告。在11个数据库中进行了全面检索,涵盖截至2024年2月发表的研究。在2747条识别出的记录中,去除重复项,并根据预定义的纳入标准对研究进行筛选。最终,18项研究被纳入综述。
研究结果揭示了三个核心领域:(a) 使用的数字工具类型,包括在线平台、视频会议、移动应用程序和短信服务;(b) 涉及的教育领域,如知识与技能、心理支持、沟通与社交互动以及环境与技术适应;(c) 实施策略与成果,突出个性化、文化敏感性和技术适应性,这些改善了知识水平、情绪健康状况和护理人员的自我效能感。基于这些发现,构建了一个理论框架,提出了一个递进模型——基础、能力和成长——使数字工具与护理人员不断变化的需求及护理阶段相匹配。
该范围综述展示了数字工具在非正式护理人员痴呆症教育中的潜力。为优化其效果,教育策略应整合积极、适应性强且符合文化特点的方法,在个体和系统层面满足护理人员的需求。未来的研究应探索数字痴呆症教育项目的可扩展性、包容性和长期影响,以加强对护理人员的支持并改善患者结局。