psychosocial intervention

心理社会干预
  • 文章类型: Journal Article
    背景:由于存在多种合并症和非特异性症状,老年人在寻求急诊科(ED)的护理时可能面临挑战。社会心理护理是帮助改善该人群ED护理的可能目标。数字医疗技术可以在紧急情况下实施,以改善社会心理护理的提供。然而,目前尚不清楚,对于向ED就诊的老年人实施数字化心理社会干预措施,存在哪些障碍和促进因素.因此,范围审查旨在确定这些障碍和促进者是什么。
    方法:范围审查将根据JoannaBriggsInstitute指南进行,并将使用系统审查的首选报告项目和范围审查的荟萃分析扩展(PRISMA-ScR)清单。Medline数据库,Embase,将搜索PsycINFO和Scopus。搜索策略将与专业研究图书馆员协商制定,涵盖三个关键概念:ED,数字健康技术和老年人。此外,谷歌学者搜索的前100个点击量将被筛选包括在内。我们将包括定性和定量研究,调查社会心理护理的ED数字干预措施,其中主要重点是观点,态度,患者的经验和看法,家庭和工作人员。提取所有数据后,分析和综合将遵循“最佳框架综合”方法,理论领域框架将用于识别障碍和促进者。
    背景:本范围审查不需要伦理批准,因为只有公开可用的数据将被分析和评估。范围审查的结果将通过同行评审的出版物和会议介绍来传播。
    BACKGROUND: Older adults can face challenges when seeking care from emergency departments (EDs) due to presenting with multiple comorbidities and non-specific symptoms. Psychosocial care is a possible target to help improve ED care for this population. It is possible that digital health technologies can be implemented within emergency settings to improve the provision of psychosocial care. However, it is unclear what the barriers and facilitators are to implementing digital psychosocial interventions for older adults presenting to the ED. Therefore, the scoping review aims to determine what are these barriers and facilitators.
    METHODS: The scoping review will be conducted in line with the Joanna Briggs Institute guidelines and will use the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist. The databases Medline, Embase, PsycINFO and Scopus will be searched. The search strategy will be developed in consultation with a specialist research librarian and will cover three key concepts: EDs, digital health technologies and older adults. Additionally, the first 100 hits of a Google Scholar search will be screened for inclusion. We will include both qualitative and quantitative studies that investigate ED digital interventions for psychosocial care where the primary focus is the views, attitudes, experiences and perceptions of patients, families and staff. After extracting all data, analysis and synthesis will follow the \'best-fit framework synthesis\' approach and the Theoretical Domains Framework will be used to identify barriers and facilitators.
    BACKGROUND: Ethics approval is not required for this scoping review since only publicly available data will be analysed and appraised. The findings of the scoping review will be disseminated through peer-reviewed publications and conference presentations.
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  • 文章类型: Systematic Review
    心理社会干预对于治疗酒精使用障碍(AUD)至关重要,但是没有关于其有效性的全面证据。因此,本研究旨在确定心理社会干预对青少年和青少年AUD治疗的有效性.
    在本系统综述和荟萃分析中,文章是从EMBASE搜索的,PubMed,Medline,CINAHL,WebofScience,PsycINFO,还有Scopus.此外,文章从灰色文献中检索。已使用Cochrane偏差风险评估来评估文章的质量。
    共纳入12项随机对照试验。综合家庭和CBT,CBT,引导自我改变,基于生态的家庭治疗在减少酒精使用频率方面效果温和。另一方面,综合动机增强疗法和CBT(-0.71[95%CI:-0.97,-0.45])和常见元素治疗方法(4.5[95%CI:6.9,2.2])在减少酒精使用频率和数量方面具有最高的效果,分别。总之,大多数干预措施对不同的饮酒结局没有显著影响.尽管如此,综合干预措施的有效性超过了单一干预措施.心理社会干预对禁欲的影响尚无定论。因此,未来的研究将探索替代方案,新出现的第三波治疗方法。
    PROSPERO,CRD42023435011,https://www.crd.约克。AC.uk/prospro/display_record.php?RecordID=435011。
    UNASSIGNED: Psychosocial intervention is imperative for treating alcohol use disorder (AUD), but there is no comprehensive evidence regarding its effectiveness. Therefore, this study aimed to determine the effectiveness of psychosocial interventions in treating AUD amongadolescents and young adults.
