group intervention

团体干预
  • 文章类型: Journal Article
    背景:尽管儿童癌症的生存率在不断提高,被诊断患有癌症的儿童会出现心理和生理问题,生活质量(QOL)下降.
    方法:截至2023年9月,对PubMed数据库进行了系统评价,以确定报告团体运动干预对癌症儿童影响的研究。纳入标准是预先指定的,包括年龄≤19岁接受团体运动干预和以英语撰写的干预研究的儿童。不包括非运动干预或非团体干预的研究。
    结果:本综述包括5项研究。在三项研究中,团体运动干预后QOL和身体参数均有改善,在两项研究中,只有物理参数得到了改善。生活质量的改善是通过心理社会变量实现的,改善疼痛和伤害的分量表,恶心,和程序相关的焦虑,和减少癌症相关的疲劳。所有研究都有大量参与者完成干预。然而,所有研究都显示出在选择报告结果方面存在很高的偏倚风险,大多数研究表明,在与预期干预和结局测量的偏差方面存在较高的偏倚风险.
    结论:综述的研究表明,癌症儿童的团体运动干预可以改善他们的生活质量和/或身体参数。
    Although the survival rates of childhood cancer are increasing, children diagnosed as having cancer experience psychological and physical problems and a declining quality of life (QOL).
    A systematic review of PubMed databases was conducted up to September 2023 to identify studies reporting the effects of group exercise intervention in children with cancer. The inclusion criteria were pre-specified, including children aged ≤19 years old who received group exercise intervention and interventional studies written in English. Studies involving non-exercise intervention or non-group intervention were excluded.
    Five studies were included in the present review. In three studies, QOL and physical parameters were improved after group exercise intervention, and in two studies, only physical parameters were improved. Improvements in QOL were achieved through psychosocial variables, improved scores of subscales of pain and hurt, nausea, and procedure-related anxiety, and reduced cancer-related fatigue. All studies had high numbers of participants who completed the intervention. However, all studies showed a high risk of bias regarding the selection of the reported results, and most studies showed a high risk of bias regarding deviations from the intended intervention and outcome measurement.
    The reviewed studies showed that group exercise intervention for children with cancer could improve their QOL and/or physical parameters.
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  • 文章类型: Journal Article
    针对男性亲密伴侣暴力(IPV)肇事者的干预计划大多采用团体干预方式。尽管如此,文献忽略了对群体相关变量及其可能与这些干预措施的功能和结局相关的研究.本系统综述旨在分析群体相关变量,他们的预测因素,以及它们与IPV肇事者干预计划的功能和结果的关系。系统评价是根据系统评价和荟萃分析指南的首选报告项目进行的。从成立到2022年11月,搜索了以下数据库:WebofScience,Scopus,pubmed,和PsycINFO。在5,941项确定的研究中,审查中包括13个。群体相关变量的主要预测因素是:干预阶段,动机策略,和领导力(咨询方法)。作为干预结果预测因子的群体相关变量是:群体管理行为和支持(群体内的促进者行为);积极对抗,前治疗行为,积极参与,与同龄人的积极互动,以及与促进者的积极互动(群体内的参与者行为);以及群体凝聚力和群体氛围(群体动态)。团体凝聚力和参与者的前治疗行为因其与积极治疗结果的关联而脱颖而出(即,更大的参与和工作联盟,随访期间暴力行为发生率较低)。这项审查的结果表明,群体过程是IPV肇事者干预计划的关键因素,更好地理解这些群体过程是如何形成的,以及他们如何为积极的计划成果做出贡献,提供了一种新的方法和见解,以提高其有效性。
    Intervention programs for male intimate partner violence (IPV) perpetrators mostly use the group intervention modality. Notwithstanding, the literature has neglected the study of group-related variables and their possible association with these interventions\' functioning and outcomes. This systematic review aimed to analyze group-related variables, their predictors, and their relation to the functioning and outcomes of intervention programs for IPV perpetrators. The systematic review was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The following databases were searched from inception to November 2022: Web of Science, Scopus, PUBMED, and PsycINFO. Of the 5,941 identified studies, 13 were included in the review. The main predictors of group-related variables were: intervention stage, motivational strategies, and leadership (counseling approach). The group-related variables as predictors of intervention outcomes were: group management behaviors and support (facilitator behavior within the group); positive confrontation, protherapeutic behavior, active involvement, positive interaction with peers, and positive interaction with the facilitator (participant behavior within the group); and group cohesion and group climate (group dynamics). Group cohesion and participants\' protherapeutic behavior stood out for their association with positive treatment outcomes (i.e., greater participation and working alliance, lower rates of violent behavior during follow-up). The findings from this review suggest that group processes are key factors in intervention programs for IPV perpetrators, and a better understanding of how these group processes are shaped, and how they can contribute to positive program outcomes, provides a new approach and insights to improve their effectiveness.
