Impact of the Internet<sup>+</sup> Transitional Care on Knowledge, Attitudes, and Practice of Family Caregivers of Patients with Alzheimer’s Disease: A Randomized Controlled Trial

Guilin Liu; Ruiying Huang; Yan Liu; Ni Zhang; Weiju Chen; Qingran Lin

doi:doi:10.11648/j.ajns.20200906.21

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Impact of the Internet⁺ Transitional Care on Knowledge, Attitudes, and Practice of Family Caregivers of Patients with Alzheimer’s Disease: A Randomized Controlled Trial

Guilin Liu, Ruiying Huang, Yan Liu, Ni Zhang, Weiju Chen, Qingran Lin

Published in American Journal of Nursing Science (Volume 9, Issue 6)

Received: 27 November 2020 Accepted: 7 December 2020 Published: 22 December 2020

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Abstract

Purpose: To determine the impact of the internet⁺ transitional care on knowledge, attitudes, and practice (KAP) of family caregivers of patients with Alzheimer’s disease (AD) and analyze the practicability of the internet⁺ Medical Messenger and WeChat network support platforms. Background: The number of AD patients in China has exceeded 10 million, ranking first in the world. Home care is the main way of care for AD patients. We use the Internet platform to implement “online” combined with “offline” continuous care for AD patients and home caregivers, and provide personalized health education and guidance, so that caregivers can easily master disease-related knowledge, establish positive care beliefs, improve care ability, and promote the improvement of patients’ caregivers’ knowledge, attitude and practice. Method: The family caregivers of 77 patients with AD were randomly divided into two groups (intervention group [40 patients] and control group [37 patients]). The intervention group adopted the internet + transitional care, while the control group adopted traditional transitional care. The KAP of the two groups of family caregivers before intervention, 3 months after intervention, and 6 months after intervention were analyzed. Results: The KAP scores of the 77 family caregivers before intervention were 17.39 ± 2.92, 33.42 ± 4.77, and 57.65 ± 13.84. There was no significant difference in the knowledge scores in the care (t=1.89, P=0.062) and symptom (t=1.78, P=0.078) dimensions 3 months after intervention, while there was a significant difference in the other KAP dimensions (P < 0.05). Conclusions: The internet + transitional care improves the level to of KAP among family caregivers of patients with AD and the effect was proportional to time.

Published in	American Journal of Nursing Science (Volume 9, Issue 6)
DOI	10.11648/j.ajns.20200906.21
Page(s)	445-449
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Internet +, Transitional Care, AD, Family Caregiver, KAP

References

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[6]	Jie L, Qinghua Z, Mingzhao X, et al. The level and influencing factors of Knowledge-Attitude-Practice on common safety risks in caregivers of elders in communities [J]. Chinese Nursing Management, 2015, 15 (07): 850-854.
[7]	Iribarren S, Stonbraker S, Suero-Tejeda N, et al. Information, communication, and online tool needs of Hispanic family caregivers of individuals with Alzheimer’s disease and related dementias [J]. Informatics for Health and Social Care, 2018: 1-20.
[8]	Coffman I, Resnick H E, Lathan C E. Practiceal health characteristics of a technology-enabled sample of Alzheimer’s caregivers with high caregiver burden [J]. mHealth, 2017, 3: 36.
[9]	Book F, Goedeke J. et al. Access to an Online Video Enhances the Consent Process, Increases Knowledge, and Decreases Anxiety of Caregivers with Children Scheduled for Inguinal Hernia Repair: A Randomized Controlled Study. Jour Pediatr Surg. 2019. 9 (47): 1-11.
[10]	Grazia D’Onofrio, Daniele Sancarlo, Francesco Ricciardi, et al. Information and Communication Technologies for the Activities of Daily Living in Older Patients with Dementia: A Systematic Review [J]. Journal of Alzheimers Disease, 2017, 57 (3): 1-9.
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[13]	Dam A E H, Van B M P J, Nico R, et al. Development and feasibility of Inlife: A pilot study of an online social support intervention for informal caregivers of people with dementia [J]. PLOS ONE, 2017, 12 (9): e0183386.
[14]	Grover S, Nehra R, Malhotra R, et al. Positive Aspects of Caregiving Experience among Caregivers of Patients with Dementia [J]. East Asian Archives of Psychiatry, 2017, 27 (2): 71.
[15]	Ben Mortenson W, Demers L, Fuhrer M J, et al. Effects of a caregiver-inclusive assistive technology intervention: a randomized controlled trial [J]. BMC Geriatrics, 2018, 18 (1): 97.