    UNASSIGNED: In this systematic review and meta-analysis, articles were searched from EMBASE, PubMed, Medline, CINAHL, Web of Science, PsycINFO, and Scopus. Also, articles were retrieved from gray literature. The quality of articles has been assessed using the Cochrane risk of bias assessment.
    UNASSIGNED: A total of 12 randomized controlled trials were included. Integrated family and CBT, CBT, guided self-change, and ecologically based family therapy had a mild effect in reducing alcohol use frequency. On the other hand, integrated motivational enhancement therapy and CBT (-0.71 [95% CI: -0.97, -0.45]) and common elements treatment approaches (4.5 [95% CI: 6.9, 2.2]) had the highest effect size for reducing alcohol use frequency and amount, respectively. In conclusion, most of the interventions had no significant effect on different drinking outcomes. Nonetheless, the effectiveness of combined interventions surpassed that of the single interventions. The effect of psychosocial interventions on abstinence was inconclusive. Therefore, future studies will explore alternative, newly emerged third-wave therapeutic approaches.
    UNASSIGNED: PROSPERO, CRD42023435011, https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=435011.
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  • 文章类型: Systematic Review
    背景:英国的心理健康危机率正在上升。社区心理健康模式的出现,如危机解决家庭治疗小组(CRHTT),提供了一条重要的途径,为家中的个人提供强化评估和治疗,包括心理干预。以前的定性文献已经确定了在CRHTT环境中实施心理干预的促进者和障碍;然而,该文献尚未进行综合。为了解决这个差距,进行了系统评价,目的是确定报告的在CRHTT中实施循证心理干预的促进因素和障碍.
    方法:进行系统综述和叙事综合。如果他们检查了在CRHTT环境中基于证据的心理干预措施的实施,则包括研究。研究人群必须是18岁及以上,可能包括在CRHTT工作的医疗保健专业人员,CRHTT的服务用户,或CRHTT服务用户的家人和照顾者。包括任何正式研究方法的研究。搜索了四个数据库(MEDLINE,CINAHLPlus,Embase和PsycINFO),和谷歌学者一起,确定合格的研究。
    结果:确定了六项研究,使用混合的定性和定量方法,主要重点是探索利益相关者对CRHTT内护理实施的看法,涵盖的方面包括但不限于心理护理的实施。文献被认为是中等到高质量的。促进者包括适应心理治疗,优先考虑治疗关系,增加CRHTT员工的心理技能和培训,以及心理知情的CRHTT模型。发现的障碍包括团队内部的医学模型偏见,与CRHTT服务有关的资源约束和元素。
    结论:在这一领域进行进一步的强有力的研究势在必行。我们建议未来的研究以服务评估和随机对照试验(RCT)的形式实施,并使用实施科学的原则来评估和开发CRHTT中心理干预的证据基础。
    BACKGROUND: Mental health crisis rates in the United Kingdom are on the rise. The emergence of community mental health models, such as Crisis Resolution Home Treatment Teams (CRHTTs), offers a vital pathway to provide intensive assessment and treatment to individuals in their homes, including psychological interventions. Previous qualitative literature has identified facilitators and barriers to the implementation of psychological interventions within CRHTT settings; however, a synthesis of this literature has not yet been conducted. To address this gap, a systematic review was undertaken with the aim of identifying the reported facilitators and barriers of implementing evidence-based psychological interventions in CRHTTs.
    METHODS: A systematic review and narrative synthesis were conducted. Studies were included if they examined the implementation of evidence-based psychological interventions in a CRHTT setting. The study population had to be 18 and over and could include healthcare professionals working in CRHTTs, service users of CRHTTs, or family and carers of CRHTT service users. Studies of any formal research methodology were included. Four databases were searched (MEDLINE, CINAHL Plus, Embase and PsycINFO), along with Google Scholar, to identify eligible studies.
