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Background <p>The Social Insurance for Agriculture, Forestry, and Horticulture (SVLFG) offers four different, statutorily funded, multiday healthcare interventions for family caregivers. These are three in-person formats – (1) care for the care recipient at their place of residence or (2) at the intervention site, (3) specifically for parents who are caregivers – and (4) a digital format as a video conference.</p> Aim of the study <p>To compare the use of these interventions and their effects on well-being.</p> Materials and methods <p>The study design is for (1) and (4) an uncontrolled longitudinal study and for (2) and (3) a quasi-experimental longitudinal study with surveys at the beginning, at the end, and after three, six, and in some cases nine months for two services. Separate fixed-effects panel regressions are used. The endpoint is well-being (WHO-5), reported for stable conditions.</p> Results <p>The four interventions are used by individuals experiencing caregiver burden. Structural differences are apparent in terms of level of care dependency and the resulting motivations. There are positive and lasting effects on well-being – however, the variation is very large. The effects of the in-person formats are more pronounced and longer-lasting than those of the digital format.</p> Discussion <p>The target groups cannot be clearly distinguished in structural terms. The comparison of effects seems plausible because the digital intervention is shorter and does not require a break from everyday care. Limitations include, in particular, the small number of cases and the absence of (randomized) control groups. Strengths include the consistent within-person analysis. All four interventions are standard care.</p>

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Digital im Vergleich zu Präsenz: Effektivität mehrtägiger Gesundheitsinterventionen für pflegende Angehörige

  • 期刊论文

  • 发表日期：

    2026年4月21日

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  • C. Hetzel,
  • D. Bühne,
  • M. Elling,
  • M. Holzer

摘要

Background

The Social Insurance for Agriculture, Forestry, and Horticulture (SVLFG) offers four different, statutorily funded, multiday healthcare interventions for family caregivers. These are three in-person formats – (1) care for the care recipient at their place of residence or (2) at the intervention site, (3) specifically for parents who are caregivers – and (4) a digital format as a video conference.

Aim of the study

To compare the use of these interventions and their effects on well-being.

Materials and methods

The study design is for (1) and (4) an uncontrolled longitudinal study and for (2) and (3) a quasi-experimental longitudinal study with surveys at the beginning, at the end, and after three, six, and in some cases nine months for two services. Separate fixed-effects panel regressions are used. The endpoint is well-being (WHO-5), reported for stable conditions.

Results

The four interventions are used by individuals experiencing caregiver burden. Structural differences are apparent in terms of level of care dependency and the resulting motivations. There are positive and lasting effects on well-being – however, the variation is very large. The effects of the in-person formats are more pronounced and longer-lasting than those of the digital format.

Discussion

The target groups cannot be clearly distinguished in structural terms. The comparison of effects seems plausible because the digital intervention is shorter and does not require a break from everyday care. Limitations include, in particular, the small number of cases and the absence of (randomized) control groups. Strengths include the consistent within-person analysis. All four interventions are standard care.