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APA Style

Guilin Liu, Ruiying Huang, Yan Liu, Ni Zhang, Weiju Chen, et al. (2020). Impact of the Internet+ Transitional Care on Knowledge, Attitudes, and Practice of Family Caregivers of Patients with Alzheimer’s Disease: A Randomized Controlled Trial. American Journal of Nursing Science, 9(6), 445-449. https://doi.org/10.11648/j.ajns.20200906.21

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ACS Style

Guilin Liu; Ruiying Huang; Yan Liu; Ni Zhang; Weiju Chen, et al. Impact of the Internet+ Transitional Care on Knowledge, Attitudes, and Practice of Family Caregivers of Patients with Alzheimer’s Disease: A Randomized Controlled Trial. Am. J. Nurs. Sci. 2020, 9(6), 445-449. doi: 10.11648/j.ajns.20200906.21

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AMA Style

Guilin Liu, Ruiying Huang, Yan Liu, Ni Zhang, Weiju Chen, et al. Impact of the Internet+ Transitional Care on Knowledge, Attitudes, and Practice of Family Caregivers of Patients with Alzheimer’s Disease: A Randomized Controlled Trial. Am J Nurs Sci. 2020;9(6):445-449. doi: 10.11648/j.ajns.20200906.21

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@article{10.11648/j.ajns.20200906.21,
  author = {Guilin Liu and Ruiying Huang and Yan Liu and Ni Zhang and Weiju Chen and Qingran Lin},
  title = {Impact of the Internet+ Transitional Care on Knowledge, Attitudes, and Practice of Family Caregivers of Patients with Alzheimer’s Disease: A Randomized Controlled Trial},
  journal = {American Journal of Nursing Science},
  volume = {9},
  number = {6},
  pages = {445-449},
  doi = {10.11648/j.ajns.20200906.21},
  url = {https://doi.org/10.11648/j.ajns.20200906.21},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20200906.21},
  abstract = {Purpose: To determine the impact of the internet+ transitional care on knowledge, attitudes, and practice (KAP) of family caregivers of patients with Alzheimer’s disease (AD) and analyze the practicability of the internet+ Medical Messenger and WeChat network support platforms. Background: The number of AD patients in China has exceeded 10 million, ranking first in the world. Home care is the main way of care for AD patients. We use the Internet platform to implement “online” combined with “offline” continuous care for AD patients and home caregivers, and provide personalized health education and guidance, so that caregivers can easily master disease-related knowledge, establish positive care beliefs, improve care ability, and promote the improvement of patients’ caregivers’ knowledge, attitude and practice. Method: The family caregivers of 77 patients with AD were randomly divided into two groups (intervention group [40 patients] and control group [37 patients]). The intervention group adopted the internet + transitional care, while the control group adopted traditional transitional care. The KAP of the two groups of family caregivers before intervention, 3 months after intervention, and 6 months after intervention were analyzed. Results: The KAP scores of the 77 family caregivers before intervention were 17.39 ± 2.92, 33.42 ± 4.77, and 57.65 ± 13.84. There was no significant difference in the knowledge scores in the care (t=1.89, P=0.062) and symptom (t=1.78, P=0.078) dimensions 3 months after intervention, while there was a significant difference in the other KAP dimensions (P < 0.05). Conclusions: The internet + transitional care improves the level to of KAP among family caregivers of patients with AD and the effect was proportional to time.},
 year = {2020}
}

