Story-based interventions for chronic health conditions in youth: a systematic review and narrative synthesis.

IF 2.4 3区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL
Emily L Rappolt, Eunji Cho, Molly L Tanenbaum, Allison Myers, Shelagh A Mulvaney
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引用次数: 0

Abstract

Objective: To systematically review the literature on the implementation and effectiveness of story-based interventions for youth with chronic conditions to improve health-related outcomes.

Methods: The protocol for this review was registered with PROSPERO: CRD42024550328. A comprehensive search was conducted across PubMed, CINHAL, EMBASE, and Web of Science. Databases were searched from inception to June 2024. Studies were included if the intervention was story-based, the sample had a mean or median age between 11 and 25, and participants had a chronic condition. Studies were limited to quantitative and mixed methods. Three reviewers independently screened abstracts and full text for eligibility. Risk of bias was assessed using the Mixed Methods Appraisal Tool. Effect sizes were extracted or calculated. Reported qualitative findings were narratively synthesized.

Results: Of the 3,797 articles screened, 7 articles met the inclusion criteria. Considerable variation existed across studies in intervention goals, components, and outcomes assessed. Notable impacts were related to improvement in distress and depressive symptoms. Intervention strategies ranged from autobiographical writing to digital formats such as video narratives and online participatory community sites. Interventions demonstrated mixed impact in improving health-related outcomes with effect sizes ranging from -0.54 to 5.50.

Conclusion: Story-based interventions focused on youth with chronic illness provide promising means to elicit relevant experiences and impact health outcomes. The knowledge base is in a formative stage and characterized by multicomponent interventions with research designs that do not support strong causal inference. Further research is warranted to replicate outcomes and understand active intervention components.

以故事为基础的青年慢性健康状况干预措施:系统回顾和叙事综合。
目的:系统地回顾有关以故事为基础的干预措施对青少年慢性病患者改善健康相关结局的实施和有效性的文献。方法:本综述的方案注册号为PROSPERO: CRD42024550328。在PubMed, CINHAL, EMBASE和Web of Science上进行了全面的搜索。数据库从成立到2024年6月进行了搜索。如果干预以故事为基础,样本的平均或中位年龄在11至25岁之间,并且参与者患有慢性疾病,则纳入研究。研究仅限于定量和混合方法。三位审稿人独立筛选摘要和全文的资格。使用混合方法评估工具评估偏倚风险。提取或计算效应量。所报道的定性结果以叙述的方式进行了综合。结果:在筛选的3797篇文献中,有7篇符合纳入标准。各研究在干预目标、成分和评估结果方面存在相当大的差异。显著的影响与痛苦和抑郁症状的改善有关。干预策略包括从自传体写作到数字格式,如视频叙述和在线参与性社区网站。干预措施在改善健康相关结果方面表现出混合影响,效应值范围为-0.54至5.50。结论:以故事为基础的干预措施重点关注患有慢性疾病的青年,为获得相关经验和影响健康结果提供了有希望的手段。知识基础处于形成阶段,其特点是多成分干预,研究设计不支持强有力的因果推理。进一步的研究是必要的,以重复结果和了解积极的干预成分。
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来源期刊
Journal of Pediatric Psychology
Journal of Pediatric Psychology PSYCHOLOGY, DEVELOPMENTAL-
CiteScore
6.00
自引率
11.10%
发文量
89
期刊介绍: The Journal of Pediatric Psychology is the official journal of the Society of Pediatric Psychology, Division 54 of the American Psychological Association. The Journal of Pediatric Psychology publishes articles related to theory, research, and professional practice in pediatric psychology. Pediatric psychology is an integrated field of science and practice in which the principles of psychology are applied within the context of pediatric health. The field aims to promote the health and development of children, adolescents, and their families through use of evidence-based methods.
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