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Peer-support interventions for women with cardiovascular disease: protocol for synthesising the literature using an
Monica Parry1, Sarah Visintini2,3, Amy Johnston4,5
1Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada monica.parry@utoronto.ca.
Insights
Peer support interventions show promise for women with cardiovascular disease (CVD). This study maps existing evidence to identify gaps and guide future research on improving recovery and empowerment for women with heart conditions.
Area of Science:
- Cardiovascular health research
- Public health interventions
- Evidence synthesis methodologies
Background:
- Cardiovascular disease (CVD) is a leading cause of mortality in women.
- Peer support interventions are recognized for enhancing recovery in other patient groups.
- The efficacy of peer support for women with CVD remains underexplored.
Purpose of the Study:
- To map peer support interventions for women diagnosed with cardiovascular disease (CVD).
- To identify research gaps in primary studies concerning peer support for women with CVD.
- To highlight areas requiring comprehensive systematic reviews on this topic.
Main Methods:
- A broad evidence map approach will be employed for knowledge synthesis.
- Extensive database searches (e.g., CINAHL, Embase, MEDLINE) and grey literature searches will be conducted.
- Inclusion criteria are broad, encompassing any study on peer support involving women, irrespective of research design, date, or language.
Main Results:
- Qualitative data will be narratively synthesized.
- Quantitative data will be analyzed using R statistical software.
- Visualizations including bubble plots, heat maps, and infographics will illustrate intervention elements by CVD category.
Conclusions:
- This evidence map will provide a comprehensive overview of peer support interventions for women with CVD.
- The study will pinpoint critical gaps in current research, informing the development of new and improved studies.
- Findings will guide future systematic reviews, ultimately aiming to enhance recovery and empowerment for women affected by cardiovascular disease.
Introduction:
The leading cause of death for women is cardiovascular disease (CVD), including ischaemic heart disease, stroke and heart failure. Previous literature suggests peer support interventions improve self-reported recovery, hope and empowerment in other patient populations, but the evidence for peer support interventions in women with CVD is unknown. The aim of this study is to describe peer support interventions for women with CVD using an evidence map. Specific objectives are to: (1) provide an overview of peer support interventions used in women with ischaemic heart disease, stroke and heart failure, (2) identify gaps in primary studies where new or better studies are needed and (3) describe knowledge gaps where complete systematic reviews are required.
Methods And Analysis:
We are building on previous experience and expertise in knowledge synthesis using methods described by the Evidence for Policy and Practice Information (EPPI) and the Coordinating Centre at the Institute of Education. Seven databases will be searched from inception: CINAHL, Embase, MEDLINE, APA PsycINFO, the Cochrane Database of Systematic Reviews and the Cochrane Central Register of Controlled Trials, and Scopus. We will also conduct grey literature searches for registered clinical trials, dissertations and theses, and conference abstracts. Inclusion and exclusion criteria will be kept broad, and studies will be included if they discuss a peer support intervention and include women, independent of the research design. No date or language limits will be applied to the searches. Qualitative findings will be summarised narratively, and quantitative analyses will be performed using R.
Ethics And Dissemination:
The University of Toronto's Research Ethics Board granted approval on 28 April 2022 (Protocol #42608). Bubble plots (ie, weighted scatter plots), geographical heat/choropleth maps and infographics will be used to illustrate peer support intervention elements by category of CVD. Knowledge dissemination will include publication, presentation/public forums and social media.
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