Effects of Nurse-Led Intervention Programs Based on Goal Attainment Theory: A Systematic Review and Meta-Analysis

Abstract

This study aimed to evaluate the effects of the goal attainment theory-based nurse-led intervention programs using a systematic review and meta-analysis. Randomized and non-randomized controlled trials, published from January 2001 to December 2020, were examined using four international databases and four domestic databases. The search, selection, and coding were performed independently by two researchers. R version 4.0.3 and Review Manager (version 5.3) were employed for meta-analysis and quality assessment, respectively. Of the 7529 articles retrieved, 18 were selected for analysis. The random overall effect size of the programs was 0.77 (95% CI = 0.61–0.94). Effect size by dependent variables were 2.36 (95% CI = 0.91–3.82), 1.25 (95% CI = 0.66–1.83), 0.83 (95% CI = 0.55–1.10), 0.64 (95% CI = 0.39–0.89), and 0.58 (95% CI = 0.30–0.85) for interpersonal, cognitive, health behavior, psychological, and indicators of physical health, respectively. Effect size by independent variables were 1.25 (95% CI = 0.86–1.64), 0.76 (95% CI = 0.48–1.03), 0.72 (95% CI = 0.37–1.06), 0.35 (95% CI = 0.21–0.49), and 1.35 (95% CI = −0.15–2.85) for prevention, health promotion, counseling and education, goal-setting and health contract, and parent participation programs, respectively. The effect size by control variables was 1.72 (95% CI = 0.88–2.56) at age ≤17, 0.85 (95% CI = 0.54–1.15) at time (min) 61–90, 1.04 (95% CI = 0.76–1.32) at sessions seven to eight, and 0.93 (95% CI = 0.66–1.19) at duration (weeks) five to eight. Thus, these programs were effective in improving various health aspects. Additionally, they can be recommended in various settings. Because efficacy is also influenced by control variables, considering treatment designs based on intervention characteristics and methodological approaches is warranted.

An Integrated Analysis of the Impact of Spanish Family Support Programmes with Informed Evidence

“…Hence, it is essential to outline the implementation conditions and any adaptations that are made. In studies that analyse implementation conditions, the impact of a programme is often related to its intensity or duration (Arnason et al, 2020;Park, 2021). Thirdly, the "high systematization" programmes are characterized by a higher percentage of institutional support.…”

“…With the exception of the general characteristics of implementations, which are widely described in review studies (e.g., Gilligan et al, 2019;Li et al, 2021;Park, 2021), few results are reported on aspects relating to the institutional and external support that is required to boost the effectiveness of implementations. This leads to a current dilemma on the scientific dissemination of evidence-based programmes.…”

“…In addition, another quality standard is also contemplated in the application of family support programmes: the inclusion of supervisory sessions during the implementation process (Beidas & Kendall, 2010;Lochman et al, 2009). The fulfilment of these conditions has been demonstrated to be related to the impact of interventions (e.g., Park, 2021;Peacock-Chambers et al, 2017).…”

Effect of the SDKI, SLKI, and SIKI Education Program on Nurses' Attitudes on Nursing Documentation

“…Umboh Morenita Jeanifer 1 , Ati Surya Mediawati 2 , Irman Somantri 3 -The Effect of the SDKI, SLKI ….. clinical practice(Park, 2021) Tanrewali et al (2023). said implementing 3S (SDKI, SLKI, SIKI) is based on evidence-based practice on the quality of nursing services before and after assistance.…”