针对居住在养老院的老年人的认知行为疗法的特点：一项系统评价方案
Characteristics of Cognitive Behavioral Therapy for Older Adults Living in Residential Care: Protocol for a Systematic Review.
作者信息
Chan Phoebe, Bhar Sunil, Davison Tanya E, Doyle Colleen, Knight Bob G, Koder Deborah, Laidlaw Kenneth, Pachana Nancy A, Wells Yvonne, Wuthrich Viviana M
机构信息
Department of Psychological Sciences, Swinburne University of Technology, Melbourne, Australia.
School of Health Sciences, Swinburne University of Technology, Melbourne, Australia.
出版信息
JMIR Res Protoc. 2018 Jul 4;7(7):e164. doi: 10.2196/resprot.9902.
BACKGROUND
The prevalence rates of depressive and anxiety disorders are high in residential aged care settings. Older adults in such settings might be prone to these disorders because of losses associated with transitioning to residential care, uncertainty about the future, as well as a decline in personal autonomy, health, and cognition. Cognitive behavioral therapy (CBT) is efficacious in treating late-life depression and anxiety. However, there remains a dearth of studies examining CBT in residential settings compared with community settings. Typically, older adults living in residential settings have higher care needs than those living in the community. To date, no systematic reviews have been conducted on the content and the delivery characteristics of CBT for older adults living in residential aged care settings.
OBJECTIVE
The objective of this paper is to describe the systematic review protocol on the characteristics of CBT for depression and/or anxiety for older adults living in residential aged care settings.
METHODS
This protocol was developed in compliance with the recommendations of the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P). Studies that fulfill the inclusion criteria will be identified by systematically searching relevant electronic databases, reference lists, and citation indexes. In addition, the PRISMA flowchart will be used to record the selection process. A pilot-tested data collection form will be used to extract and record data from the included studies. Two reviewers will be involved in screening the titles and abstracts of retrieved records, screening the full text of potentially relevant reports, and extracting data. Then, the delivery and content characteristics of different CBT programs of the included studies, where available, will be summarized in a table. Furthermore, the Downs and Black checklist will be used to assess the methodological quality of the included studies.
RESULTS
Systematic searches will commence in May 2018, and data extraction is expected to commence in July 2018. Data analyses and writing will happen in October 2018.
CONCLUSIONS
In this section, the limitations of the systematic review will be outlined. Clinical implications for treating late-life depression and/or anxiety, and implications for residential care facilities will be discussed.
TRIAL REGISTRATION
PROSPERO 42017080113; https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=80113 (Archived by WebCite at http://www.webcitation.org/70dV4Qf54).
REGISTERED REPORT IDENTIFIER
RR1-10.2196/9902.
背景
在老年护理机构中，抑郁症和焦虑症的患病率很高。处于这类机构中的老年人可能容易患上这些疾病，原因包括与过渡到机构护理相关的损失、对未来的不确定性，以及个人自主性、健康状况和认知能力的下降。认知行为疗法（CBT）在治疗老年期抑郁症和焦虑症方面是有效的。然而，与社区环境相比，针对机构环境中CBT的研究仍然匮乏。通常，生活在机构环境中的老年人比生活在社区中的老年人有更高的护理需求。迄今为止，尚未对老年护理机构中老年人的CBT内容和实施特点进行系统评价。
目的
本文的目的是描述针对老年护理机构中老年人抑郁症和/或焦虑症的CBT特点的系统评价方案。
方法
本方案是按照系统评价与Meta分析方案的首选报告项目（PRISMA-P）的建议制定的。符合纳入标准的研究将通过系统检索相关电子数据库、参考文献列表和引文索引来确定。此外，将使用PRISMA流程图记录选择过程。将使用经过预试验的数据收集表从纳入研究中提取和记录数据。两名评审员将参与筛选检索记录的标题和摘要、筛选潜在相关报告的全文以及提取数据。然后，将把纳入研究中不同CBT项目（如有的话）的实施和内容特点汇总在一个表格中。此外，将使用唐斯和布莱克清单来评估纳入研究的方法学质量。
结果
系统检索将于2018年5月开始，数据提取预计于2018年7月开始。数据分析和撰写工作将于2018年10月进行。
结论
在本节中，将概述系统评价的局限性。将讨论治疗老年期抑郁症和/或焦虑症的临床意义以及对老年护理机构的意义。
试验注册
PROSPERO 42017080113；https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=80113（由WebCite存档于http://www.webcitation.org/70dv4Qf54）。
注册报告标识符
RR1-10.2196/9902。
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