Psychosocial interventions for healthcare workers during the COVID-19 pandemic: rapid review and meta-analysis.
Study Goal
The researchers aimed to evaluate the effectiveness of psychosocial interventions, including mindfulness, in reducing psychological distress, anxiety, stress, burnout, depression, and improving sleep quality.
Results Summary
Mindfulness- or relaxation-based interventions significantly improved sleep quality but showed no significant effect on post-traumatic stress, burnout, or depression. Mixed results were found for anxiety, with one study showing an effect and another not. A combination of training and mindfulness appeared beneficial for reducing anxiety and stress in home care workers.
Population
Home care workers and general participants in psychosocial intervention studies.
Effective Dosage
Not specified
Duration
Not specified
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
psychosocial interventions | no change | psychological distress | - | no robust evidence | no robust evidence was found that can reduce | #1 |
psychosocial interventions | no change | post-traumatic stress | - | no significant effect | no significant effect could be found regarding | #2 |
psychosocial intervention | no change | burnout | - | no beneficial effect | had no beneficial effect on | #3 |
psychosocial intervention | no change | depression | - | no beneficial effect | had no beneficial effect on | #4 |
mindfulness- or relaxation-based intervention | increase | sleep quality | - | significant improvement | resulted in a significant improvement in | #5 |
combination of training and mindfulness | decrease | anxiety | home care workers | - | seems to be beneficial for decreasing | #6 |
combination of training and mindfulness | decrease | stress | home care workers | - | seems to be beneficial for decreasing | #7 |
This rapid review was conducted by following a predefined protocol developed by the Cochrane Rapid Reviews Methods Group. A total of 172 potential reviews and 167 primary studies of interest were found. AMSTAR II was used to assess the quality of the included reviews and the JBI Checklist for Randomized Controlled Trials for primary studies. Overall, four studies were included in this review. The study quality ranged from 5 to 12 out of 13 possible stars. No robust evidence was found that psychosocial interventions can reduce psychological distress. No significant effect could be found regarding post-traumatic stress. Two studies on anxiety were identified, one which showed an effect and another which did not. The psychosocial intervention had no beneficial effect on burnout and depression, whereas providing a mindfulness- or relaxation-based intervention resulted in a significant improvement in sleep quality. By considering the secondary results and results of previous reviews, a combination of training and mindfulness seems to be beneficial for decreasing anxiety and stress in home care workers. In summary, the evidence-based recommendations are still limited and, therefore, more evidence is needed to make a general statement of high certainty about the effects. Dieses Rapid Review wurde nach einem vordefinierten Protokoll durchgeführt, das von der Cochrane Rapid Reviews Methods Group entwickelt wurde. Insgesamt wurden 172 potenzielle Reviews und 167 Primärstudien von Interesse erfasst. Das Instrument AMSTAR II wurde zur Bewertung der Qualität der in die Auswertung eingeschlossenen Reviews und die JBI-Checkliste (Joanna Briggs Institute, Aidelaide, Australien) für randomisierte kontrollierte Studien zur Beurteilung der Primärstudien verwendet. Insgesamt wurden 4 Studien in die Analyse einbezogen. Die Qualität der Studien reichte von 5 bis 12 von 13 möglichen Sternen. Es konnten keine stichhaltigen Beweise gefunden werden, dass psychosoziale Interventionen die psychische Belastung verringern. In Bezug auf posttraumatischen Stress konnte keine signifikante Wirkung festgestellt werden. Es wurden 2 Studien zum Thema Angst ermittelt, in einer davon wurde eine Wirkung nachgewiesen, in der anderen jedoch nicht. Die psychosoziale Intervention hatte keinen positiven Effekt auf Burnout und Depression, während eine achtsamkeits- oder entspannungsbasierte Intervention zu einer signifikanten Verbesserung der Schlafqualität führte. Betrachtet man die sekundären Ergebnisse und die Ergebnisse früherer Untersuchungen, so scheint die Kombination aus Training und Achtsamkeit für die Verringerung von Angst und Stress bei Pflegekräften in der ambulanten Pflege von Vorteil zu sein. Zusammenfassend lässt sich sagen, dass die evidenzbasierten Empfehlungen immer noch begrenzt sind und daher mehr Studien benötigt werden, um mit hoher Sicherheit eine allgemeine Aussage über die Auswirkungen zu treffen.