Hope Intervention Research Articles

Do Affective States Influence the Receptivity of Hope Intervention? A Three-Week Self-Administered Online Hope Intervention

Do Affective States Influence the Receptivity of Hope Intervention? A Three-Week Self-Administered Online Hope Intervention

''While There's Life There's Hope'' Hope in Palliative Care: A Qualitative Study.

Hope is a critically important concept in palliative care that enables coping and increases quality of life. This qualitative study was conducted to determine how palliative care patients describe hope and the factors that increase or decrease hope after a hope intervention. Data were collected through semi-structural interviews with 10 palliative care patients. The analysis followed a thematic analysis approach. The participants defined hope as the joy of living in general, and the strength to cope with difficulties and stated that spending time with loved ones increased their hopes, the worsening of their diseases reduced their hopes, hope made them feel good psychologically, and health workers had an important role in increasing hope. It is recommended that hope interventions be person-centric in palliative care settings and that care should be structured by considering the factors that maintain and prevent hope.

The effect of hope intervention on the anxiety, hope and symptom levels of patients in palliative care: A pilot randomized controlled trial

Background: One of the main aims of palliative care is the management of symptoms that disturb the person. There are very limited studies to determine the increase of hope through hope intervention and its effect on symptom levels.Objective: This study has been carried out to determine the effect of hope intervention on anxiety, hope, and symptom levels of patients under palliative care.Method: This research is a randomized controlled intervention study. The sample of the study consisted of 42 patients who were treated as inpatients in a palliative care center in Turkey. A "hope intervention program" (three consecutive days, three sessions) was implemented on the intervention group. Measurement tools were applied three times before the intervention, on the 8th day and on the 15th day after the intervention. The research data were collected using a Personal Information Form, the Herth Hope Index, the Hospital Anxiety Depression Scale, and the Edmonton Symptom Assessment Scale. The data were analyzed in the SPSS 25.0 program using independent sample t-tests, ANOVA in repeated measurements, Bonferroni Post-Hoc tests, chi-square tests, Pearson correlation, and regression analysis.Results: There was a statistically significant difference in the Herth Hope Index scores of the intervention group on the 8th and 15th day after intervention (p<.05), and patients in the control group had a higher hope level. A statistically significant difference was found between the anxiety score measurements of the patients in the intervention group before intervention, on the 8th day and 15th day (p<.05), however, no statistically significant difference was found between the anxiety scores of the intervention and control groups. No statistically significant difference was found between symptoms of nausea, anxiety, insomnia, and shortness of breath between the intervention and control groups.Conclusion: Hope intervention increased the hope status of patients receiving palliative care and reduced the level of anxiety. In palliative care, it is recommended to use hope intervention programs that support and contribute to the maintenance of hope.

Pola Brief Hope Intervention dalam Mengembangkan Kekuatan Harapan Siswa

Building hope is necessary so students are not easily discouraged, fragile, and frustrated in an era of competition. Intervention on the power of hope must be given in short sessions because the z-generation is used to short processes. The research aims to describe the Brief Hope Intervention (BHI) pattern to develop students' hope power. The research was conducted using a systematic literature review method. The study results show that BHI is a modification of hope therapy that aligns with the principles of SFBC. BHI was conducted in four sessions: two face-to-face sessions (1 hour) and two follow-up sessions (30 minutes). BHI targets are 1) finding workable goals (goal setting), 2) finding ways to achieve targets (pathway), and 3) positive self-talk to optimize motivation in achieving set goals (agency). In practice, focus on the perception of development and assessment of self-strength. Counselors can use worksheets and questions directed at strengths and resources, especially relational questions.

