Sylwer fod y cymhwysiad hwn dan ddatblygiad. Os ydych chi'n gweld unrhyw gamgymeriadau neu os nad yw rhywbeth yn gweithio, cysylltwch â ni yn evidence.service@wales.nhs.uk.
Adolygiad Systematig
Dywed yr awduron:
"To assess the effects of peer support interventions (compared to usual care or alternate interventions) on psychological and psychosocial outcomes, including adverse outcomes, for parents and other family carers of children with complex needs in any setting."
Dywed yr awduron:
"We included 22 studies (21 RCTs, 1 quasi‐RCT) of 2404 participants. Sixteen studies compared peer support to usual care; three studies compared peer support to an alternative intervention and to usual care but only data from the usual care arm contributed to results; and three studies compared peer support to an alternative intervention only.
We judged risk of bias as moderate to high across all studies, particularly for selection, performance, and detection bias.
Included studies contributed data to seven effect estimates compared to usual care:
psychological distress (standardised mean difference (SMD) ‐0.10, 95% confidence interval (CI) ‐0.32 to 0.11; 8 studies, 864 participants),
confidence and self‐efficacy (SMD 0.04, 95% CI ‐0.14 to 0.21; 8 studies, 542 participants),
perception of coping (SMD ‐0.08, 95% CI ‐0.38 to 0.21; 3 studies, 293 participants),
quality of life and life satisfaction (SMD 0.03, 95% CI ‐0.32 to 0.38; 2 studies, 143 participants),
family functioning (SMD 0.15, 95% CI ‐0.09 to 0.38; 4 studies, 272 participants),
perceived social support (SMD 0.31, 95% CI ‐0.15 to 0.77; 4 studies, 191 participants), and
confidence and skill in navigating medical services (SMD 0.05, 95% CI ‐0.17 to 0.28; 4 studies, 304 participants).
In comparisons to alternative interventions, one pooled effect estimate was possible: psychological distress (SMD 0.2, 95% CI ‐0.38 to 0.79; 2 studies, 95 participants). No studies reported on adverse outcomes.
All narratively synthesised data for psychological distress (compared to usual care ‐ 2 studies), family functioning (compared to usual care ‐ 1 study; compared to an alternative intervention ‐ 1 study), perceived social support (compared to usual care ‐ 2 studies), and self‐efficacy (compared to alternative interventions ‐ 1 study) were equivocal.
Comparisons with usual care showed no difference between intervention and control groups (perceived social support), some effect over time for both groups but more effect for intervention (distress), or mixed effects for intervention (family function). Comparisons with alternative interventions showed no difference between the intervention of interest and the alternative. This may indicate similar effects to the intervention of interest or lack of effect of both, and we are uncertain which option is likely.
We found no clear evidence of effects of peer support interventions on any parent outcome, for any comparator; however, the certainty of evidence for each outcome was low to very low, and true effects may differ substantially from those reported here.
We found no evidence of adverse events such as mood contagion, negative group interactions, or worsened psychological health.
Qualitative data suggest that parents and carers value peer support interventions and appreciate emotional support."
Dywed yr awduron:
"Parents and carers of children with complex needs perceive peer support interventions as valuable, but this review found no evidence of either benefit or harm. Currently, there is uncertainty about the effects of peer support interventions for parents and carers of children with complex needs. However, given the overall low to very low certainty of available evidence, our estimates showing no effects of interventions may very well change with further research of higher quality."