Evidence map›Paper›PMID 42159956›Full record

SynthesisJournal of religion and health2026

The Effect of Spiritual Interventions on Hope in Patients with Chronic Diseases: A Systematic Review and Meta-analysis of Randomized Controlled Trials.

Vahid Yousofvand, Vahid Zamanzadeh, Shabnam Rasoulpoor, Naser Kamyari, Roghayeh Esmaieli, Mohammad Mehdi Forouzanfar

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Journal of religion and health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Vahid YousofvandDepartment of Medical-Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Vahid ZamanzadehDepartment of Medical-Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. zamanzadeh@sbmu.ac.ir.ORCID http://orcid.org/0000-0002-4664-750X
Shabnam RasoulpoorSchool of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran.
Naser KamyariDepartment of Biostatistics and Epidemiology, School of Health, Abadan University of Medical Sciences, Abadan, Iran.
Roghayeh EsmaieliDepartment of Medical-Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Mohammad Mehdi ForouzanfarEmergency Care Promotion Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Funding

School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences 1404/39537
6 · The paper itself

Abstract

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.

Indexed as

HopeSpiritualitySpiritual TherapiesChronic DiseaseHumansRandomized Controlled Trials as TopicChronic diseaseHopeNursing careRandomized controlled trialsSpirituality

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.