Examining the effectiveness of a group hope intervention program in Syrian refugee children: A pilot study

ABSTRACT The purpose of this study was to investigate the effectiveness of a 6-session hope-based intervention program on the levels of hope and psychological resilience of Syrian refugee children. The pre-test post-test control group design was implemented. A total of 42 Syrian refugee students in 5th grade participated in the study. 2 × 2 mixed ANOVA, independent sample t-test, and dependent sample t-test were conducted for data analysis. Mixed ANOVA revealed that the intervention group had more improvement in hope and psychological resilience scores compared to the control group. Dependent sample t-test revealed that while the hope and resilience scores of the intervention group were maintained, the hope scores of the control group significantly decreased. Independent sample t-test revealed a statistically significant difference between the post-test hope scores of the groups. Research findings supported that hope-oriented approaches can be effective in improving the resilience of Syrian refugee children in the long term.

Online HOPE intervention on help-seeking attitudes and intentions among young adults in Singapore: A randomized controlled trial and process evaluation

IntroductionDespite the high prevalence of mental health disorders, professional help seeking was often unsought, worsening impairments in overall functioning among those who experienced them. AimThis study aimed to evaluate the online HOPE intervention on help-seeking attitudes and intentions among young adults 18 to 24 years old in a University in Singapore. The study also described the process evaluation of the online HOPE intervention. MethodThe study adopted a parallel two arms RCT. Outcome measurements measured at baseline, post-test and two-month follow-up were (1) recognition of depression, (2) barriers of help-seeking, (3) help-seeking intentions (4) attitudes about interventions, help sources, medications and (5) participants' perceptions about the intervention. ResultsAt post-test, intervention group had significantly lower acknowledgement of depression as stress. At two months, control group was significantly more concerned about side effects of medications. There were no significant differences in all barriers of help-seeking between groups, pre and post intervention. The intervention group had greater acknowledgement of antidepressants, tranquilisers and antipsychotics. Thematic analysis revealed four main themes. DiscussionThere was high baseline recognition of depression. Improvements in help–seeking intentions were partially attributed to decreased help-seeking barriers. Implication for practiceThe online HOPE intervention could be promptly implemented for young adults to enhance the identification of mental health disorders, early help-seeking and recovery. Nurses played an important role in patient education, and online interventions are especially crucial during this Covid period which mandated social distancing. [NCT04266119].

Supporting parental caregivers of seriously ill children: findings from a feasibility and acceptability study of a hope intervention

ABSTRACT Parents of seriously ill children face complex experiences for which support is valuable. We evaluated the Keeping Hope Possible Toolkit with 16 parental caregivers to assess feasibility and acceptability using a quasi-experimental design. Participants used the Toolkit for two to four weeks, and completed quantitative measures of hope, self-efficacy, uncertainty, and distress pre- and post-intervention and a qualitative interview. The measures were appropriate, despite no significant differences across timepoints. Qualitatively, the Toolkit supported hope, positive experiences, and navigation of emotions, confirming acceptability and feasibility following minor refinement. Findings will inform future research and subsequent implementation within family-centered pediatric healthcare.

P13.20: A Digital Self-Management Platform for Adolescent And Young Adult Patients Who Have Undergone a Kidney Transplant: A Qualitative Study With Co-production Activities

Introduction: Non-adherence to medication regimens is a significant risk factor in reducing graft survival following kidney transplantation in adolescent and young adult kidney transplant recipients. Digital behavioural change interventions (DBCIs) have shown promising results in improving adherence. The current qualitative study aims to repurpose module content and functionalities of an existing evidence-based digital self-management platform (so-called HOPE programme) aimed at improving treatment adherence. A user-centred driven approach has been used throughout the study. Methods: Focus groups were performed to collect the viewpoints of recipients about their self-management needs, barriers and facilitators and possible intervention techniques in order to repurpose a digital self-management intervention for young kidney transplant patients in the age of 16 to 30 years. A total of two focus groups (ranging from between 4-6 participants in each) were carried out until no new themes emerged. Focus group data were analysed independently by two researchers using deductive thematic analysis. Results: An understanding of the views and perceptions of the participants on their self-management needs and various challenges faced to treatment adherence were generated. Through the review of the literature and co-production activities with the HOPE platform, we prioritized various usability requirements and limitations for future iterations. We have co-produced the elements of the HOPE platform from these young kidney transplants’ identified needs, which we will use to shape our virtual healthcare system. Discussion: Actively engaging the targeted end-users in the process of repurposing the HOPE intervention successfully contributes to an effective adherence intervention that will suit the needs of young transplant patients and its broader healthcare context.

