Enablers and Barriers of Online Mindfulness-Based Interventions for Informal Carers: A Mixed-Methods Systematic Review

IF 3.1 2区心理学 Q2 PSYCHIATRY Mindfulness Pub Date : 2024-05-30 DOI:10.1007/s12671-024-02365-y

Charunya Amilani Kumarihami Rambukwella Abeysinghe Mudiyanselage, Beverley Ewens, Aisling Smyth, Joanne Dickson, Seng Giap Marcus Ang

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Abstract

Objectives

Informal carers are an integral part of any health care system. However, provision of informal care is associated with caregiver burden and decreased wellbeing. Mindfulness programs can reduce caregiving burden and improve wellbeing among informal carers, but they face challenges when participating in face-to-face programs. Studies have explored the effects of online delivery of mindfulness programs for informal carers. However, the enablers and barriers for participation are not well understood. This review aimed to synthesise the evidence and provide a comprehensive understanding of the enablers and barriers to participation in online mindfulness programs among this population.

Methods

A mixed-methods systematic review was conducted following the Joanna Briggs Institute mixed-methods systematic review approach and using eight databases. All empirical studies published in English and involving informal carers aged over 18 years were included. Critical appraisal was conducted using the Mixed Methods Appraisal Tool. Thematic analysis was conducted to integrate the data.

Results

Nine studies were included: three quantitative, two qualitative, and four mixed methods. Three subthemes for enablers and barriers were developed. Three subthemes for enablers included self-motivation, positive experience of mindfulness, and program structure and delivery. Three subthemes for barriers included lack of self-motivation, external factors preventing participation, and program structure and delivery. The enablers and barriers were interrelated within and across the identified themes.

Conclusions

A comprehensive synthesis of current evidence was provided for consideration when developing online mindfulness-based interventions for informal carers. Further investigation is recommended, particularly in relation to the enablers and barriers to engagement by informal carers.

Preregistration

The review protocol was registered with PROSPERO (CRD42023409311).

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非正规照护者在线正念干预的促进因素和障碍：混合方法系统综述

目标非正规护理人员是任何医疗保健系统不可或缺的一部分。然而，提供非正规护理与护理人员的负担和幸福感下降有关。正念项目可以减轻非正式照护者的照护负担并提高他们的幸福感，但他们在参加面对面的项目时却面临着挑战。有研究探讨了为非正式照护者提供在线正念计划的效果。然而，人们对参与的促进因素和障碍还不甚了解。本综述旨在综合相关证据，全面了解非正规照顾者参与在线正念课程的有利因素和障碍。方法按照乔安娜-布里格斯研究所（Joanna Briggs Institute）的混合方法系统综述方法，使用八个数据库进行了混合方法系统综述。所有以英语发表的、涉及 18 岁以上非正式照护者的实证研究均被纳入其中。使用混合方法评估工具进行批判性评估。结果共纳入九项研究：三项定量研究、两项定性研究和四项混合方法研究。为促进因素和障碍制定了三个次主题。三个促进因素子主题包括自我激励、正念的积极体验以及计划的结构和实施。三个障碍子主题包括缺乏自我激励、阻碍参与的外部因素以及计划结构和实施。结论我们对当前的证据进行了全面综合，供非正式照顾者在开发基于正念的在线干预时参考。建议开展进一步调查，特别是有关非正式照护者参与的促进因素和障碍的调查。

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来源期刊

Mindfulness Multiple-

CiteScore

6.10

自引率

19.40%

发文量

224

期刊介绍： Mindfulness seeks to advance research, clinical practice, and theory on mindfulness. It is interested in manuscripts from diverse viewpoints, including psychology, psychiatry, medicine, neurobiology, psychoneuroendocrinology, cognitive, behavioral, cultural, philosophy, spirituality, and wisdom traditions. Mindfulness encourages research submissions on the reliability and validity of assessment of mindfulness; clinical uses of mindfulness in psychological distress, psychiatric disorders, and medical conditions; alleviation of personal and societal suffering; the nature and foundations of mindfulness; mechanisms of action; and the use of mindfulness across cultures. The Journal also seeks to promote the use of mindfulness by publishing scholarly papers on the training of clinicians, institutional staff, teachers, parents, and industry personnel in mindful provision of services. Examples of topics include: Mindfulness-based psycho-educational interventions for children with learning, emotional, and behavioral disorders Treating depression and clinical symptoms in patients with chronic heart failure Yoga and mindfulness Cognitive-behavioral mindfulness group therapy interventions Mindfulnessness and emotional regulation difficulties in children Loving-kindness meditation to increase social connectedness Training for parents and children with ADHD Recovery from substance abuse Changing parents’ mindfulness Child management skills Treating childhood anxiety and depression