基于互联网的第三波认知行为疗法（CBT）为患有慢性疾病的儿童和青少年的父母减轻压力：系统回顾和荟萃分析协议。

IF 2.1 Q2 MEDICINE, GENERAL & INTERNAL

Health Science Reports Pub Date : 2024-10-06 DOI:10.1002/hsr2.70125

Maria Davey, Dr Leanne Fried, Dr Hui Jun Chih, Rosanna Rooney, Alison Roberts

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引用次数: 0

摘要

背景：患有慢性疾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和生活质量下降的风险会增加。第三波认知行为疗法（CBT）干预措施已被证明可以减轻这类家长的压力。研究表明，当这些疗法在网上进行时，其疗效仍会持续。本协议旨在描述系统综述和荟萃分析将采用的方法和手段，以调查基于互联网的第三波 CBT 干预疗法对患有慢性疾病的儿童和青少年家长的有效性，以及其减轻家长压力的潜力：本系统综述将采用系统综述和元分析首选报告项目（PRISMA）方法。将在以下数据库中检索 1970 年 1 月至 2022 年 12 月期间发表的同行评审期刊论文：CINHAHL、EMBASE、EMCARE、MEDLINE、PsycINFO。标题和摘要筛选以及数据提取将由两名审稿人完成，如有任何差异，将由第三名审稿人进行仲裁。偏倚风险将使用 Cochrane 偏倚风险工具进行评估。将提取与主要结果（即减轻父母压力）相关的数据进行分析：本系统综述和荟萃分析报告计划对基于互联网的第三波家长干预措施的有效性及其减轻慢性病儿童和青少年家长压力的能力的现有证据进行结论性概述。如果分析结果证明是积极的，就可以开展进一步研究，为这一弱势家长群体提供支持。研究结果将发表在同行评审期刊上：讨论：基于互联网的第三波方法在支持父母应对与养育慢性病患儿相关的压力/紧张方面可能大有可为。本协议将指导针对这一家长群体的基于互联网的第三波干预证据的系统性文献综述：本系统性综述于 2022 年 6 月 24 日在 PROSPERO 上注册（注册号：CRD42022337334）。

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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

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.