    RESULTS: Six studies were identified, using mixed qualitative and quantitative methodologies, with the predominant focus being the exploration of stakeholder perspectives on care implementation within CRHTTs, encompassing aspects including but not restricted to psychological care implementation. The literature was deemed to be of moderate to high quality. Facilitators included adapting psychological therapies, prioritizing the therapeutic relationship, increasing psychological skills and training of CRHTT staff and psychologically informed CRHTT models. The barriers identified included a medical model bias within teams, resource constraints and elements pertaining to CRHTT services.
    CONCLUSIONS: Further robust research in this area is imperative. We recommend that future research be implemented in the form of service evaluations and randomized controlled trials (RCTs) and that the principles of implementation science be used to assess and develop the evidence base for psychological intervention delivery in CRHTTs.
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  • 文章类型: Systematic Review
    在研究抑郁症和焦虑症的心理干预措施的随机对照试验中使用的对照组具有自身的影响。这从未被调查过精神分裂症,特别是抗治疗精神分裂症。本系统综述和荟萃分析旨在研究随机对照试验中对难治性精神分裂症进行心理干预的对照组对一般症状学的影响。在直到2023年7月的各种数据库搜索中,发现了31项符合条件的研究,有3125名参与者,其对照组被分配到四个类别:活跃,不活跃,照常治疗和等候名单。分析表明,心理干预对所有对照组的症状减轻作用更大。当分离控制组时,仅与TAU和候诊者对照相比,心理干预效果更优.当使用较不活跃的对照组(例如等待名单-或常规对照组)时,差异更大。所有对照组都与从测量前后的症状改善有关。在非活动对照组中观察到最大的改善。结果是初步的,但他们认为,对照组的选择对研究效果有相当大的影响,正如在其他精神病诊断中所显示的那样。
    Control groups used in randomised controlled trials investigating psychological interventions for depression and anxiety disorders have effects of their own. This has never been investigated for schizophrenia, in particular treatment-resistant schizophrenia. This systematic review and meta-analysis aimed to examine how control groups in randomised controlled trials on psychological interventions for treatment-resistant schizophrenia behave in their effects on general symptomatology. In a search of various databases until July 2023, 31 eligible studies with 3125 participants were found whose control groups were assigned to four categories: active, inactive, treatment as usual and waitlist. The analyses showed that psychological interventions had a greater effect on symptom reduction to all control groups combined. When separating the control groups, only compared to TAU and waitlist controls the psychological interventions were superior. The difference was larger when less active control groups (e.g. waitlist - or treatment as usual control groups) were used. All control groups were associated with an improvement in symptoms from pre- to post-measurement point, with the greatest improvement observed in the inactive control group. The results are preliminary, but they suggest that the choice of the control group has a considerable impact on study effects as it has been shown in other psychiatric diagnoses.
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  • 文章类型: Journal Article
    目的:评价积极心理干预对生活质量的影响。癌症患者的积极心理结果和消极心理结果。
    背景:癌症患者经常患有各种心理问题,生活质量差。积极的心理干预越来越多地应用于癌症患者,但是这些研究的结果还没有综合。
    方法:根据PRISMA对随机对照试验进行系统评价和荟萃分析。
    方法:从开始到2022年12月,共检索了6个英文数据库和4个中文数据库。两名审阅者使用Cochrane偏差风险工具独立评估偏差风险。RevMan用于荟萃分析。
    结果:29项随机对照试验研究了积极心理干预的效果,包括意义疗法,尊严疗法,积极的心理治疗,基于正念的干预,生活回顾,富有表现力的写作干预,接受和承诺心理治疗,注意和解释疗法,对癌症患者的同情训练和精神治疗。积极的心理干预显著提高了生活质量,增强积极的心理结果,包括幸福感,生命的意义,自尊,乐观,韧性和自我效能感,以及减轻包括抑郁在内的负面心理后果,焦虑和绝望。然而,一些结果的异质性相当高,由于干预措施的广泛多样性。
    结论:积极的心理干预对改善生活质量有潜在的积极作用。增强癌症患者的积极心理结果和减轻消极心理结果。然而,由于异质性和缺乏后续研究,需要更多高质量的研究来证实我们的综述结果,并阐明积极心理干预的长期效果.
