The efficacy of resilience training programs: A systematic review protocol

被引：49

作者：

Leppin A.L. ^{[1
,8
]}

Gionfriddo M.R. ^{[1
,2
,8
]}

Sood A. ^{[4
,8
]}

Montori V.M. ^{[1
,5
,8
]}

Erwin P.J. ^{[7
,8
]}

Zeballos-Palacios C. ^{[1
,8
]}

Bora P.R. ^{[8
]}

Dulohery M.M. ^{[6
,8
]}

Brito J.P. ^{[1
,5
,8
]}

Boehmer K.R. ^{[1
,8
]}

Tilburt J.C. ^{[3
,4
,8
]}

机构：

[1] Knowledge and Evaluation Research Unit, Mayo Clinic, 200 First Street SW, Rochester, 55905, MN

[2] Mayo Graduate School, Mayo Clinic, 200 First Street SW, Rochester, 55905, MN

[3] Biomedical Ethics Research Unit, Mayo Clinic, 200 First Street SW, Rochester, 55905, MN

[4] Division of General Internal Medicine, Mayo Clinic, 200 First Street SW, Rochester, 55905, MN

[5] Division of Endocrinology, Metabolism and Nutrition, Mayo Clinic, 200 First Street SW, Rochester, 55905, MN

[6] Division of Pulmonary and Critical Care, Mayo Clinic, 200 First Street SW, Rochester, 55905, MN

[7] Mayo Clinic Libraries, 200 First Street SW, Rochester, 55905, MN

[8] Rochester, 55905, MN

来源：

Systematic Reviews | / 3卷 / 1期

基金：

美国国家卫生研究院;

关键词：

Randomized controlled trials; Resilience; Resilience training; Systematic review;

D O I：

10.1186/2046-4053-3-20

中图分类号：

学科分类号：

摘要：

Background: Resilience has been defined as the ability of individuals to manage and adapt to stress and life challenges. Training programs that develop and/or enhance resilience may have efficacy in improving health, well-being, and quality of life. Because patients with chronic conditions must reliably self-manage their health, strategies to bolster resilience in this population may be of particular value. The objectives of this systematic review are to synthesize the evidence of resilience training program efficacy in improving outcomes related to quality of life, self-efficacy and activation, and resilience and coping ability in: 1) diverse adult populations; and 2) patients with chronic conditions.Methods/Design: We will conduct a systematic review of randomized controlled trials assessing the efficacy of any program designed to enhance resilience in adults that measure any outcome against any comparator. We will search multiple electronic databases, trial registries, bibliographies, and will contact authors and experts to identify studies. We will use systematic review software to independently and in duplicate screen reports and extract data. We will extract characteristics of the study populations, interventions, comparators, outcomes, and quality/risk of bias. Primary, patient reported outcomes will be categorized into domains of quality of life, self-efficacy, and resilience. Secondary outcomes will be considered based on findings of the review. We will attempt meta-analysis by pooling standardized mean differences and minimally important differences (MIDs), when possible. Planned trial subgroup analyses are: 1) studies of patients with chronic conditions; 2) studies with placebo controls; 3) studies with similar intervention characteristics; and 4) studies with common lengths of follow-up.Discussion: This study is intended to accumulate the evidence for resilience training programs in improving quality of life, resilience, and self-efficacy for care management, particularly among adult patients with chronic conditions. Its findings will be valuable to policy-makers, funding agencies, clinicians, and patients seeking innovative and effective ways to achieve patient-centered care. Trial registration: PROSPERO registration number: CRD42014007185. © 2014 Leppin et al.; licensee BioMed Central Ltd.

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