Psychosocial interventions and mental health in patients with cardiovascular diseases living in low and middle-income countries: A systematic review protocol

Saima Hirani; Ambreen Gowani; Sehrish Sajjad; Megan Kennedy; Colleen M Norris

doi:10.1371/journal.pone.0271955

Psychosocial interventions and mental health in patients with cardiovascular diseases living in low and middle-income countries: A systematic review protocol

PLoS One. 2022 Jul 28;17(7):e0271955. doi: 10.1371/journal.pone.0271955. eCollection 2022.

Authors

Saima Hirani¹, Ambreen Gowani², Sehrish Sajjad², Megan Kennedy³, Colleen M Norris⁴

Affiliations

¹ School of Nursing, Faculty of Applied Science, The University of British Columbia, Vancouver, Canada.
² School of Nursing & Midwifery, Faculty of Health Sciences, The Aga Khan University, Karachi, Pakistan.
³ Health Sciences Library, University of Alberta, Edmonton, Canada.
⁴ Faculty of Nursing, Public Health, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Canada.

Abstract

Objective: The objective of this review is to evaluate the effectiveness of psychosocial interventions on mental health outcomes in adult patients with Cardiovascular Diseases (CVDs) living in low- and middle-income countries (LMICs).

Introduction: Mental health issues are highly prevalent among patients with CVDs leading to poor disease prognosis, self-care/ management, and Quality of Life (QOL). In the context of LMICs, where the disease burden and treatment gap are high and resources are inadequate for accessing essential care, effective psychosocial interventions can make significant contributions for improving mental health and reducing mental health problems among patients who live with cardiovascular diseases.

Inclusion criteria: This review will include studies published between 2010 and 2021 that evaluated the effect of psychosocial interventions on mental health outcomes (resilience, self-efficacy, QOL, depression and anxiety) on adult patients (aged ≥18 years) with any cardiovascular diseases using experimental and quasi experimental designs.

Methods: The search will be conducted from the following databases: MEDLINE via OVID (1946-Present), EMBASE via OVID (1974 -Present), Cumulative Index for Nursing and Allied Health Literature (CINAHL) via EBSCOhost (1936-Present), PsycINFO via OVID (1806-Present), Scopus via Elsevier (1976-Present), and Cochrane Library via Wiley (1992-Present). Data will be critically appraised using standard tools and extracted by two reviewers and disagreement will be solved by the third reviewer. Meta-analysis will be performed, if possible, otherwise, data will be synthesized in narrative and tabular forms.

Discussion: The findings of this review will provide a key insight into contextually relevant psychosocial interventions for promoting mental health of patients with CVDs living in LMICs. The review findings will be potentially useful for health care providers and researchers to implement such interventions not only for reducing the burden of mental health issues but also for improving the overall well-being among patients with chronic illnesses.

Systematic review registration number: Prospero-CRD42020200773.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Adolescent
Adult
Cardiovascular Diseases* / epidemiology
Cardiovascular Diseases* / therapy
Developing Countries*
Humans
Mental Health
Meta-Analysis as Topic
Psychosocial Intervention
Quality of Life
Review Literature as Topic
Systematic Reviews as Topic

Grants and funding

This study has received partial funding support from the University of British Columbia School of Nursing’s Lyle Creelman Endowment Fund. The funders had and will not have a role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. There was no additional external funding received for this study.