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60/100

✓ Peer-reviewed alzhub usefulness score 60 out of 100. Caregiving

Topic: Risk, prevention and care in population studies

The intervention revealed no substantial between-group differences in caregiver burden (β=-3.80, 95% CI -11.25 to 3.65, P=.32), quality of life (β=-1.55, 95% CI -6.59 to 3.49, P=.55), or social support (β=0.85, 95% CI -2.86 to 4.56, P=.65). However, it demonstrated significantly improved learning behaviors in the intervention group (β=2.35, 95% CI 1.03-3.67; P<.001). CFIR analysis identified multilevel barriers: (1) policy-finance misalignment excluding dementia care from essential services, (2) digital adaptation gaps for older users, (3) lack of performance incentives in primary health care, (4) caregivers' technological and time constraints, and (5) conflicts between standardized content and personalized needs. This iSupport-based primary health care intervention presents a policy-aligned support model for dementia caregivers in China. While core outcomes showed no significant improvement, enhanced learning behaviors suggest potential for caregiver empowerment. Key implementation insights focused on optimizing digital platforms, strengthening policy incentives, and personalizing support. These findings offer a scalable, policy-aligned model for dementia care management by leveraging primary health care networks, particularly in low- and middle-income countries. TRIAL REGISTRATION: Chinese Clinical Trial Registry ChiCTR2400084788; https://www.chictr.org.cn/showproj.html?proj=223091.

Cite this study APA, Vancouver, BibTeX · download .bib or .ris

APA 7th

Yuan, S., Zhang, J., Wang, Z., Wang, H., & Xia, M. (2025). Supporting Informal Dementia Caregivers Through an iSupport Web-Based Primary Health Care Intervention: Hybrid Effectiveness-Implementation Mixed Methods Study. Journal of Medical Internet Research. https://doi.org/10.2196/77688

Vancouver

Yuan S, Zhang J, Wang Z, Wang H, Xia M. Supporting Informal Dementia Caregivers Through an iSupport Web-Based Primary Health Care Intervention: Hybrid Effectiveness-Implementation Mixed Methods Study. Journal of Medical Internet Research. 2025. doi:10.2196/77688. PMID: 40925598.

BibTeX

@article{yuan2025-40925598,
  author  = {Yuan, Shasha and Zhang, Jingbin and Wang, Zheng and Wang, Huali and Xia, Mengfen},
  title   = {{Supporting Informal Dementia Caregivers Through an iSupport Web-Based Primary Health Care Intervention: Hybrid Effectiveness-Implementation Mixed Methods Study}},
  journal = {Journal of Medical Internet Research},
  year    = {2025},
  doi     = {10.2196/77688},
  pmid    = {40925598},
  url     = {https://doi.org/10.2196/77688}
}

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Key findings

The intervention revealed no substantial between-group differences in caregiver burden (β=-3.80, 95% CI -11.25 to 3.65, P=.32), quality of life (β=-1.55, 95% CI -6.59 to 3.49, P=.55), or social support (β=0.85, 95% CI -2.86 to 4.56, P=.65).
However, it demonstrated significantly improved learning behaviors in the intervention group (β=2.35, 95% CI 1.03-3.67; P<.001).
CFIR analysis identified multilevel barriers: (1) policy-finance misalignment excluding dementia care from essential services, (2) digital adaptation gaps for older users, (3) lack of performance incentives in primary health care, (4) caregivers' technological and time constraints, and (5) conflicts between standardized content and personalized needs.
This iSupport-based primary health care intervention presents a policy-aligned support model for dementia caregivers in China.
While core outcomes showed no significant improvement, enhanced learning behaviors suggest potential for caregiver empowerment.

Why it matters

In this randomized controlled trial in China, an iSupport web-based primary health care intervention showed no significant improvement in caregiver burden, quality of life, or social support. Learning behaviors did improve significantly in the intervention group, and the authors describe implementation barriers.

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Study details

Study designrandomized controlled trial
Participants60
Evidence strengthHigh

How this study scored 60/100

Published in a peer-reviewed journal, and it is a randomised controlled trial. Scored zero for effect reported because the record does not state it. We have no data on senior author's track record, so that was left out: it earned 58 of the 96 points we could judge it on, which is 60 out of 100.

Component	Points	Why
Journal tier	7 / 10	Tier 3 — peer-reviewed journal (Journal of Medical Internet Research)
Journal's citation record	3 / 4	Journal of Medical Internet Research: journal h-index 286 (OpenAlex, 2026-10-29)
Study design	11 / 12	A randomised controlled trial
Strength of evidence	5 / 5	Rated “high” in our summary
Peer-review validation	10 / 10	Peer-reviewed. Published as an article in a named peer-reviewed journal.
How recent	4 / 5	2025 — within 3 year(s) of the newest study here
Sample size	1 / 4	60 participants
Effect reported	0 / 3	No effect size reported — scores zero (not stated in the record — scored 0)
Studied in people	3 / 3	Studied in people (participant count stated)
Randomised / blinded	1 / 2	Randomised (as stated in the record)
Times cited	2 / 7	Cited 6 times (OpenAlex, 2026-10-10)
Citations per year	1 / 5	2.0 citations a year over 3 year(s) since 2025
Impact for its field and year	3 / 6	Cited 3.8× the average for papers of its field and year (OpenAlex FWCI)
Cited by studies here	0 / 6	No other study in this library cites it
Still being cited	1 / 4	Cited 6 times in 2024–2026 (2026 still in progress; OpenAlex)
Senior author's track record	— / 4	Senior author's record not available — left out of this score
Institution's track record	1 / 3	Peking University: institution h-index 1,098 (OpenAlex)
Multi-centre collaboration	1 / 3	OpenAlex lists 3 institution(s) in 1 country
Indexed in PubMed	2 / 2	Indexed in PubMed (PMID 40925598)
Free to read	2 / 2	Free to read
Points	58 / 96	Scored on 19 of 20 parts. We have no data for the rest, so they are left out: 58 of the 96 points we could judge it on is 60 out of 100.
Total	60 / 100	—

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Read the original

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