    结论:作为可行的心理干预措施,医疗保健专业人员可以根据癌症患者的病情考虑采取适当的积极心理干预措施。
    没有患者或公众捐款。
    OBJECTIVE: To evaluate the effectiveness of positive psychological interventions on quality of life, positive psychological outcomes and negative psychological outcomes in patients with cancer.
    BACKGROUND: Patients with cancer often suffer from various psychological problems and have a poor quality of life. Positive psychological interventions have been increasingly applied to patients with cancer, but the results of these studies have not been synthesized.
    METHODS: A systematic review and meta-analysis of randomized controlled trials according to PRISMA.
    METHODS: Six English databases and four Chinese databases were searched from the inception to December 2022. Two reviewers independently assessed the risk of bias using the Cochrane Risk of Bias tool. RevMan was used for meta-analysis.
    RESULTS: Twenty-nine randomized controlled trials examined the effects of positive psychological interventions including meaning therapy, dignity therapy, positive psychotherapy, mindfulness- based intervention, life review, expressive writing intervention, acceptance and commitment psychotherapy, attention and interpretation therapy, compassion training and spiritual therapy on patients with cancer. Positive psychological interventions significantly improved the quality of life, enhanced positive psychological outcomes including well-being, meaning of life, self-esteem, optimism, resilience and self-efficacy and alleviated negative psychological outcomes including depression, anxiety and hopelessness. However, the heterogeneity of some outcomes was rather high, due to the wide diversity of the interventions included.
    CONCLUSIONS: Positive psychological interventions have potentially positive effects on improving quality of life, enhancing positive psychological outcomes and alleviating negative psychological outcomes in patients with cancer. However, due to the heterogeneity and the lack of follow-up studies, more high-quality studies are needed to confirm the results of our review and to clarify the long-term effects of positive psychological interventions.
    CONCLUSIONS: As feasible psychological interventions, healthcare professionals can consider applying appropriate positive psychological interventions according to the condition of cancer patients.
    UNASSIGNED: No patient or public contribution.
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  • 文章类型: Journal Article
    背景:高血压和抑郁症往往并存,导致不良的健康结果和医疗管理的重大挑战。由于卫生专业人员没有指南或共识来管理这种合并症,在当前文献中确定干预措施对于获得清晰的证据以及为未来的研究方向和临床实践提供信息至关重要.本范围审查旨在通过系统地绘制潜在干预措施的范围来解决这一差距,以管理高血压和抑郁症的合并症。
    方法:遵循乔安娜·布里格斯研究所的范围审查指南,这项审查将全面搜索数据库,包括PUBMED,Embase,PsycINFO,CINAHL,Cochrane图书馆数据库,中国生物医学文献数据库与中国国家知识基础设施.灰色文献将来自谷歌学者。2004年1月至2023年12月的年度限制将仅用于检索最新的英文和中文同行评审文章。两名评审员将单独筛选,该过程将记录在系统评审的首选报告项目和范围评审的荟萃分析中。这篇综述将探讨一系列非药物和多组分干预措施,包括社会心理支持,教育方案,远程医疗和综合医疗模式。数据提取将遵循干预描述和复制清单模板,以确保干预组件的详细和标准化报告。研究结果的综合将采用定量和定性方法,以全面概述干预情况。
    背景:本范围审查,涉及对公开来源的二次数据分析,不需要道德批准。调查结果将通过同行评审的出版物和相关会议的介绍传播。
    背景:2024年1月29日开放科学中心的开放科学框架注册表(osf.io/j7gt8)。
    BACKGROUND: Hypertension and depression often coexisted, leading to poor health outcome and significant challenges in healthcare management. Since no guidelines or consensus are available for health professionals to manage this comorbidity, identifying interventions in current literature is crucial for gaining a clear picture of evidence and informing future research directions and clinical practice. This scoping review is designed to address this gap by systematically mapping the range of potential interventions for managing comorbid hypertension and depression.