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TY  - JOUR
T1  - Impact of the Internet+ Transitional Care on Knowledge, Attitudes, and Practice of Family Caregivers of Patients with Alzheimer’s Disease: A Randomized Controlled Trial
AU  - Guilin Liu
AU  - Ruiying Huang
AU  - Yan Liu
AU  - Ni Zhang
AU  - Weiju Chen
AU  - Qingran Lin
Y1  - 2020/12/22
PY  - 2020
N1  - https://doi.org/10.11648/j.ajns.20200906.21
DO  - 10.11648/j.ajns.20200906.21
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 445
EP  - 449
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20200906.21
AB  - Purpose: To determine the impact of the internet+ transitional care on knowledge, attitudes, and practice (KAP) of family caregivers of patients with Alzheimer’s disease (AD) and analyze the practicability of the internet+ Medical Messenger and WeChat network support platforms. Background: The number of AD patients in China has exceeded 10 million, ranking first in the world. Home care is the main way of care for AD patients. We use the Internet platform to implement “online” combined with “offline” continuous care for AD patients and home caregivers, and provide personalized health education and guidance, so that caregivers can easily master disease-related knowledge, establish positive care beliefs, improve care ability, and promote the improvement of patients’ caregivers’ knowledge, attitude and practice. Method: The family caregivers of 77 patients with AD were randomly divided into two groups (intervention group [40 patients] and control group [37 patients]). The intervention group adopted the internet + transitional care, while the control group adopted traditional transitional care. The KAP of the two groups of family caregivers before intervention, 3 months after intervention, and 6 months after intervention were analyzed. Results: The KAP scores of the 77 family caregivers before intervention were 17.39 ± 2.92, 33.42 ± 4.77, and 57.65 ± 13.84. There was no significant difference in the knowledge scores in the care (t=1.89, P=0.062) and symptom (t=1.78, P=0.078) dimensions 3 months after intervention, while there was a significant difference in the other KAP dimensions (P < 0.05). Conclusions: The internet + transitional care improves the level to of KAP among family caregivers of patients with AD and the effect was proportional to time.
VL  - 9
IS  - 6
ER  -

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Author Information

Guilin Liu

College of Nursing, Jinan University, Guangzhou, China
Ruiying Huang

College of Nursing, Jinan University, Guangzhou, China
Yan Liu

College of Nursing, Jinan University, Guangzhou, China
Ni Zhang

College of Nursing, Jinan University, Guangzhou, China
Weiju Chen

College of Nursing, Jinan University, Guangzhou, China
Qingran Lin

College of Nursing, Jinan University, Guangzhou, China

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APA Style

Guilin Liu, Ruiying Huang, Yan Liu, Ni Zhang, Weiju Chen, et al. (2020). Impact of the Internet+ Transitional Care on Knowledge, Attitudes, and Practice of Family Caregivers of Patients with Alzheimer’s Disease: A Randomized Controlled Trial. American Journal of Nursing Science, 9(6), 445-449. https://doi.org/10.11648/j.ajns.20200906.21

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ACS Style

Guilin Liu; Ruiying Huang; Yan Liu; Ni Zhang; Weiju Chen, et al. Impact of the Internet+ Transitional Care on Knowledge, Attitudes, and Practice of Family Caregivers of Patients with Alzheimer’s Disease: A Randomized Controlled Trial. Am. J. Nurs. Sci. 2020, 9(6), 445-449. doi: 10.11648/j.ajns.20200906.21

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AMA Style

Guilin Liu, Ruiying Huang, Yan Liu, Ni Zhang, Weiju Chen, et al. Impact of the Internet+ Transitional Care on Knowledge, Attitudes, and Practice of Family Caregivers of Patients with Alzheimer’s Disease: A Randomized Controlled Trial. Am J Nurs Sci. 2020;9(6):445-449. doi: 10.11648/j.ajns.20200906.21

