학술논문
Experiences of people with multiple sclerosis and clinicians in using cognitive behavioural therapies for hidden symptoms: a systematic review and meta-aggregation.
Document Type
Academic Journal
Author
Feng G; Toronto Rehabilitation Institute, University Health Network, Toronto, Canada.; Posa S; Toronto Rehabilitation Institute, University Health Network, Toronto, Canada.; Sureshkumar A; Rehabilitation Sciences Institute, University of Toronto, Toronto, Canada.; Simpson S; Forest Hill Centre for Cognitive Behavioural Therapy, Toronto, Canada.; Bruno T; Toronto Rehabilitation Institute, University Health Network, Toronto, Canada.; Morrow SA; Cumming School of Medicine, Hotchkiss Brain Institute, University of Calgary, Calgary, Canada.; Department of Clinical Neurosciences, Cumming School of Medicine, University of Calgary, Calgary, Canada.; London Health Sciences Centre, University of Western Ontario, London, Canada.; Donkers S; College of Medicine, University of Saskatchewan, Saskatoon, Canada.; Knox K; Department of Physical Medicine and Rehabilitation, College of Medicine, University of Saskatchewan, Saskatoon, Canada.; Feinstein A; Department of Psychiatry, University of Toronto, Toronto, Canada.; Department of Psychiatry, Sunnybrook Health Sciences Centre, Toronto, Canada.; Bayley M; Toronto Rehabilitation Institute, University Health Network, Toronto, Canada.; Munce S; Toronto Rehabilitation Institute, University Health Network, Toronto, Canada.; Simpson R; Toronto Rehabilitation Institute, University Health Network, Toronto, Canada. robert.simpson@uhn.ca.
Source
Publisher: Springer-Verlag Country of Publication: Germany NLM ID: 0423161 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-1459 (Electronic) Linking ISSN: 03405354 NLM ISO Abbreviation: J Neurol Subsets: MEDLINE
Subject
Language
English
Abstract
Purpose: Cognitive behavioural therapies (CBTs) are a standard of care for treatment of many 'hidden symptoms' in people with MS (PwMS), such as stress, depression, and fatigue. However, these interventions can vary widely in formatting and may not be tailored for PwMS. To optimize CBTs for MS, understanding the experiences of PwMS and clinicians is essential. This systematic review and meta-aggregation synthesizes existing qualitative data on stakeholder perspectives of CBTs for PwMS.
Methods: Systematic searches across five major electronic databases were conducted. Studies reporting qualitative data were identified. Two reviewers performed screening, quality assessment, data extraction, and certainty of evidence assessments. Meta-aggregation was performed as per the Joanna Briggs Institute approach, entailing qualitative data extraction, developing categories, and synthesizing overall findings.
Results: Twenty-eight studies were included in this review, comprising data from 653 PwMS and 47 clinicians. In the meta-aggregation, 122 qualitative results were extracted and grouped into nine categories. Categories were then combined into six synthesized findings: (1) setting the context-life with MS, (2) reasons for participating in CBTs, (3) acceptability of and experiences with participating in CBTs, (4) perceived benefits of CBTs, (5) perceived challenges with CBTs, and (6) suggestions to improve CBTs for PwMS.
Conclusions: A range of benefits including psychological, social, and lifestyle improvements were reported, but varied based on the design of the CBT intervention. Future CBT interventions should be tailored to participant needs, delivered in group settings, offer online options, and be delivered by a trained facilitator familiar with MS. Further exploration of the ideal CBT design for PwMS, as well as engagement with caregivers and clinicians treating MS, is warranted.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.)
Methods: Systematic searches across five major electronic databases were conducted. Studies reporting qualitative data were identified. Two reviewers performed screening, quality assessment, data extraction, and certainty of evidence assessments. Meta-aggregation was performed as per the Joanna Briggs Institute approach, entailing qualitative data extraction, developing categories, and synthesizing overall findings.
Results: Twenty-eight studies were included in this review, comprising data from 653 PwMS and 47 clinicians. In the meta-aggregation, 122 qualitative results were extracted and grouped into nine categories. Categories were then combined into six synthesized findings: (1) setting the context-life with MS, (2) reasons for participating in CBTs, (3) acceptability of and experiences with participating in CBTs, (4) perceived benefits of CBTs, (5) perceived challenges with CBTs, and (6) suggestions to improve CBTs for PwMS.
Conclusions: A range of benefits including psychological, social, and lifestyle improvements were reported, but varied based on the design of the CBT intervention. Future CBT interventions should be tailored to participant needs, delivered in group settings, offer online options, and be delivered by a trained facilitator familiar with MS. Further exploration of the ideal CBT design for PwMS, as well as engagement with caregivers and clinicians treating MS, is warranted.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.)