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  • 文章类型: Systematic Review
    目的:回忆干预已被广泛用于改善痴呆症患者的心理健康。然而,对于认知完整和轻度认知障碍的老年人,团体回忆干预的有效性存在不确定性.基于我国老年人数量多、医疗卫生资源紧张的现状,我们对认知完整或轻度认知障碍的老年人采用集体怀旧干预措施的有效性的证据进行了系统评价.
    方法:从开始到2022年8月21日检索了五个英文数据库。通过使用Cochrane偏差风险量表或标准(2020)和澳大利亚循证医疗保健中心(2020)评估纳入的文章的质量。提取与研究相关的数据和干预特征。
    结果:包括24篇文章,其中8项为准实验研究,16项为随机对照研究。整体研究质量较高,但是大多数研究并没有使参与者失明。团体回忆干预措施有利于改善认知完整或轻度认知障碍的老年人的抑郁症状和生活满意度,但对生活质量的影响尚无有效结论。
    结论:团体回忆干预是改善老年人心理健康的一种有效的心理干预方式。此外,团体回忆干预措施简单易行,可视为满足认知完整和轻度认知受损老年人精神需求的常规护理活动.
    Reminiscence interventions have been extensively used to improve the psychological health of people with dementia. However, there is uncertainty about the effectiveness of group reminiscence interventions for older adults with intact cognition and mild cognitive impairment. Based on the large number of older adults and strained health care resources in China, we conducted a systematic review of the evidence on the effectiveness of group reminiscence interventions for older adults with intact cognition or mild cognitive impairment.
    Five English databases were searched from inception to 21 August 2022. The quality of the included articles was assessed by using the Cochrane Risk of Bias Scale or Criteria (2020) and the Australian Evidence-Based Health Care Centre (2020). Data related to study and intervention characteristics were extracted.
    Twenty-four articles were included, of which eight were quasiexperimental studies and sixteen were randomized controlled studies. The overall study quality was high, but most studies did not blind the participants. Group reminiscence interventions were beneficial in improving depressive symptoms and life satisfaction in older adults with intact cognition or mild cognitive impairment, but no valid conclusions could be drawn about the effect on quality of life.
    Group reminiscence interventions are an effective type of psychological intervention to improve the psychological health of older people. In addition, group reminiscence interventions are simple and easy to implement and can be considered a routine care activity to meet the spiritual needs of cognitively intact and mildly cognitively impaired older people.
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  • 文章类型: Journal Article
    背景:COVID-19大流行的爆发需要将与健康相关的面对面团体干预措施过渡到在线环境。虽然小组结果似乎可以在在线环境中实现,对由此产生的潜在挑战(和优势)以及如何克服这些挑战知之甚少。
    目的:本文的目的是探讨在在线环境中提供与健康相关的小组干预措施时可能会出现哪些挑战和优势,以及如何克服这些挑战。
    方法:搜索Scopus和GoogleScholar数据库以获取相关文献。效果研究,荟萃分析,文献综述,理论框架,和有关同步的研究报告,面对面,与健康相关的小组干预措施,在线团体干预,和视频电话会议小组干预措施被识别和筛选.描述了与潜在挑战和相应策略有关的发现。此外,探讨了在线小组设置的潜在优势。收集相关见解,直到与研究问题相关的结果达到饱和为止。
    结果:文献指出了在线小组设置中需要额外关注和准备的几个方面。这些包括非语言交流和情感调节的传递,以及团体凝聚力和治疗联盟的建立,这在网上似乎更具挑战性。然而,有一些策略来克服这些挑战,比如元通信,收集参与者的反馈,并提供有关技术可访问性的指导。此外,在线设置提供了加强群体身份的机会,例如通过允许独立性和创建同质团体的能力。
    结论:在线时,与面对面团体相比,健康相关的小组干预提供了相当多的可能性和好处,还有潜在的缺点需要考虑,which,如果预期的话,可以在很大程度上克服。
    BACKGROUND: The outbreak of the COVID-19 pandemic required the transition of health-related face-to-face group interventions to an online setting. While it seems that group outcomes can be realized in an online setting, less is known about resulting potential challenges (and advantages) and how these can be overcome.
    OBJECTIVE: The aim of this article is to explore what challenges and advantages may arise when providing health-related small group interventions in an online setting and how to overcome these challenges.