Copy | Download

@article{10.11648/j.ajns.20200906.21,
  author = {Guilin Liu and Ruiying Huang and Yan Liu and Ni Zhang and Weiju Chen and Qingran Lin},
  title = {Impact of the Internet+ Transitional Care on Knowledge, Attitudes, and Practice of Family Caregivers of Patients with Alzheimer’s Disease: A Randomized Controlled Trial},
  journal = {American Journal of Nursing Science},
  volume = {9},
  number = {6},
  pages = {445-449},
  doi = {10.11648/j.ajns.20200906.21},
  url = {https://doi.org/10.11648/j.ajns.20200906.21},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20200906.21},
  abstract = {Purpose: To determine the impact of the internet+ transitional care on knowledge, attitudes, and practice (KAP) of family caregivers of patients with Alzheimer’s disease (AD) and analyze the practicability of the internet+ Medical Messenger and WeChat network support platforms. Background: The number of AD patients in China has exceeded 10 million, ranking first in the world. Home care is the main way of care for AD patients. We use the Internet platform to implement “online” combined with “offline” continuous care for AD patients and home caregivers, and provide personalized health education and guidance, so that caregivers can easily master disease-related knowledge, establish positive care beliefs, improve care ability, and promote the improvement of patients’ caregivers’ knowledge, attitude and practice. Method: The family caregivers of 77 patients with AD were randomly divided into two groups (intervention group [40 patients] and control group [37 patients]). The intervention group adopted the internet + transitional care, while the control group adopted traditional transitional care. The KAP of the two groups of family caregivers before intervention, 3 months after intervention, and 6 months after intervention were analyzed. Results: The KAP scores of the 77 family caregivers before intervention were 17.39 ± 2.92, 33.42 ± 4.77, and 57.65 ± 13.84. There was no significant difference in the knowledge scores in the care (t=1.89, P=0.062) and symptom (t=1.78, P=0.078) dimensions 3 months after intervention, while there was a significant difference in the other KAP dimensions (P < 0.05). Conclusions: The internet + transitional care improves the level to of KAP among family caregivers of patients with AD and the effect was proportional to time.},
 year = {2020}
}

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TY  - JOUR
T1  - Impact of the Internet+ Transitional Care on Knowledge, Attitudes, and Practice of Family Caregivers of Patients with Alzheimer’s Disease: A Randomized Controlled Trial
AU  - Guilin Liu
AU  - Ruiying Huang
AU  - Yan Liu
AU  - Ni Zhang
AU  - Weiju Chen
AU  - Qingran Lin
Y1  - 2020/12/22
PY  - 2020
N1  - https://doi.org/10.11648/j.ajns.20200906.21
DO  - 10.11648/j.ajns.20200906.21
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 445
EP  - 449
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20200906.21
AB  - Purpose: To determine the impact of the internet+ transitional care on knowledge, attitudes, and practice (KAP) of family caregivers of patients with Alzheimer’s disease (AD) and analyze the practicability of the internet+ Medical Messenger and WeChat network support platforms. Background: The number of AD patients in China has exceeded 10 million, ranking first in the world. Home care is the main way of care for AD patients. We use the Internet platform to implement “online” combined with “offline” continuous care for AD patients and home caregivers, and provide personalized health education and guidance, so that caregivers can easily master disease-related knowledge, establish positive care beliefs, improve care ability, and promote the improvement of patients’ caregivers’ knowledge, attitude and practice. Method: The family caregivers of 77 patients with AD were randomly divided into two groups (intervention group [40 patients] and control group [37 patients]). The intervention group adopted the internet + transitional care, while the control group adopted traditional transitional care. The KAP of the two groups of family caregivers before intervention, 3 months after intervention, and 6 months after intervention were analyzed. Results: The KAP scores of the 77 family caregivers before intervention were 17.39 ± 2.92, 33.42 ± 4.77, and 57.65 ± 13.84. There was no significant difference in the knowledge scores in the care (t=1.89, P=0.062) and symptom (t=1.78, P=0.078) dimensions 3 months after intervention, while there was a significant difference in the other KAP dimensions (P < 0.05). Conclusions: The internet + transitional care improves the level to of KAP among family caregivers of patients with AD and the effect was proportional to time.
VL  - 9
IS  - 6
ER  -

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