scholarly journals Effects of Physicians’ Information Giving on Patient Outcomes: a Systematic Review

2021 ◽  
Author(s):  
Hanne C. Lie ◽  
Lene K. Juvet ◽  
Richard L. Street ◽  
Pål Gulbrandsen ◽  
Anneli V. Mellblom ◽  
...  
Keyword(s):  
Systematic Review ◽  
Patient Information ◽  
Clinical Skill ◽  
Behavioral Outcomes ◽  
Cochrane Central Register ◽  
Information Recall ◽  
Positive Effects ◽  
Information Giving ◽  
Health Related Behaviors ◽  
Health Related

Abstract Background Providing diagnostic and treatment information to patients is a core clinical skill, but evidence for the effectiveness of different information-giving strategies is inconsistent. This systematic review aimed to investigate the reported effects of empirically tested communication strategies for providing information on patient-related outcomes: information recall and (health-related) behaviors. Methods The databases MEDLINE, Embase, PsycINFO (Ovid), Cochrane Central Register of Controlled Trials, and relevant bibliographies were systematically searched from the inception to April 24, 2020, without restrictions, for articles testing information-giving strategies for physicians (PROSPERO ID: CRD42019115791). Pairs of independent reviewers identified randomized controlled studies with a low risk of selection bias as from the Cochrane risk of bias 2 tool. Main outcomes were grouped into patient information recall and behavioral outcomes (e.g., alcohol consumption, weight loss, participation in screening). Due to high heterogeneity in the data on effects of interventions, these outcomes were descriptively reported, together with studies’, interventions’, and information-giving strategies’ characteristics. PRISMA guidelines were followed. Results Seventeen of 9423 articles were included. Eight studies, reporting 10 interventions, assessed patient information recall: mostly conducted in experimental settings and testing a single information-giving strategy. Four of the ten interventions reported significant increase in recall. Nine studies assessed behavioral outcomes, mostly in real-life clinical settings and testing multiple information-giving strategies simultaneously. The heterogeneity in this group of studies was high. Eight of the nine interventions reported a significant positive effect on objectively and subjectively measured patients’ behavioral outcomes. Discussion Using specific framing strategies for achieving specific communication goals when providing information to patients appears to have positive effects on information recall and patient health–related behaviors. The heterogeneity observed in this group of studies testifies the need for a more consistent methodological and conceptual agenda when testing medical information-giving strategies. Trial Registration PROSPERO registration number: CRD42019115791

The Effect of Intimate Partner Violence on the Physical Health and Health-Related Behaviors of Women: A Systematic Review of the Literature

2021 ◽  
pp. 152483802098554
Author(s):  
Anita Stubbs ◽  
Cassandra Szoeke
Keyword(s):  
Systematic Review ◽  
Intimate Partner Violence ◽  
Health Outcomes ◽  
Physical Health ◽  
Partner Violence ◽  
Intimate Partner ◽  
Physical Health Outcomes ◽  
Health Related Behaviors ◽  
Health Related

Aim: The long-term effects of intimate partner violence (IPV) on physical health outcomes and health-related behaviors are underresearched in comparison to the effects on mental health and pregnancy. This systematic review examines the recent research in this area from 2012 through 2019. Methods: SCOPUS, PubMed, EBSCOhost, and gray literature were searched using the key words “intimate partner violence” and “health.” To meet inclusion criteria, studies needed to be original research and focus on IPV during adulthood and its effects on the physical health or health-related behaviors of women. Fifty-two studies were qualitatively analyzed, with results grouped into broad categories of effects, including cardiovascular, endocrine, infectious diseases, and health screening. Results: IPV was shown to have negative effects on physical health outcomes for women, including worsening the symptoms of menopause and increasing the risk of developing diabetes, contracting sexually transmitted infections, engaging in risk-taking behaviors including the abuse of drugs and alcohol, and developing chronic diseases and pain. It also has significant effects on human immunodeficiency virus outcomes, worsening CD4+ cell depletion. Results varied regarding the effects of IPV on cardiovascular health outcomes. Conclusion: The result of this review demonstrates that women who have experienced violence and abuse are at significantly increased risk of poor health outcomes in a variety of areas and so require specialized and tailored primary care. This review highlights significant gaps in this field of research, particularly in relation to cardiovascular disease, endocrine dysfunction, and neurological symptoms and conditions. It demonstrates a need for additional long-term studies in this field to better inform the health care of women who have experienced IPV and to establish the physiological mediators of these outcomes.