    METHODS: Scopus and Google Scholar databases were searched for relevant literature. Effect studies, meta-analyses, literature reviews, theoretical frameworks, and research reports relating to synchronous, face-to-face, health-related small group interventions, online group interventions, and video teleconferencing group interventions were identified and screened. Findings relating to potential challenges and corresponding strategies are described. In addition, potential advantages of online group settings were explored. Relevant insights were gathered until saturation of results relating to the research questions was reached.
    RESULTS: The literature indicated several aspects that require extra attention and preparation in the online group setting. These include the delivery of nonverbal communication and affect regulation, as well as the build-up of group cohesion and therapeutic alliance, which seem more challenging online. Yet there are strategies to overcome these challenges, such as metacommunication, collecting participant feedback, and providing guidance concerning technical accessibility. In addition, the online setting provides opportunities to reinforce group identity, such as by allowing independence and the ability to create homogeneous groups.
    CONCLUSIONS: While online, health-related small group interventions offer a considerable number of possibilities and benefits compared to face-to-face groups, there are also potential drawbacks to consider, which, if anticipated, can be to a great extent overcome.
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  • 文章类型: Journal Article
    情绪调节(ER)作为一个概念没有明确的定义,人们对如何提高他们调节情绪的能力缺乏清晰的认识。然而,越来越多的证据表明ER作为精神健康问题的综合诊断治疗目标的重要性.这篇综述研究了与不干预相比,ER组干预对ER能力的影响。其他可比的团体干预措施,或控制条件。进行了系统的审查,其中包括15项研究。尽管ER干预的类型参差不齐,干预措施在教授的技能和如何测量ER方面存在相当大的重叠.除了一项研究,ER干预提高了ER能力。ER干预优于候诊者或照常治疗,但有限的证据表明它们优于其他积极治疗。一些研究的数据表明,在随访中ER的改善是持续的。在整个研究中,理论与实践的联系普遍很差,这阻碍了对干预措施是如何构建的以及为什么包括不同技能的理解。尽管由于纳入论文的方法学质量问题,需要谨慎解释结果,有有希望的证据表明ER组干预显著改善了ER能力.
    Emotional regulation (ER) as a concept is not clearly defined, and there is a lack of clarity about how individuals can improve their ability to regulate emotions. Nevertheless, there is increasing evidence of the importance of ER as a transdiagnostic treatment target across mental health problems. This review examines the impact of ER group interventions on ER ability compared with no intervention, other comparable group interventions, or control conditions. A systematic review was conducted, in which 15 studies were included. Although types of ER intervention were mixed, the interventions had a considerable overlap in skills taught and how ER was measured. In all but one study, the ER intervention improved ER ability. ER interventions were superior to waitlist or treatment as usual, but there was limited evidence to suggest they were superior to other active treatments. Data from some studies suggest that improved ER was sustained at follow-up. Across the studies, there was generally poor linking of theory to practice, which hampers understanding of how interventions were constructed and why different skills were included. Although the results need to be interpreted with caution due to issues with methodological quality with the included papers, there is promising evidence that ER group interventions significantly improve ER ability.
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  • 文章类型: Journal Article
    BACKGROUND: The communication skills of older adults living in care homes is an underexplored topic. Ageing can lead to reduced communication ability and activity; and in the care home environment there may also be fewer communication opportunities. This situation is likely to negatively impact well-being. Previous reviews have found evidence of the effectiveness of behavioural interventions in increasing well-being, but no systematic review to date has focused specifically on the evidence base for group language and communication interventions in this population.
    OBJECTIVE: To identify and evaluate the evidence for behavioural interventions with older adults, delivered in groups in care homes, that specifically included a language or communication activity. To explore the impact of such intervention on the specific domains of language, communication and social interaction. To determine whether behavioural mechanisms of action can be identified.
    METHODS: Embase, Medline, Ovid Nursing database, Psych info and CINAHL complete were searched and produced 158 records for screening, of which 22 remained for review. In order to identify and evaluate the quality of the evidence base presented the following research questions were posed: What research has been conducted in this area? What is the methodological quality of the studies identified? How complete is the intervention reporting? How was change measured in the domains of language, communication and social interaction? Is there evidence of efficacy, indicated by statistically significant improvement, in these domains? How did the interventions work? Synthesis tools employed included the PEDro-P Scale, the TIDieR checklist and the ITAX.