Impact of the HOPE Intervention on Mental Health Literacy, Psychological Well-Being and Stress Levels amongst University Undergraduates: A Randomised Controlled Trial.

Mental health literacy (MHL) promotes mental health among youths. We aimed to evaluate the effectiveness of the newly developed HOPE intervention in improving depression literacy, anxiety literacy, psychological well-being, and reducing personal stigma and stress levels amongst young adults at a university in Singapore. After two pilot studies, we conducted a randomised controlled trial (RCT) and recruited 174 participants aged 18–24 years old through social media platforms. The HOPE intervention group received four online sessions over two weeks and the control group received online inspirational quotes. Study outcomes were measured with self-reported questionnaires and they were assessed at baseline, post-intervention, and two-month follow-up (ClinicalTrials.gov: NCT04266119). Compared with the control arm, the intervention group was associated with increased depression and anxiety literacy levels at post-intervention and two-month follow-up. In addition, personal stigma for depression was reduced at the post-intervention juncture. However, there were no statistically significant changes in the ratings of psychological well-being and stress levels between the two groups. Longitudinal studies with larger sample sizes are warranted to replicate and extend the extant findings.

Effectiveness of a brief hope intervention for chronic kidney disease patients on the decisional conflict and quality of life: a pilot randomized controlled trial

BackgroundStage 5 chronic kidney disease (CKD) patients often experience decisional conflict when faced with the selection between the initiation of dialysis and conservative care. The study examined the effects of a brief hope intervention (BHI) on the levels of hope, decisional conflict and the quality of life for stage 5 CKD patients.MethodsThis is a single-blinded, randomized controlled trial (ClinicalTrials.gov identifier: NCT03378700). Eligible patients were recruited from the outpatient department renal clinic of a regional hospital. They were randomly assigned to either the intervention or the control group (intervention: n = 35; control: n = 37). All participants underwent a customized pre-dialysis education class, while the intervention group received also BHI. Data were collected prior to the intervention, immediately afterwards, and one month following the intervention. The Generalized Estimating Equation was used to measure the effects in the level of hope, decisional conflict scores (DCS) and Kidney Disease Quality of life (KDQOL-36) scores. Estimated marginal means and standard errors with 95% confidence intervals of these scores were also reported to examine the within group and between group changes.ResultsAn increase of the hope score was found from time 1 (29.7, 1.64) to time 3 (34.4, 1.27) in the intervention group. The intervention had a significant effect on the KDQOL-36 sub-scores Mental Component Summary (MCS) (Wald χ2 = 6.763, P = 0.009) and effects of kidney disease (Wald χ2 = 3.617, P = 0.004). There was a reduction in decisional conflict in both arms on the DCS total score (Wald χ2 = 7.885, P = 0.005), but the reduction was significantly greater in the control group (effect size 0.64).ConclusionsThe BHI appeared to increase the level of hope within the intervention arm. Nonetheless, differences across the intervention and control arms were not significant. The KDQOL-36 sub-scores on MCS and Effects of kidney disease were found to have increased and be higher in the intervention group. The DCS total score also showed that hope was associated with reducing decisional conflict.Trial RegistrationClinicalTrials.gov Protocol Registration, NCT03378700. Registered July 12 2017.

