Self-help interventions for persistent physical symptoms: a systematic review of behaviour change components and their potential effects.

IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Health Psychology Review Pub Date : 2024-03-01 Epub Date: 2023-01-24 DOI:10.1080/17437199.2022.2163917
Mette Trøllund Rask, Lisbeth Frostholm, Sofie Høeg Hansen, Marie Weinreich Petersen, Eva Ørnbøl, Marianne Rosendal
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Abstract

Persistent physical symptoms (PPS) remain a challenge in the healthcare system due to time-constrained consultations, uncertainty and limited specialised care capacity. Self-help interventions may be a cost-effective way to widen the access to treatment. As a foundation for future interventions, we aimed to describe intervention components and their potential effects in self-help interventions for PPS. A systematic literature search was made in PubMed, EMBASE, PsycINFO and CENTRAL. Fifty-one randomised controlled trials were included. Interventions were coded for effect on outcomes (standardised mean difference ≥0.2) related to symptom burden, anxiety, depression, quality of life, healthcare utilisation and sickness absence. The Behaviour Change Technique (BCT) Taxonomy v1 was used to code intervention components. An index of potential was calculated for each BCT within an outcome category. Each BCT was assessed as 'potentially effective' or 'not effective' based on a two-sided test for binomial random variables. Sixteen BCTs showed potential effect as treatment components. These BCTs represented the themes: goals and planning, feedback and monitoring, shaping knowledge, natural consequences, comparison of behaviour, associations, repetition and substitution, regulation, antecedents and identity. The results suggest that specific BCTs should be included in new PPS self-help interventions aiming to improve the patients' physical and mental health.

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针对顽固性身体症状的自助干预:对行为改变内容及其潜在效果的系统回顾。
由于就诊时间紧张、不确定性和专业护理能力有限,持续性躯体症状(PPS)仍然是医疗系统面临的一项挑战。自助干预可能是扩大治疗范围的一种具有成本效益的方法。作为未来干预措施的基础,我们旨在描述 PPS 自助干预措施的干预要素及其潜在效果。我们在 PubMed、EMBASE、PsycINFO 和 CENTRAL 中进行了系统的文献检索。共纳入了 51 项随机对照试验。对干预措施对症状负担、焦虑、抑郁、生活质量、医疗保健利用率和病假相关结果的影响(标准化平均差≥0.2)进行了编码。使用行为改变技术(BCT)分类标准 v1 对干预内容进行编码。在一个结果类别中,为每个 BCT 计算出一个潜力指数。根据二项随机变量的双侧检验,每个 BCT 都被评估为 "潜在有效 "或 "无效"。有 16 个 BCT 作为治疗组成部分显示出潜在效果。这些 BCT 代表了以下主题:目标和计划、反馈和监控、塑造知识、自然后果、行为比较、联想、重复和替代、调节、前因和认同。研究结果表明,在旨在改善患者身心健康的新的 PPS 自助干预中应包含特定的 BCT。
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来源期刊
Health Psychology Review
Health Psychology Review PSYCHOLOGY, CLINICAL-
CiteScore
21.30
自引率
0.00%
发文量
28
期刊介绍: The publication of Health Psychology Review (HPR) marks a significant milestone in the field of health psychology, as it is the first review journal dedicated to this important and rapidly growing discipline. Edited by a highly respected team, HPR provides a critical platform for the review, development of theories, and conceptual advancements in health psychology. This prestigious international forum not only contributes to the progress of health psychology but also fosters its connection with the broader field of psychology and other related academic and professional domains. With its vital insights, HPR is a must-read for those involved in the study, teaching, and practice of health psychology, behavioral medicine, and related areas.
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