    METHODS: Following the Joanna Briggs Institute guidelines for scoping review, this review will comprehensively search databases including PUBMED, Embase, PsycINFO, CINAHL, Cochrane Library Databases, Chinese Biomedical Literature Database and Chinese National Knowledge Infrastructure. Grey literature will be sourced from Google Scholar. A year limit of January 2004-December 2023 will be applied to retrieve the most current peer-reviewed articles in English and Chinese language only. Two reviewers will individually screen and the process will be documented in Preferred Reporting Items for Systematic Reviews and Meta-Analyses for scoping reviews. This review will explore a range of non-pharmacological and multicomponent interventions including psychosocial support, educational programmes, telemedicine and integrated healthcare models. Data extraction will follow the Template for Intervention Description and Replication checklist to ensure detailed and standardised reporting of intervention components. The synthesis of findings will employ both quantitative and qualitative methods to provide a comprehensive overview of the intervention landscape.
    BACKGROUND: This scoping review, which involves secondary data analysis of publicly available sources, does not require ethical approval. Findings will be disseminated through peer-reviewed publications and presentations at relevant conferences.
    BACKGROUND: Open Science Framework registry (osf.io/j7gt8) in Centre for Open Science on 29 January 2024.
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  • 文章类型: Journal Article
    背景:近年来,越来越多的证据表明,非药物干预治疗精神分裂症谱系障碍(SSD)的疗效,包括幻听(AH)等阳性症状.然而,临床试验主要检查阳性症状的一般治疗效果.因此,先前的研究缺乏有关主要针对治疗AH的心理和心理社会方法的全面和明确的证据。为了克服当前文献中的这种知识差距,我们将进行系统评价和荟萃分析,以评估明确针对性的心理和社会心理干预对SSD患者AH的疗效.
    方法:本研究方案是根据系统评价和荟萃分析方案的首选报告项目指南制定的。我们将包括所有随机对照试验,分析针对性的心理和心理社会干预措施的疗效,特别是旨在治疗SSD中的AH。我们将包括对经历AH的SSD成年患者的研究。主要结果将是测量AH的已发布评级量表的变化。次要结果将是妄想,总体症状,阴性症状,抑郁症,社会功能,生活质量,和可接受性(辍学)。我们将搜索相关数据库和所包含文献的参考列表。研究选择过程将由两名独立评审员进行。我们将进行随机效应荟萃分析,以考虑不同研究的异质性。将通过R中的软件包进行分析。将使用Cochrane偏差风险工具评估每个研究中的偏差风险。将进行异质性评估和敏感性分析。
    结论:拟议的研究将通过概述有效的治疗方法及其在SSD中治疗AH的总体疗效来增强现有证据。这些发现将通过解决治疗AH的有效策略来补充可能影响临床实践中未来治疗实施的现有证据,从而改善所处理人群的结果。
    背景:没有道德问题可以预见。我们将在同行评审的期刊和相关的科学会议上发表这项研究的结果。
    背景:PROSPERO注册号:CRD42023475704。
    BACKGROUND: In recent years, a growing body of evidence has demonstrated the efficacy of non-pharmacological interventions for schizophrenia spectrum disorders (SSD) including positive symptoms such as auditory hallucinations (AH). However, clinical trials predominantly examine general treatment effects for positive symptoms. Therefore, previous research is lacking in comprehensive and clear evidence about psychological and psychosocial approaches that are primarily tailored to treat AH. To overcome this knowledge gap in the current literature, we will conduct a systematic review and meta-analysis to assess the efficacy of clearly targeted psychological and psychosocial interventions for AH in persons with SSD.