Preventing male suicide through a psychosocial intervention that provides psychological support and tackles financial difficulties: a mixed method evaluation

BackgroundTo help resolve high suicide rates in Bristol, North Somerset and South Gloucestershire, the charity Second Step was commissioned to roll-out the Hope service offering a psychosocial intervention for men, supporting them through acute distress and addressing financial difficulties. This study evaluated the impact of the Hope service on men at risk of suicide experiencing financial and other difficulties.MethodsMixed methods study using: (i) a prospective cohort study design to compare depression, suicidal ideation and financial self-efficacy scores of men aged 30–64, referred to the service between October 2018 and July 2020, at baseline and 6 months follow-up and between low and moderate to high-intensity service users; and (ii) a qualitative interview study to evaluate the acceptability and impact of the Hope service to Hope service users.ResultsThere was a 49% reduction in depression score (mean reduction − 10.0, 95% CI − 11.7 to − 8.3) and in the proportion of service users with suicidal ideation (percent reduction − 52.5, 95% CI − 64.1% to − 40.9%) at 6 months follow-up compared to baseline. Financial self-efficacy scores increased by 26% (mean increase 2.9, 95% CI 1.8 to 3.9). Qualitative accounts illustrated how ‘Hope saved my life’ for several men interviewed; most respondents described being able to move forward and tackle challenges with more confidence following the Hope intervention. Professional advice to tackle financial and other difficulties such as housing helped to relieve anxiety and stress and enable practical issues to be resolved.ConclusionsThe Hope service offered practical and emotional support to men who have experienced suicidal feelings, redundancy, homelessness and poverty and occupies an important space between mental health and social care provision. Hope demonstrates the value of an intervention which cuts across traditional boundaries between psychiatric care and social advice agencies to provide, what is, in effect, an integrated care service.

The Present State of Existential Interventions Within Palliative Care.

Existential psychotherapy is rooted in the European tradition of existential philosophy. Existential philosophers include Husserl and Heidegger, who were German, and Camus, Sartre, de Beauvoir, and Merleau-Ponty, who were French. Their works contain existentially ultimate themes such as death, freedom, meaninglessness, and isolation. Based on their knowledge of existential philosophy, Binswanger, Frankl, and Boss developed the earlier existential psychotherapies such as Dasein-analysis and Logotherapy, while May, Laing, Yalom, May, and Wong started later existential psychotherapies in the British and American culture. Focusing on patients with advanced cancer and/or terminal care, we found nine types of existential psychotherapies which were investigated using randomized controlled trials (RCTs): Meaning-Centered Group Psychotherapy (MCGP), Individual Meaning-Centered Psychotherapy (IMCP), Meaning-Making intervention (MMi), Meaning of Life Intervention, Managing Cancer and Living Meaningfully (CALM), Hope Intervention, Cognitive and Existential Intervention, Dignity Therapy, and Life-Review Interviews, from 19 relevant RCTs. All deal with death, meaninglessness, isolation, and freedom. Particularly, MCGP, IMCP, MMi, Meaning of Life intervention, and CALM emphasize finding and/or making meaning in the individual's life. The effects on existential or spiritual well-being were confirmed in MCGP, IMCP, Meaning of Life intervention, and Life-Review intervention although the number of studies were very few. In the other interventions, there were heterogenous findings and again the number of studies was very small. Further studies are required to investigate the effects of existential psychotherapy on patients with advanced cancer.

Perceptions of ASHA workers in the HOPE collaborative care mental health intervention in rural South India: a qualitative analysis

ObjectiveThe main objective of this exploratory study was to investigate the overlooked perspectives and beliefs of Accredited Social Health Activists (ASHA workers) regarding a collaborative care mental health intervention (HOPE:...

Hope-enhancement workshops in the SWOG Cancer Research Network: Feasibility of an online intervention.

