Evidence map›Paper›PMID 41945638›Full record

Trial reportJMIR mHealth and uHealth2026

Effectiveness of a Telecare-Based Intervention Program in Supporting Informal Caregivers of Community-Dwelling Older Adults in Reducing Stress Levels: Randomized Controlled Trial.

Arkers Kwan Ching Wong, Jonathan Bayuo, Nga Ping Ng, Matthew Yau, Ka Kit Simon Yu, Rose Sin Yi Lin, Jing Jing Su, Vivian Hui, Jed Montayre

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in JMIR mHealth and uHealth, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Arkers Kwan Ching WongSchool of Nursing, Faculty of Health and Social Science, The Hong Kong Polytechnic University, Room 502, Block GH, 1 Cheong Wan Road, Hung Hom, Hong Kong, China (Hong Kong), 852 34003805.ORCID 0000-0001-6708-3099
Jonathan BayuoSchool of Nursing and Midwifery, University of Southern Queensland, Brisbane, Australia.ORCID 0000-0001-8437-2730
Nga Ping NgSchool of Nursing, Faculty of Health and Social Science, The Hong Kong Polytechnic University, Room 502, Block GH, 1 Cheong Wan Road, Hung Hom, Hong Kong, China (Hong Kong), 852 34003805.ORCID 0009-0004-5008-3913
Matthew YauThe Salvation Army, Hong Kong, China (Hong Kong).ORCID 0009-0007-5587-3414
Ka Kit Simon YuThe Salvation Army, Hong Kong, China (Hong Kong).ORCID 0009-0005-7171-9746
Rose Sin Yi LinSchool of Nursing, University of Rochester, Rochester, NY, United States.ORCID 0000-0002-7670-1247
Jing Jing SuSchool of Nursing, Tung Wah College, Homantin, China (Hong Kong).ORCID 0000-0002-8242-811X
Vivian HuiSchool of Nursing, Faculty of Health and Social Science, The Hong Kong Polytechnic University, Room 502, Block GH, 1 Cheong Wan Road, Hung Hom, Hong Kong, China (Hong Kong), 852 34003805.ORCID 0000-0003-1966-6139
Jed MontayreSchool of Nursing, Faculty of Health and Social Science, The Hong Kong Polytechnic University, Room 502, Block GH, 1 Cheong Wan Road, Hung Hom, Hong Kong, China (Hong Kong), 852 34003805.ORCID 0000-0002-2435-8061

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Informal caregivers are essential in supporting community-dwelling older adults, especially as global populations age. However, caregiving responsibilities often result in high stress, depressive symptoms, and diminished quality of life. Traditional support services are fragmented, and many programs overlook caregivers' emotional and informational needs. Telecare-the remote delivery of health and social care via digital technologies-offers a promising approach to provide accessible, personalized, and timely support. Objective: This study evaluated the effectiveness of a telecare-based intervention program, developed by a health-social partnership team, in improving psychological well-being and caregiving outcomes among informal caregivers of community-dwelling older adults. We hypothesized that caregivers in the intervention group would show greater improvements in stress, self-efficacy, depression, quality of life, and caregiving burden compared to those receiving usual care. Methods: A single-blind randomized controlled trial was conducted from January to December 2023, with 75 informal caregivers providing care to older adults (aged ≥60 y) for at least 4 hours per week. Participants were randomized to an intervention group (n=38, 51%) or a control group (n=37, 49%). The 3-month intervention included (1) biweekly online nurse case management supported by a multidisciplinary health-social team, (2) personalized WhatsApp videos on caregiving skills, and (3) a password-protected caregiver website offering resources and peer discussion. The control group attended 6 in-person educational sessions at a community center. Outcomes such as stress, self-efficacy, depression, quality of life, and caregiving burden were measured at baseline and postintervention. Results: Participants had a mean age of 65.5 (SD 9.617) years, and 81.3% (61/74) were female. Baseline characteristics were similar between groups. Compared to controls, the intervention group showed significantly higher self-efficacy (t=1.98; P=.04) and lower depression (t=-2.24; P=.03) at follow-up. Within-group improvements in the intervention group were also observed for stress, depression, self-efficacy, mental quality of life, and caregiving burden. No significant between-group differences were found for stress, quality of life, or caregiving burden. No significant within-group improvements were observed in the control group. Conclusions: This study provides novel evidence that a digitally delivered, nurse-led telecare program-integrating health and social services-can improve psychological outcomes among informal caregivers. These findings have practical implications for health systems seeking scalable, low-barrier solutions to support caregivers. Telecare models may be a valuable complement to traditional services, enhancing caregiver resilience and promoting aging in place while alleviating long-term strain on institutional care systems.

Indexed as

CaregiversStress, PsychologicalAgedDepressionFemaleHumansIndependent LivingMaleMiddle AgedQuality of LifeSelf EfficacySingle-Blind MethodTelemedicinecarecaregivingcommunityinformal caregiversolder adultsstresstelecare

Identifiers

PMID41945638
PMCPMC13055941

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.