    METHODS: This study protocol has been developed according to the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols. We will include all randomized controlled trials analyzing the efficacy of targeted psychological and psychosocial interventions especially aimed at treating AH in SSD. We will include studies on adult patients with SSD experiencing AH. The primary outcome will be the change on a published rating scale measuring AH. Secondary outcomes will be delusions, overall symptoms, negative symptoms, depression, social functioning, quality of life, and acceptability (drop-out). We will search relevant databases and the reference lists of included literature. The study selection process will be conducted by two independent reviewers. We will conduct a random-effect meta-analysis to consider heterogeneity across studies. Analyses will be carried out by software packages in R. The risk of bias in each study will be evaluated using the Cochrane Risk of Bias tool. Assessment of heterogeneity and sensitivity analysis will be conducted.
    CONCLUSIONS: The proposed study will augment the existing evidence by providing an overview of effective treatment approaches and their overall efficacy at treating AH in SSD. These findings will complement existing evidence that may impact future treatment implementations in clinical practice by addressing effective strategies to treat AH and therefore improve outcomes for the addressed population.
    BACKGROUND: No ethical issues are foreseen. We will publish the results from this study in peer-reviewed journals and at relevant scientific conferences.
    BACKGROUND: PROSPERO registration number: CRD42023475704.
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  • 文章类型: Journal Article
    目的:本研究旨在探讨产后妇女妊娠相关并发症与创伤后应激障碍(PTSD)之间的关系。然后总结妊娠相关PTSD或亚PTSD的有效心理干预措施。
    方法:在PubMed,Embase,科克伦,ISIWebofScience,中国国家知识基础设施(CNKI),和万方数据库使用“应激障碍”的主题词,创伤后\",\"孕妇\",和“心理治疗”。为了确保尽可能多的相关研究被纳入,免费条款,如产前,产后,围产期和妊娠期也被使用。7月1日发表的干预研究和相关案例,2023年,也进行了搜索。
    结果:本综述包括21篇文章(包括3,901名母亲)。证据表明,典型的心理干预措施表现出巨大的效果,和家庭支持计划,同行支持,在线瑜伽,和音乐疗法在降低风险和改善被研究人群的心理健康方面也是有效的。
    结论:胎儿异常,流产,早产,低出生体重婴儿,高血压,先兆子痫,HELLP综合征,妊娠剧吐与PTSD的风险增加有关。此外,高危孕妇可从认知行为疗法(CBT)等心理干预中获益.对于音乐疗法和暴露疗法来说,减轻母亲PTSD的强度也可能是可行且广为接受的。
    OBJECTIVE: This scoping review sought to investigate the association between pregnancy-related complications and post-traumatic stress disorder (PTSD) among postpartum women, then summarize effective psychological interventions for pregnancy-related PTSD or sub-PTSD.
    METHODS: Publications in English and Chinese were searched in PubMed, Embase, Cochrane, ISI Web of Science, China National Knowledge Infrastructure (CNKI), and WanFang databases using the subject headings of \"Stress Disorders, Post-Traumatic\", \"Pregnant Women\", and \"psychotherapy\". To ensure that as many relevant studies are incorporated as possible, free terms such as prenatal, postnatal, perinatal and gestation were also used. Intervention studies and related cases published by July 1st, 2023, were also searched.
    RESULTS: Twenty-one articles (including 3,901 mothers) were included in this review. Evidence showed that typical psychological interventions exhibited great effect, and family support programs, peer support, online yoga, and music therapy were also effective in reducing risk and improving the psychological well-being of the studied population.
    CONCLUSIONS: Fetal abnormalities, miscarriage, premature birth, infants with low birth weights, hypertension, pre-eclampsia, HELLP syndrome, and hyperemesis gravidarum are associated with an increased risk of PTSD. Moreover, high-risk pregnant women may benefit from psychological interventions such as cognitive behavioral therapy (CBT). It may also be feasible and well-accepted for music therapy and exposure therapy to lessen the intensity of PTSD in mothers.
