父母去世后的早期干预措施：一项混合方法系统评价的方案

Early Interventions Following the Death of a Parent: Protocol of a Mixed Methods Systematic Review.

作者信息

Pereira Mariana, Johnsen Iren, Hauken May Aa, Kristensen Pål, Dyregrov Atle

机构信息

Center for Crisis Psychology, Faculty of Psychology, University of Bergen, Bergen, Norway.

Faculty of Psychology, Department of Clinical Psychology, University of Bergen, Bergen, Norway.

出版信息

JMIR Res Protoc. 2017 Jun 29;6(6):e127. doi: 10.2196/resprot.7931.

DOI:10.2196/resprot.7931

PMID:28663165

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5509950/

Abstract

BACKGROUND

Previous meta-analyses examined the effectiveness of interventions for bereaved children showing small to moderate effect sizes. However, no mixed methods systematic review was conducted on bereavement interventions following the loss of a parent focusing on the time since death in regard to the prevention of grief complications.

OBJECTIVE

The overall purpose of the review is to provide a rigorous synthesis of early intervention after parental death in childhood. Specifically, the aims are twofold: (1) to determine the rationales, contents, timeframes, and outcomes of early bereavement care interventions for children and/or their parents and (2) to assess the quality of current early intervention studies.

METHODS

Quantitative, qualitative, and mixed methods intervention studies that start intervention with parentally bereaved children (and/or their parents) up to 6 months postloss will be included in the review. The search strategy was based on the Population, Interventions, Comparator, Outcomes, and Study Designs (PICOS) approach, and it was devised together with a university librarian. The literature searches will be carried out in the Medical Literature Analysis and Retrieval System Online (MEDLINE), PsycINFO, Excerpta Medica Database (EMBASE), and Cumulative Index to Nursing and Allied Health Literature (CINAHL). The Mixed Methods Appraisal Tool will be used to appraise the quality of eligible studies. All data will be narratively synthetized following the Guidance on the Conduct of Narrative Synthesis in Systematic Reviews.

RESULTS

The systematic review is ongoing and the data search has started. The review is expected to be completed by the end of 2017. Findings will be submitted to leading journals for publication.

CONCLUSIONS

In accordance with the current diagnostic criteria for prolonged grief as well as the users' perspectives literature, this systematic review outlines a possible sensitive period for early intervention following the death of a parent. The hereby presented protocol ensures the groundwork and transparency for the process of conducting the systematic review.

TRIAL REGISTRATION

International Prospective Register of Systematic Reviews (PROSPERO) CRD42017064077; http://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42017064077 (Archived by WebCite at http://www.webcitation.org/6rMq6F0fv).

摘要

背景

以往的荟萃分析研究了针对丧亲儿童的干预措施的有效性，结果显示效应量较小至中等。然而，尚未有针对父母一方去世后的丧亲干预措施进行混合方法系统评价，该评价聚焦于自死亡后的时间与预防悲伤并发症的关系。

目的

本综述的总体目的是对童年时期父母死亡后的早期干预进行严格的综合分析。具体而言，目标有两个：（1）确定针对儿童和/或其父母的早期丧亲护理干预措施的基本原理、内容、时间框架和结果；（2）评估当前早期干预研究的质量。

方法

本综述将纳入对父母丧亲的儿童（和/或其父母）在丧亲后6个月内开始进行干预的定量、定性和混合方法干预研究。检索策略基于人群、干预措施、对照、结局和研究设计（PICOS）方法，并与一位大学图书馆员共同制定。文献检索将在医学文献分析和联机检索系统（MEDLINE）、心理学文摘数据库（PsycINFO）、医学文摘数据库（EMBASE）以及护理学与健康相关文献累积索引（CINAHL）中进行。将使用混合方法评价工具来评估合格研究的质量。所有数据将按照系统评价中叙述性综合的实施指南进行叙述性综合分析。