基于互联网的第三代认知行为疗法（CBT）对减轻慢性病患儿和青少年父母的压力：系统评价与荟萃分析方案
Internet-based third-wave Cognitive Behavioral Therapy (CBT) for reducing stress in parents of children and adolescents with chronic conditions: Systematic review and meta-analysis protocol.
作者信息
Davey Maria, Fried Leanne, Chih Hui Jun, Rooney Rosanna, Roberts Alison
机构信息
Curtin School of Population Health Curtin University Kent Street Bentley WA Australia.
Telethon Kids Institute Perth Children's Hospital 15 Hospital Avenue Nedlands WA Australia.
出版信息
Health Sci Rep. 2024 Oct 6;7(10):e70125. doi: 10.1002/hsr2.70125. eCollection 2024 Oct.
BACKGROUND
Parents of children and adolescents with chronic conditions have an increased risk of stress-related mental health problems, and reduced quality of life. Third wave Cognitive Behavioral Therapy (CBT) interventions have been shown to reduce stress in this parent population. Studies demonstrate that this efficacy endures when these therapies are delivered online. The aim of this protocol is to describe the methodology and methods that will be employed for a systematic review and meta-analysis that investigates the effectiveness of internet-based third-wave CBT interventions for parents of children and adolescents with chronic conditions, and their potential to reduce stress for parents.
METHODS/DESIGN: This systematic review will follow the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) approach. A search of peer-reviewed journal articles published from January 1970 to December 2022 will be undertaken in the following databases: CINHAHL, EMBASE, EMCARE, MEDLINE, PsycINFO. Title and abstract screening together with data extraction will be completed by two reviewers, and will be arbitrated by a third reviewer, should there be any discrepancies. The risk of bias will be assessed using the Cochrane Risk of Bias tool. Data related to the primary outcome (i.e. reduction of stress in parents) will be extracted for analysis.
RESULTS
This Systematic Review and Meta-Analysis plans to provide a conclusive overview of the available evidence on the effectiveness of internet-based third-wave parent interventions and their ability to reduce stress in parents of children and adolescents with chronic conditions. If the results of this analysis prove positive, further research can be undertaken to support this vulnerable parent population. The findings of the review will be published in a peer-reviewed journal.
DISCUSSION
Third-wave internet-based approaches may show great promise in supporting parents to cope with the stress/distress associated with parenting a child with a chronic condition. This protocol will guide a systematic literature review of the evidence for internet-based third-wave interventions for this parent population.
REGISTRATION
This systematic review was registered on PROSPERO on 24th June, 2022 (Registration: CRD42022337334).
背景
患有慢性病的儿童和青少年的父母出现与压力相关的心理健康问题的风险增加，生活质量下降。已证明第三代认知行为疗法（CBT）干预措施可减轻这一父母群体的压力。研究表明，当这些疗法通过在线方式提供时，这种疗效会持续。本方案的目的是描述将用于系统评价和荟萃分析的方法，该评价和分析将调查基于互联网的第三代CBT干预措施对患有慢性病的儿童和青少年的父母的有效性，以及它们减轻父母压力的潜力。
方法/设计：本系统评价将遵循系统评价和荟萃分析的首选报告项目（PRISMA）方法。将在以下数据库中检索1970年1月至2022年12月发表的同行评审期刊文章：CINHAHL、EMBASE、EMCARE、MEDLINE、PsycINFO。两名评审员将共同完成标题和摘要筛选以及数据提取，如有任何差异，将由第三名评审员进行仲裁。将使用Cochrane偏倚风险工具评估偏倚风险。将提取与主要结局（即减轻父母压力）相关的数据进行分析。
结果
本系统评价和荟萃分析计划对基于互联网的第三代父母干预措施的有效性以及它们减轻患有慢性病的儿童和青少年的父母压力的能力的现有证据提供一个结论性的概述。如果该分析结果证明是积极的，则可以进行进一步的研究以支持这一弱势父母群体。该评价的结果将发表在同行评审期刊上。
讨论
基于互联网的第三代方法在支持父母应对与养育患有慢性病的孩子相关的压力/困扰方面可能显示出巨大的前景。本方案将指导对针对这一父母群体的基于互联网的第三代干预措施的证据进行系统的文献综述。
注册
本系统评价于2022年6月24日在PROSPERO上注册（注册号：CRD42022337334）。
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