BACKGROUND:Children and young people with long-term physical health conditions are at increased risk of experiencing mental health and well-being difficulties. However, there is a lack of research that explores the experiences of and attitudes towards interventions aiming to improve their mental health and well-being. This systematic review seeks to address this gap in the literature by exploring what children and young people with long-term conditions, their caregivers, and health practitioners perceive to be important aspects of interventions aiming to improve their mental health and well-being. METHODS:An information specialist searched five academic databases using predefined criteria for qualitative evaluations of interventions aiming to improve the mental health or well-being of children with long-term physical conditions. Reviewers also performed supplementary citation and grey literature searches. Two reviewers independently screened titles, abstracts, and full texts that met the inclusion criteria and conducted data extraction and quality assessment. Meta-ethnography was used to synthesize the findings. RESULTS:Screening identified 60 relevant articles. We identified five overarching constructs through the synthesis: (a) Getting In and Staying In, (b) Therapeutic Foundation, (c) Social Support, (d) A Hopeful Alternative, and (e) Empowerment. The line of argument that links these constructs together indicates that when interventions can provide an environment that allows young people to share their experiences and build empathetic relationships, it can enable participants to access social support and increase feelings of hope and empowerment. CONCLUSION:These findings may provide a framework to inform the development of mental health interventions for this population and evaluate existing interventions that already include some of the components or processes identified by this research. Further research is needed to establish which of the constructs identified by the line of argument are most effective in improving the mental well-being of young people living with long-term conditions.

译文

背景:患有长期身体健康状况的儿童和年轻人遭受心理健康和福祉困难的风险增加。但是,缺乏研究来探索旨在改善其心理健康和福祉的干预措施的经验和态度。这项系统的综述旨在通过探讨长期病患的儿童和年轻人,他们的看护者和卫生从业者被认为是旨在改善其心理健康和福祉的干预措施的重要方面,来弥补文献中的空白。
方法:一名信息专家使用预定的标准搜索了五个学术数据库,以对干预措施进行定性评估,以改善长期身体状况儿童的心理健康或幸福感。审稿人还进行了补充引用和灰色文献搜索。两名审稿人独立筛选了符合纳入标准的标题,摘要和全文,并进行了数据提取和质量评估。元民族志用于综合研究结果。
结果:筛选确定了60篇相关文章。通过综合,我们确定了五个总体构想:(a)进入并停留在其中;(b)治疗基金会;(c)社会支持;(d)有希望的替代方案;以及(e)赋权。将这些构造联系在一起的论点表明,当干预措施可以提供一个让年轻人分享经验并建立同理心的关系的环境时,它可以使参与者获得社会支持并增加希望和增强能力的感觉。
结论:这些发现可能提供一个框架,为该人群的精神卫生干预措施的发展提供信息,并评估现有的干预措施,这些干预措施已经包括本研究确定的某些组成部分或过程。需要进一步的研究来确定论点所确定的哪些构架在改善长期居住的年轻人的心理健康方面最有效。

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