Academic Journal
The Effect of Spiritual Interventions on Hope in Patients with Chronic Diseases: A Systematic Review and Meta-analysis of Randomized Controlled Trials.
| Τίτλος: | The Effect of Spiritual Interventions on Hope in Patients with Chronic Diseases: A Systematic Review and Meta-analysis of Randomized Controlled Trials. |
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| Συγγραφείς: | Yousofvand V; Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Zamanzadeh V; Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. zamanzadeh@sbmu.ac.ir., Rasoulpoor S; School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran., Kamyari N; Department of Biostatistics and Epidemiology, School of Health, Abadan University of Medical Sciences, Abadan, Iran., Esmaieli R; Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Forouzanfar MM; Emergency Care Promotion Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. |
| Πηγή: | Journal of religion and health [J Relig Health] 2026 Oct; Vol. 65 (5), pp. 4761-4798. Date of Electronic Publication: 2026 May 20. |
| Τύπος έκδοσης: | Journal Article; Systematic Review; Meta-Analysis |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Springer Country of Publication: United States NLM ID: 2985199R Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-6571 (Electronic) Linking ISSN: 00224197 NLM ISO Abbreviation: J Relig Health Subsets: MEDLINE |
| Imprint Name(s): | Publication: New York, NY : Springer Original Publication: New York : Academy of Religion and Mental Health. |
| Ιατρικοί όροι (MeSH): | Hope* , Spirituality* , Spiritual Therapies*, Chronic Disease/psychology ; Chronic Disease/therapy ; Humans ; Randomized Controlled Trials as Topic |
| Περίληψη: | The present study aimed to determine the effect of spiritual interventions on hope among patients with chronic diseases. This systematic review and meta-analysis study was conducted based on the PRISMA 2020 guidelines. International databases (PubMed, Web of Science, Scopus, Embase, Science Direct, Google Scholar) and Iranian databases (Magiran, SID) were searched up to September 8, 2025, using the operators "AND" and "OR" without time restrictions. The inclusion criteria consisted of randomized controlled trials or clinical trial studies that examined various spiritual interventions to promote hope in adults with chronic physical illnesses. After removing duplicates, initial and secondary screenings were independently performed by two reviewers, and finally, a total of 18 eligible studies were included. Risk of bias was assessed using the Cochrane tool. A total of 18 studies involving 1410 participants (intervention = 708; control = 707), conducted between 2008 and 2024 across five countries, were included in the review. The interventions consisted of structured spiritual care, religious counseling, self-care education, and prayer. Hope was assessed using validated instruments, including the Herth Hope Index (HHI), the Miller Hope Scale (MHS), and Snyder's Adult Hope Scale (AHS). The majority of studies reported significant improvements in hope among participants in the intervention groups compared with controls, whereas only one study found nonsignificant results. Overall, the meta-analysis demonstrated a strong and significant effect in favor of the intervention group (Cohen's d = 1.90, p < 0.001). According to the findings, spiritual interventions effectively enhance hope in patients with chronic physical diseases. These results highlight the importance of integrating spiritual interventions into the care plans of such patients and underscore the need for further research on standardized protocols and long-term outcomes. (© 2026. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.) |
| Competing Interests: | Declarations. Conflict of interest: The authors declare no conflicts of interest. Ethical approval: This study was conducted following approval by the Ethics Committee of Shahid Beheshti University of Medical Sciences (IR.SBMU.RETECH.REC.1404.597) and was based on published and aggregated data, with no collection of primary patient data. Only studies that reported informed consent or ethical approval were included in the analysis. All stages of the search, study selection, data extraction, and data analysis were performed independently by two researchers in accordance with PRISMA guidelines to ensure transparency, minimize bias, and uphold confidentiality and scientific integrity. Consent to participate: Not applicable. Consent to publish: Not applicable. |
| References: | J Relig Health. 2008 Mar;47(1):57-69. (PMID: 19105001) JBI Evid Synth. 2023 Mar 01;21(3):494-506. (PMID: 36727247) BMJ. 2021 Mar 29;372:n71. (PMID: 33782057) BMC Nurs. 2024 Dec 30;23(1):958. (PMID: 39736718) J Relig Health. 2026 Jun;65(3):2900-2923. (PMID: 40684002) Int J Environ Res Public Health. 2022 May 12;19(10):. (PMID: 35627435) Rev Bras Enferm. 2023 Sep 04;76(4):e760401. (PMID: 37672466) BMC Psychol. 2025 May 20;13(1):528. (PMID: 40394676) Sci Rep. 2025 Jul 2;15(1):22745. (PMID: 40594854) BMC Nurs. 2025 Feb 18;24(1):189. (PMID: 39966850) J Relig Health. 2024 Oct;63(5):3410-3418. (PMID: 38877279) BMJ. 2011 Oct 18;343:d5928. (PMID: 22008217) Invest Educ Enferm. 2021 Oct;39(3):. (PMID: 34822235) Support Care Cancer. 2022 Jan;30(1):423-429. (PMID: 34302544) Intensive Crit Care Nurs. 2023 Aug;77:103438. (PMID: 37075661) Aging Clin Exp Res. 2025 May 7;37(1):143. (PMID: 40332678) Patient Educ Couns. 2023 Oct;115:107879. (PMID: 37413808) J Relig Health. 2024 Feb;63(1):356-369. (PMID: 36435926) J Relig Health. 2024 Apr;63(2):1413-1432. (PMID: 37432586) Nurs Rep. 2024 Aug 02;14(3):1906-1921. (PMID: 39189272) Complement Ther Med. 2023 Oct;77:102981. (PMID: 37640165) BMC Psychol. 2025 Aug 19;13(1):938. (PMID: 40830902) |
| Grant Information: | 1404/39537 School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences |
| Contributed Indexing: | Keywords: Chronic disease; Hope; Nursing care; Randomized controlled trials; Spirituality |
| Entry Date(s): | Date Created: 20260520 Date Completed: 20261008 Latest Revision: 20261010 |
| Update Code: | 20261010 |
| DOI: | 10.1007/s10943-026-02675-6 |
| PMID: | 42159956 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1573-6571 |
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| DOI: | 10.1007/s10943-026-02675-6 |