210 Background: Research shows that healthcare professionals’ personal hopefulness is associated with burnout and life satisfaction, highlighting the value of hope-enhancement interventions. Feldman and Dreher developed a single-session hope intervention, but this has been used rarely with oncology professionals, and only in in-person format (Shah, Ferguson, Corn et al.). Given SWOG Cancer Research Network’s commitment to assessing hope-enhancement approaches and the need for online interventions given COVID-19, we report a feasibility study of a virtual hope workshop in SWOG members. Methods: The workshop was a single 2-hour session delivered live via Zoom to 6-8 participants at a time. The workshop comprises 3 components: A brief lecture on hope and two exercises—a “hope mapping” exercise (aided by a smartphone app created for the workshop) and a hope visualization exercise—both designed to build hope for a life goal of each participant’s choosing. 29 SWOG members participated. A link to post-workshop measures was sent to participants, which they were given a week to complete. Measures included Thanarajasingamet al’s 5-item Was-it-Worth-it (WIWI) measure; Kirkpatrick’s 4-item Training Evaluation Model (TEM; reaction, learning, behavior, results); and an item assessing the degree to which participants believe concepts from the workshop should be integrated into SWOG studies. Results: In all, 25 participants (86%) completed measures. Participants were physicians (n = 8), nurses (n = 4), patient advocates (n = 3), research staff (n = 3), and others (n = 7); mostly female (n = 17), mostly white (n = 18), with a mean age of 55.5 (SD = 13.95). Results for the WIWI items are as follows: “Was it worthwhile to participate in the Hope Workshop?” (23 Yes, 2 No/Undecided/Missing Answer); “If you had to do over, would you participate in the Hope Workshop again?” (22 Yes, 3 No/Undecided/Missing Answer); “Would you recommend participating in the Hope Workshop to others?” (22 Yes, 3 No/Undecided/Missing Answer). Two additional items on the WIWI asked participants to rate on a 3-point scale the degree to which they believe their quality of life had increased due to the workshop (M = 2.52, SD =.51) and their overall experience in the workshop (M = 2.70, SD =.64). Ratings for Kirkpatrick’s TEM items likewise were high, ranging from 6.91 (SD = 1.31) to 7.70 (SD =.70) on an 8-point scale. Finally, participants gave a mean rating of 4.44 (SD =.59) on a 5-point scale to the item “To what degree do you believe it may be useful to integrate concepts from this workshop into SWOG trials/studies?” Conclusions: It is feasible to implement hope-enhancement workshops in an online platform that includes a smartphone app. Data obtained from two validated tools (WIWI instrument and Kirkpatrick’s TEM) attest to an array of positive outcomes. Participants also overwhelmingly advocated integrating hope concepts into SWOG’s research.

Improving Pregnant Mothers’ Intention toward HIV Testing through Home-based HIV Test and Education (HOPE) in Jember, Indonesia

The HIV testing program's implementation among pregnant mothers is still not going well due to their intention. Their intention is needed because it can affect pregnant mothers' behavior toward HIV testing. New interventions are needed to solve this problem, such as Home-based HIV Test and Education (HOPE). This study aimed to analyze the influence of HOPE to improve HIV testing intention among pregnant mothers. The pre-experimental design was used with one group pretest-posttest approach—thirty pregnant mothers in Jember following this study and involved by using a purposive sampling technique. The data were collected by using the intention questionnaire and analyzed with the Wilcoxon test. The result showed that pregnant mothers' intention of HIV testing numbers increased from 20 to 27. The results indicate that there is a significant influence of HOPE on the intention of HIV testing in pregnant women (p = 0.033). The Home-based HIV Test and Education (HOPE) intervention can improve pregnant mothers' intention toward HIV testing. The HOPE intervention can reach all pregnant mothers (and their husbands) to discover HIV testing information. Involving their husbands on HOPE intervention encouraged pregnant mothers' intention of HIV testing because their husbands were decision-makers in their family, and pregnant mothers will take HIV testing.

Developing pathways, a hope-enhancing intervention for metastatic lung cancer patients receiving cancer treatment.

