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Purpose This meta‐analysis aimed to summarize and synthesize the effectiveness of bereavement support for adult family caregivers in palliative care. Methods Meta‐analysis was conducted. The databases of the Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane, Embase, Medline, PubMed, Scopus, and Web of Science were comprehensively searched from inception until January 2020. This study followed the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines and standard methods for conducting a meta‐analysis. Data analysis was performed using Comprehensive Meta‐analysis version 3.0, and the random‐effects model was adopted. Findings In total, 19 randomized controlled trials with an overall sample size of 2,690 participants met the inclusion criteria. The study showed that bereavement support had a significant effect on reducing grief (Hedges’ g score = ‐0.198; 95% confidence interval [CI] ‐0.310 to ‐0.087), depression (Hedges’ g score = ‐0.252; 95% CI ‐0.406 to ‐0.098), and anxiety (Hedges’ g score = ‐0.153; 95% CI ‐0.283 to ‐0.023); however, high heterogeneity was present. No statistically significant difference was shown for traumatic feelings. Based on moderator analysis, a group format was more effective for grief, a combined individual and group format for depression, and an individual format for anxiety. Bereavement support was more effective when delivered by professionals, when delivered in more than six sessions, and need to be evaluated within 6 months. Conclusions Bereavement support was effective in reducing grief, depression, and anxiety. The majority of the included studies had moderate heterogeneity, which limited the comparability of the evidence. Therefore, more robust randomized controlled trials are needed to confirm these study results. Clinical Relevance This meta‐analysis provides evidence that bereavement support delivered in the palliative care setting is effective for reducing grief, depression, and anxiety. Nurses and other healthcare professionals can make recommendations for adult family caregivers based on this study in reducing psychological symptoms due to a loss in the palliative care domain.

Background Evidence on the long-term comparative effectiveness of posttraumatic stress disorder (PTSD) psychotherapies in adults remains unknown. Therefore, we performed an extensive network meta-analysis of randomised controlled trials (RCTs) to determine the comparative effectiveness of psychotherapies for people diagnosed with PTSD. Methods A comprehensive search was conducted in Cochrane library, Embase, Medline-OVID, PubMed, Scopus, and Psych-Info until March 2021. Studies on the effectiveness of cognitive processing therapy (CPT), cognitive therapy (CT), eye movement desensitisation reprocessing (EMDR), narrative exposure therapy (NET), prolonged exposure (PE), cognitive behavioural therapy (CBT), present-centred therapy (PCT), brief eclectic psychotherapies (BEP), psychodynamic therapy (PDT) or combination therapies compared to no treatment (NT) or treatment as usual (TAU) in adults with PTSD were included. Frequentist and Bayesian approaches were used for analysis in R-software. Results We included 98 RCTs with 5567 participants from 18 897 studies. CPT, EMDR, CT, NET, PE, CBT, and PCT were significant to reduce PTSD symptoms (SMD range: −1.53 to −0.75; Certainty: very low to high) at immediate post-treatment and ranked accordingly. Longitudinal analysis found EMDR (1.02) and CPT (0.85) as the significant therapies with large effect size in short-term and long-term follow-up, respectively. NET and CPT showed higher proportion of loss of PTSD diagnosis (RR range: 5.51–3.45) while there were no significant psychotherapies for retention rate compared to NT. Conclusions: Our findings provide evidence for improving current guidelines and informing clinical decision-making for PTSD management. However, the best PTSD treatment plan should be tailored to patients' needs, characteristics, and clinician expertise. Registration: PROSPERO CRD42020162143

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The number of electronic health applications is increasing, including those that can be used for mental health. Previous studies showed that, use of several applications provides great benefits for mental health and greatly increases accessibility to mental health services. The objectives of this study were to assess needs and expectations of patients with mental disorder and a broad group of stakeholders with the expected end product being a well-functioning user-centered technology-based tool for mental disorders. The research was carried out by involving 80 patients with schizophrenia and 74 family’s caregivers in health services and local offices of health services in five cities of Indonesian capital city, Jakarta. This study was conducted through self-administered questionnaires and interviews where possible from December 2017 to July 2018. A descriptive statistic using proportion was used to present the data. The results indicated that patients needed information relevant to disease, patient care, check-up schedules and consultation with health workers. In addition, patients also wanted to get information on job vacancies due to many of them were unemployed and rehabilitation programs carried out by local health services. This study highlighted the needs to develop a mobile-based application for continuity of mental health services in the community.

The purpose of this research was to review the feasibility of the Me-Co Care to be applied in the community setting as well as its effect in increasing participant's knowledge. This study was conducted in Jakarta, Indonesia, from July to November 2019 and used a pre-post-test without a control group design. Ninety-three participants recruited from five community health centres were assigned to use Me-Co Care. A paired t-Test was used to analyse the mean difference of knowledge before and after the intervention, while the feasibility of application was measured based on the percentage the five evaluation domains. The results showed significant improvement of participants' knowledge after the intervention (mean different 1.67, 95%; CI 0.00-6.00, p-Value 0.000). Patient, caregiver, health volunteer, and mental health nurse found Me-Co Care a satisfied application to be used in community in terms of content, accuracy, format, easiness, and time-saving (ranged 79%-100%). This study revealed Me-Co Care as a potential application in enhancing the quality of mental health services in Jakarta, Indonesia.