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February 1, 2023BMJ OpenOpen Access

Systematic review protocol will evaluate physical and mental health interventions for youth with heart conditions.

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Why the study?

Survival rates for children and young people with heart conditions are rising, but support for adjusting to life with a heart condition is lacking, with one in three experiencing anxiety, depression, or adjustment disorder.

Do physical and mental health interventions improve physical and mental health outcomes in young people (6-18 years) with congenital heart disease or implanted cardiac devices?

Population

Young people with cardiac conditions

Comparison

Physical and mental health interventions vs control or across outcomes

Design

Systematic review and meta-analysis protocol

Key result

Physical and mental health interventions for young people with heart conditions will be evaluated in this systematic review protocol, which currently reports no clinical results.

Authors

LCLora CapobiancoJAJoy AdewusiBCBethany Grace Cooper

Discussion

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Overview

Highlights unmet mental health needs in CYP with CVD; leaves open which interventions are effective until the meta-analysis completes.

Study Design

Type

Systematic Review

Structured PICO

Do physical and mental health interventions improve physical and mental health outcomes in young people (6-18 years) with congenital heart disease or implanted cardiac devices?

P
Population
Protocol for a systematic review and meta-analysis evaluating physical and mental health interventions in young people aged 6-18 years with heart conditions.
I
Intervention
Exercise or physical activity intervention and/or a mental health intervention (including structured cardiac rehabilitation programmes).
C
Comparator
Standard care, waiting lists, active controls, or no intervention control groups.
O
Outcome
Physical health (cardiorespiratory fitness assessed by peak oxygen consumption and daily physical activity) and mental health (quality of life, anxiety, depression, trauma and adjustment symptoms).

This protocol outlines a systematic review and meta-analysis to evaluate the effectiveness of physical and mental health interventions on physical and mental health outcomes in young people with heart conditions.

Limitations

  • The review is not restricted to randomised trials but will incorporate a range of study designs including non-randomised interventional studies, pilot studies, and uncontrolled trials.
  • Understanding of the mechanisms of change will not be evaluated.
  • Studies of young adults transitioning from paediatric to adult services will be excluded.
  • Studies of young adults transitioning from paediatric to adult services will be excluded
  • Understanding of the mechanisms of change will not be evaluated

Cite This Study

Capobianco et al. (2023) conducted a systematic review in Heart conditions (congenital heart disease, cardiomyopathy, arrythmias, implanted cardiac device). Physical and mental health interventions vs. Standard care, waiting lists, active controls, or no intervention was evaluated on Physical health (cardiorespiratory fitness, daily physical activity) and mental health (quality of life, anxiety, depression, trauma, adjustment symptoms). Physical and mental health interventions for young people with heart conditions will be evaluated in this systematic review protocol, which currently reports no clinical results.

synapsesocial.com/papers/6aa169565d3d8bc9fa842fd8https://doi.org/10.1136/bmjopen-2022-067342
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