电子心理健康干预在慢性病成人非正式照护者中的实施：一项混合方法系统评价及定性比较分析方案。

Implementation of e-mental health interventions for informal caregivers of adults with chronic diseases: a protocol for a mixed-methods systematic review with a qualitative comparative analysis.

机构信息

Clinical Psychology in Healthcare, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden

Clinical Psychology in Healthcare, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.

出版信息

BMJ Open. 2020 Jun 21;10(6):e035406. doi: 10.1136/bmjopen-2019-035406.

DOI:10.1136/bmjopen-2019-035406

PMID:32565461

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7307546/

Abstract

INTRODUCTION

Informal caregivers provide the majority of care to individuals with chronic health conditions, benefiting the care recipient and reducing use of formal care services. However, providing informal care negatively impacts the mental health of many caregivers. E-mental health interventions have emerged as a way to provide accessible mental healthcare to caregivers. Much attention has been given to reviewing the effectiveness and efficacy of such interventions, however, factors related to implementation have received less consideration. Therefore, this mixed-methods systematic review will aim to examine factors associated with the effectiveness and implementation of e-mental health interventions for caregivers.

METHODS AND ANALYSIS

Eligible studies published since 1 January 2007 will be searched for in several electronic databases (CINAHL Plus with Full Text, the Cochrane Library, EMBASE, PsycINFO, PubMed and Web of Science), clinical trial registries and OpenGrey, with all screening steps conducted by two independent reviewers. Studies will be included if they focus on the implementation or effectiveness of e-mental health interventions designed for informal adult caregivers of adults with cancer, heart disease, stroke, diabetes, dementia or chronic obstructive pulmonary disease. Pragmatic randomised controlled trials quantitatively reporting on caregiver anxiety, depression, psychological distress or stress will be used for a qualitative comparative analysis to identify combinations of conditions that result in effective interventions. Qualitative and quantitative data on implementation of e-mental health interventions for caregivers will be integrated in a thematic synthesis to identify barriers and facilitators to implementation. These results will inform future development and implementation planning of e-mental health interventions for caregivers.

ETHICS AND DISSEMINATION

Ethical approval is not required for this study as no primary data will be collected. Results will be disseminated in the form of a scientific publication and presentations at academic conferences and plain language summaries for various stakeholders.

PROSPERO REGISTRATION NUMBER

CRD42020155727.

摘要

简介

非正式护理人员为患有慢性健康状况的个人提供了大部分护理，使护理接受者受益并减少了对正式护理服务的使用。然而，提供非正式护理会对许多护理人员的心理健康产生负面影响。电子心理健康干预措施已成为为护理人员提供可及的心理健康保健的一种方式。人们非常关注审查此类干预措施的有效性和效果，但是，与实施相关的因素却受到较少关注。因此，这项混合方法系统评价旨在研究与电子心理健康干预措施对护理人员的有效性和实施相关的因素。

方法和分析

自 2007 年 1 月 1 日以来，将在几个电子数据库（CINAHL Plus with Full Text、Cochrane 图书馆、EMBASE、PsycINFO、PubMed 和 Web of Science）、临床试验登记处和 OpenGrey 中搜索符合条件的研究，所有筛选步骤均由两名独立审查员进行。如果研究侧重于为患有癌症、心脏病、中风、糖尿病、痴呆症或慢性阻塞性肺疾病的成年人的非正式成年护理人员设计的电子心理健康干预措施的实施或有效性，则将纳入研究。将使用定性比较分析来对定量报告护理人员焦虑、抑郁、心理困扰或压力的实用随机对照试验进行分析，以确定导致干预措施有效的组合条件。将对护理人员电子心理健康干预措施的实施的定性和定量数据进行整合，以确定实施的障碍和促进因素。这些结果将为护理人员的电子心理健康干预措施的未来开发和实施计划提供信息。