"I’m not his carer; I'm his wife." Facilitating mutual support for mental wellbeing in patient-supporter units living with chronic physical conditions
PHE ePoster Library. Ali G. Sep 10, 2018; 221275; 223
Gemma-Claire Ali
Gemma-Claire Ali
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Abstract
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Introduction
Chronic physical conditions can negatively affect the mental wellbeing of patients and the family and friends supporting them (patient-supporter units). Studies of unmet needs have identified a thirst for strategies that help patients and supporters to understand and care for each other’s mental wellbeing. We have conducted research to inform development of an evidence-based intervention facilitating mutual support for mental wellbeing in patient-supporter units living with chronic physical conditions.
 
Method
Understanding of how to facilitate mutual support in patient-supporter units has been accumulated through: i) systematic review of dyadic interventions for patients and supporters ii) review of systematic reviews of individual intervention RCTs for patients or supporters, and iii) individual and dyadic interviews with patients and supporters. Literature review findings are summarised through narrative synthesis. Interview transcripts are analysed using a combination of interpretative phenomenological analysis and the framework method. Findings are being synthesised to inform intervention development.
 
Results
The systematic review identified 34 eligible randomised trials and an additional 14 eligible studies. The review of reviews identified 39 systematic reviews. Findings highlight large discrepancies in the degree of research interest afforded to different conditions, but strong similarities in the types of interventions found to be effective across conditions. Interview findings highlight unmet mental wellbeing needs and intervention preferences.

Conclusions
This work has facilitated development of a relevant, acceptable and evidence-based intervention framework facilitating mutual support for mental wellbeing in patient-supporter units. The preliminary proposed framework will be presented at the Annual Conference.
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