Between 40% and 65% of lung cancer patients report concern about maintaining valued activities and roles, yet few interventions address this concern. Hope, a patient's perceived ability to generate goals and identify ways to pursue them, may be a promising intervention target to support function among lung cancer patients. The goal of this study was to assess metastatic non-small cell lung cancer (mNSCLC) patient interest and preferences for a hope-enhancing intervention. We conducted a sequential mixed-methods (survey followed by semi-structured interviews) study with patients with mNSCLC. Surveys assessed patient interest in, perceived helpfulness of, and preferences for a hope intervention. A subset of 12 patients (and caregivers, when present) completed semi-structured interviews to elicit feedback on proposed intervention content and procedures. Survey data from 60 patients (40% male; Mean age=62.5; SD=9.3) suggested high perceived importance of pursuing personal goals during cancer treatment, moderate perceived helpfulness in discussing personal goals, and preference for a nurse-led intervention. Based on these data, a 5-session, nurse-led intervention protocol was drafted and reviewed with 12 patients. Interviewed patients and caregivers agreed working towards goals was beneficial, liked the intervention concept, and thought prompts and rating scales on handouts would facilitate discussion. The majority preferred nurse delivery during infusions. A nurse-led hope-enhancing intervention delivered primarily during infusions may be acceptable to mNSCLC patients. Future work should test feasibility and identify ways to incorporate caregivers and oncology providers into hope interventions.

Hoping to Pass: Randomized Trial of a One-Time Hope Intervention on Standardized Exam Passing Rates in BSN Students.

BACKGROUND: National standardized nursing exams serve as critical measures of student readiness for practice and carry significant consequences for students and academic institutions. Educational interventions that can enhance a student's performance increase the probability of academic success. Previous studies link hope to grade point average in college students and on standardized exam (SE) scores in nursing students, yet it is not clear if hope can be increased utilizing a one-time intervention in ways that produce lasting benefits for passing SEs. AIMS: Aim 1 tested the efficacy of a one-time hope intervention on increasing SE passing rates among BSN nursing students. Aim 2 examined the role of the interventions, selected state-mechanism variables, and trait characteristics in predicting SE passing. METHOD: This comparative-effectiveness trial utilized a randomized, controlled, multiple-cohort experimental design to compare a one-time 90-minute hope intervention to an attention-matched progressive muscle relaxation intervention on SE passing scores among BSN nursing students. RESULTS: Levels of hope briefly increased following the hope intervention. Both interventions demonstrated short-term improvement in state-level psychosocial indicators but did not affect SE scores. Among trait and mechanism factors, only academic self-efficacy was linked with passing SEs. CONCLUSIONS: This study demonstrated that a single-session hope intervention can increase short-term hope. In this sample of 292 BSN students, there was no statistically significant long-term effect on passing SEs; however, this study may lay the groundwork for future interventions investigating booster sessions, or how to modify the intervention for struggling students.

EFFECT OF GROUP-BASED HOPE INTERVENTION ON DEPRESSION IN FEMALE INMATES

Background: Life in prison may cause negative feelings and thoughts which triggers depression for female inmates. This results in difficulty in finding purpose in life and loss of interest or motivation. Group-based hope intervention seems to be effective in decreasing depression, but it has not yet been applied in female inmates in a prison.&#x0D; Objective: To determine the effect of group-based hope intervention on depression level in female inmates.&#x0D; Methods: This study used a quasi-experimental study with pre-test post-test and control group design. Eighty-eight participants were selected using proportionate stratified random sampling, with 44 assigned into intervention and control groups. Data were collected from September to November 2019. The level of depression was measured using Beck Depression Inventory-II (BDI-II). Mann Whitney U and Wilcoxon tests were used for data analyses.&#x0D; Results: Both group-based hope intervention in the intervention group and routine intervention in the control group has a significant effect on depression level (p&lt;.01). However, further analysis showed that the group-based hope intervention was much more effective than the routine group in decreasing depression level in female inmates (p&lt;.01).&#x0D; Conclusion: Group-based hope intervention is effective in lowering the depression in female inmates. Therefore, this therapy can be used as a valuable intervention in nursing practice, especially in a correctional setting.

Online HOPE Intervention on Mental Health Literacy Among Youths in Singapore: An RCT Protocol

Online HOPE Intervention on Mental Health Literacy Among Youths in Singapore: An RCT Protocol

Commentary on A brief hope intervention to increase hope level and improve well-being in rehabilitating cancer patients: A feasibility test.

Commentary on A brief hope intervention to increase hope level and improve well-being in rehabilitating cancer patients: A feasibility test.