    RESULTS: A total of 22 studies met the criteria for review. One study used solely language or communication interventions, but the remaining 21 studies used behavioural interventions which incorporated language and communication activities to varying degrees. Studies fell into four broad intervention types: reminiscence or life review; cognitive stimulation; narrative or storytelling; and multi-modality group communication. The majority of studies were of fair methodological quality, with a moderate level of detail provided in treatment reporting. Statistically significant improvement was reported by authors in all four intervention types and across language, communication and social domains. Social interaction, social support and behavioural skills were the most consistent mechanisms of action in the reviewed behavioural interventions.
    CONCLUSIONS: Despite limitations in the evidence base, there are important positive signs for the beneficial effects of supporting language and communication in care homes. Blinding of assessors, and the accuracy and accessibility of statistical reporting are important areas to address in order to improve the quality of the evidence base.
    CONCLUSIONS: Ageing can lead to reduced communication ability and activity, and in the care home setting there may also be fewer communication opportunities. This situation is likely to negatively impact well-being. Previous reviews have found evidence of the effectiveness of behavioural interventions in increasing well-being. The communication skills of older adults living in care homes is an underexplored topic. No systematic review to date has focused specifically on the evidence base for group language and communication interventions in this population. This review reveals important positive signs for the beneficial effects of supporting language and communication in care homes. Social interaction, social support, and behavioural skills were the most consistent mechanisms of action in the reviewed behavioural interventions.
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  • 文章类型: Journal Article
    UNASSIGNED:尽管有证据支持心理教育对精神健康有困难的人及其家人的有效性,对执行这些方案的问题的理解是有限的。
    UNASSIGNED:本范围审查的目的是综合有关影响成人心理健康服务中实施团体心理教育的障碍和促进因素的同行评审文献。
    未经评估:使用预定义的搜索策略和PRISMA指南,系统检索了4个数据库.两名评审员独立筛选并应用排除/纳入标准。定性,定量,如果混合方法研究提供了障碍和推动者的经验证据,则将其包括在内。三个审阅者独立地提取数据。在此之后,使用五级实施框架分析数据。
    未经评估:有8篇文章符合纳入标准。在框架的所有五个层面都确定了实施障碍:参与者;从业者;干预;组织;和结构级别。实施的推动者在四个层面上很明显:参与者;提供者;干预;和组织层面。
    UNASSIGNED:审查结果提供了有关影响实施的因素的初步信息。然而,需要以实施理论为依据的大规模研究。此外,还需要进行其他研究来解决不同干预模式的潜在影响,并探索减少障碍和支持可持续性的策略。
    UNASSIGNED: Despite evidence to support the effectiveness of psychoeducation for people experiencing mental health difficulties and their families, understanding issues around the implementation of such programmes is limited.
    UNASSIGNED: The aim of this scoping review was to synthesise the peer-reviewed literature on barriers and enablers influencing the implementation of group psychoeducation in adult mental health services.
    UNASSIGNED: Using a pre-defined search strategy and PRISMA guidelines, four databases were systematically searched. Two reviewers independently screened and applied exclusion/inclusion criteria. Qualitative, quantitative, and mixed-methods studies were included if they provided empirical evidence on the barriers and enablers. Three reviewers independently extracted data. Following this, data were analysed using a five-level implementation framework.
    UNASSIGNED: Eight articles met the inclusion criteria. Barriers to implementation were identified at all five levels of the framework: participant; practitioner; intervention; organisational; and structural level. Enablers to implementation were evident at four levels: participant; provider; intervention; and organisational level.
    UNASSIGNED: The findings of the review provide preliminary information on factors that impact implementation. However, large-scale studies informed by implementation theories are required. In addition, other studies are needed to address the potential impact of different models of intervention and explore strategies to minimize obstacles and support sustainability.
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  • 文章类型: Journal Article
    Self-management offers a way of helping people with dementia or mild cognitive impairment (MCI) to play an active role in managing their condition. Barlow, Wright, Sheasby, Turner, and Hainsworth have defined self-management as the \"individual\'s ability to manage the symptoms, treatment, physical and psychosocial consequences and life style changes inherent in living with a chronic condition.\" Although commonly used in other chronic health conditions, there has been relatively little exploration of the role of self-management in dementia or MCI. This review aimed to identify group-based psychosocial interventions for people with dementia or MCI that incorporate significant elements of self-management. Fifteen interventions were included in the review: 12 for people with dementia and 3 for participants with MCI. In both the dementia and MCI interventions, the most commonly included self-management components were information, communication, and social support, and skills training. The review findings indicate that components of self-management have been incorporated into group-based interventions for people with dementia and MCI. Further studies are needed to address the methodological limitations of the included studies and to determine the effectiveness of self-management interventions with these populations.
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