Cochrane · systematic review · CD010215

Psychological interventions for people with hemophilia

Palareti, L, Melotti, G, Cassis, F, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library

SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
28
current version
GRADE rated
13
No studies
15
Included studies
NR
No studies 15 · 53.6%Ungraded 0 · 0%Very low 7 · 25%Low 6 · 21.4%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Summary of findings ‐ DVD plus information booklet compared to information booklet alone for hemophilia

Population: adults and children with hemophilia
7 questions
OutcomeEffectEvidenceStatus / GRADE
Mood or personal well‐being
Summary of findings ‐ DVD plus information booklet vs information booklet alone
no estimate extractedNRNo studies
Coping strategies: Pain Stages of Change Questionaire, Haemophilia Pain Coping Questionnaire, Chronic Pain Acceptance Questionnaire
Summary of findings ‐ DVD plus information booklet vs information booklet alone
no estimate extracted1 study · 108 participantsLow
Downgraded: risk of bias, indirectness
QoL: Rand36a questionnaire
Summary of findings ‐ DVD plus information booklet vs information booklet alone
no estimate extracted1 study · 108 participantsLow
Downgraded: risk of bias, indirectness
Compliance or adherence to the trial intervention (including satisfaction): use of intervention at least once
Summary of findings ‐ DVD plus information booklet vs information booklet alone
RR 1.02 [0.81, 1.28]1 study · 108 participantsLow
Downgraded: risk of bias, indirectness
Physical health: pain intensity (VAS post‐treatment scores)
Summary of findings ‐ DVD plus information booklet vs information booklet alone
no estimate extracted1 study · 108 participantsLow
Downgraded: risk of bias, indirectness
Cost of psychological intervention
Summary of findings ‐ DVD plus information booklet vs information booklet alone
no estimate extractedNRNo studies
Family adjustment
Summary of findings ‐ DVD plus information booklet vs information booklet alone
no estimate extractedNRNo studies

Summary of findings ‐ computerised learning compared to no intervention for hemophilia

Population: adults and children with hemophilia
7 questions
OutcomeEffectEvidenceStatus / GRADE
Mood or personal well‐being: self‐efficacy (General Self‐Efficacy Scale of Sherer, 5 question scale of Lee)
Summary of findings ‐ computerised learning vs no intervention
no estimate extracted3 studies · 87 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Coping strategies: disease specific knowledge, practical skills, self management ability and transition readiness
Summary of findings ‐ computerised learning vs no intervention
no estimate extracted2 studies · 47 participantsLow
Downgraded: risk of bias, imprecision, indirectness
QoL: Canadian Haemophilia Outcomes‐Kids’ Life Assessment Tool (post‐treatment scores)
Summary of findings ‐ computerised learning vs no intervention
no estimate extracted1 study · 17 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Compliance or adherence to the trial intervention (including satisfaction)
Summary of findings ‐ computerised learning vs no intervention
no estimate extracted1 study · 17 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Physical health
Summary of findings ‐ computerised learning vs no intervention
no estimate extractedNRNo studies
Cost of psychological intervention
Summary of findings ‐ computerised learning vs no intervention
no estimate extractedNRNo studies
Family adjustment
Summary of findings ‐ computerised learning vs no intervention
no estimate extractedNRNo studies

Summary of findings ‐ auto‐hypnosis (self‐hypnosis) compared to control for hemophilia

Population: adults and children with hemophilia
7 questions
OutcomeEffectEvidenceStatus / GRADE
Mood or personal well‐being: change in distress (according to General Severity Index)
Summary of findings ‐ auto‐hypnosis (self‐hypnosis) vs control
no estimate extracted1 study · 24 participantsVery low
Downgraded: risk of bias, imprecision
Coping strategies
Summary of findings ‐ auto‐hypnosis (self‐hypnosis) vs control
no estimate extractedNRNo studies
QoL
Summary of findings ‐ auto‐hypnosis (self‐hypnosis) vs control
no estimate extractedNRNo studies
Compliance or adherence to the trial intervention (including satisfaction for it)
Summary of findings ‐ auto‐hypnosis (self‐hypnosis) vs control
no estimate extracted1 study · 24 participantsVery low
Downgraded: risk of bias, imprecision
Physical health: number of bags of blood required, mean factor usage scores
Summary of findings ‐ auto‐hypnosis (self‐hypnosis) vs control
no estimate extracted2 studies · 44 participantsLow
Downgraded: risk of bias, imprecision
Cost of psychological intervention
Summary of findings ‐ auto‐hypnosis (self‐hypnosis) vs control
no estimate extractedNRNo studies
Family adjustment
Summary of findings ‐ auto‐hypnosis (self‐hypnosis) vs control
no estimate extractedNRNo studies

Summary of findings ‐ relaxation (progressive or self control) compared to no treatment for hemophilia

Population: adults and children with hemophilia
7 questions
OutcomeEffectEvidenceStatus / GRADE
Mood or personal well‐being
Summary of findings ‐ relaxation (progressive or self control) vs no treatment
no estimate extractedNRNo studies
Coping strategies
Summary of findings ‐ relaxation (progressive or self control) vs no treatment
no estimate extractedNRNo studies
QoL
Summary of findings ‐ relaxation (progressive or self control) vs no treatment
no estimate extractedNRNo studies
Compliance or adherence to the trial intervention, (including satisfaction)
Summary of findings ‐ relaxation (progressive or self control) vs no treatment
no estimate extracted1 study · 7 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Physical health: Reduction of bleedings, factor replacement, pain
Summary of findings ‐ relaxation (progressive or self control) vs no treatment
no estimate extracted1 study · 7 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Cost of psychological intervention
Summary of findings ‐ relaxation (progressive or self control) vs no treatment
no estimate extractedNRNo studies
Family adjustment
Summary of findings ‐ relaxation (progressive or self control) vs no treatment
no estimate extractedNRNo studies