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  • 文章类型: Journal Article
    方法:本系统综述旨在全面检查ALS患者家庭照顾者对心理社会干预的所有现有知识。此外,这项研究将展示知识上的差距,对未来研究的建议,以及针对ALS患者家庭护理人员需求的社会心理干预指南。
    方法:系统评价是根据PRISMA指南进行的,并确定了针对ALS患者家庭照顾者的心理社会干预研究,使用五个电子数据库:PsychNET,PubMed,EBSCO,PRIMO,和要求。七篇文章符合标准,并被纳入审查。进行了主题分析,以提取主要主题。
    结果:数据中出现了三个主要主题:(1)个人利益;(2)人际利益;(3)绘制挑战和改善心理社会干预措施的途径。
    结论:根据调查结果,制定了注重小组组成的实用指南,主持人的角色,内容,组内的关系,以及在线干预的机会和局限性。
    METHODS: This systematic review aims to comprehensively examine all existing knowledge on psychosocial interventions for family caregivers for ALS patients. Also, the study will present the gaps in knowledge, recommendations for future research, and guidelines for psychosocial interventions that are focused and adapted to the needs of family caregivers of ALS patients.
    METHODS: The systematic review was conducted according to the PRISMA guidelines and identified studies on psychosocial intervention for family caregivers of ALS patients, using five electronic databases: PsychNET, PubMed, EBSCO, PRIMO, and PROQUEST. Seven articles met the criteria and were included in the review. A thematic analysis was conducted to extract major themes.
    RESULTS: Three major themes emerged from the data: (1) Personal benefits; (2) Interpersonal benefits; and (3) Charting challenges and pathways to improve psychosocial interventions.
    CONCLUSIONS: Based on the findings, practical guidelines were formulated that focus on the group\'s composition, the facilitator\'s role, the contents, the relationships within the group, and the opportunities and limitations of online interventions.
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  • 文章类型: Journal Article
    目的:这项荟萃分析检查了依从性促进干预措施对儿童的疗效,青少年,和年轻的成年人开了>90天的药物作为医疗条件的治疗方案的一部分。
    方法:进行了系统的文献综述,以确定2013年至2023年发表的依从性促进干预措施的随机对照试验,包括儿童,青少年,和/或有医疗状况的年轻人。共有38篇文章代表39项试验符合纳入标准。进行叙述性综合以总结纳入的试验,并使用随机效应模型来计算总体干预效果。按依从性结果评估方法划分的效果大小,参与者年龄,还计算了技术使用情况。
    结果:儿科依从性促进干预措施显示中等效果,与随机接受比较条件的干预措施相比,随机接受干预措施的干预措施在药物依从性方面有更大的改善(SMD=0.46,95%CI:0.31,0.60,n=37;95%预测间隔:-0.32,1.23)。
    结论:对儿童的坚持干预措施,青少年,和年轻的成年人有医疗条件增加依从性。
    OBJECTIVE: This meta-analysis examined the efficacy of adherence-promotion interventions for children, adolescents, and young adults prescribed a medication for > 90 days as part of a treatment regimen for a medical condition.
    METHODS: A systematic literature review was conducted to identify randomized controlled trials of adherence-promotion interventions published between 2013 and 2023 and including children, adolescents, and/or young adults with a medical condition. A total of 38 articles representing 39 trials met inclusion criteria. A narrative synthesis was conducted to summarize included trials and a random-effects model was used to compute an overall intervention effect. Effect sizes by adherence outcome assessment methodology, participant age, and technology use were also computed.
    RESULTS: Pediatric adherence-promotion interventions demonstrate a medium effect with those randomized to an intervention displaying greater improvements in medication adherence than those randomized to a comparator condition (SMD = 0.46, 95% CI: 0.31, 0.60, n = 37; 95% Prediction Interval: -0.32, 1.23).
    CONCLUSIONS: Adherence interventions for children, adolescents, and young adults with medical conditions increase adherence.
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