scholarly journals A Systematic Review of the Effectiveness of Peer-Based Interventions on Health-Related Behaviors in Adults

2010 ◽  
Vol 100 (2) ◽  
pp. 247-253 ◽  
Author(s):  
Allison R. Webel ◽  
Jennifer Okonsky ◽  
Joyce Trompeta ◽  
William L. Holzemer
Keyword(s):  
Systematic Review ◽  
Health Related Behaviors ◽  
Health Related

scholarly journals Systematic review of the effectiveness of health-related behavioral interventions using portable activity sensing devices (PASDs)

2017 ◽  
Vol 24 (5) ◽  
pp. 1002-1013 ◽  
Author(s):  
Hamed Abedtash ◽  
Richard J Holden
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Behavioral Change ◽  
Behavioral Interventions ◽  
Controlled Trials ◽  
Cochrane Central Register ◽  
Intermediate Outcomes ◽  
Health Related ◽  
Activity Sensing ◽  
Behavioral Change Techniques

Abstract Background: Portable activity sensing devices (PASDs) have received significant interest as tools for objectively measuring activity-related parameters and promoting health-related outcomes. Studies of PASDs suggest the potential value of integrating them with behavioral interventions to improve intermediate and downstream clinical outcomes. Objectives: This systematic review describes and evaluates evidence from controlled studies of interventions using PASDs on their effectiveness in health-related outcomes. Study quality was also assessed. Methods: A systematic literature search was performed of MEDLINE, Cochrane Central Register of Controlled Trials, PsycINFO, EMBASE, and CINAHL databases. We included English-language papers of controlled trials through 2015 reporting the effectiveness of PASDs in improving health-related outcomes in any population. We extracted and analyzed data on study characteristics including design, target population, interventions, and findings. Results: Seventeen trials met the inclusion criteria from a total of 9553 unique records. Study objectives varied greatly, but most sought to increase physical activity. Studies with a “passive” intervention arm using a PASD with minimal behavioral support generally did not demonstrate effectiveness in improving health-related outcomes. Interventions integrating PASDs with multiple behavioral change techniques were more likely to be effective, particularly for intermediate outcomes such as physical activity and weight loss. Trials had small sample sizes but were generally free of bias, except for blinding and selection bias. Conclusion: There is insufficient evidence to draw a conclusion about the general health-related benefits of PASD interventions. PASD interventions may improve intermediate outcomes when coupled with multiple behavioral change techniques. Devices alone or with minimal behavioral change support are insufficient to change health-related outcomes.

scholarly journals Dietary Modification for Reproductive Health in Women With Polycystic Ovary Syndrome: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 12 ◽  
Author(s):  
Yujie Shang ◽  
Huifang Zhou ◽  
Ruohan He ◽  
Wentian Lu
Keyword(s):  
Systematic Review ◽  
Reproductive Health ◽  
Polycystic Ovary Syndrome ◽  
Polycystic Ovary ◽  
Meta Analysis ◽  
Controlled Trials ◽  
Cochrane Central Register ◽  
Ovary Syndrome ◽  
Positive Effects ◽  
Statistical Heterogeneity

ObjectiveDiet has been reported as the first-line management of polycystic ovary syndrome (PCOS). However, the relationship between diet and fertility in PCOS is still controversial. This meta-analysis aimed to evaluate whether diet could promote reproductive health in women with PCOS while providing evidence-based nutrition advice for clinical practice.MethodsSeven databases, including Cochrane Central Register of Controlled Trials, PubMed, Embase, Web of Science, and some Chinese database, were searched up to January 31, 2021. Randomized controlled trials evaluating the effects of diet in women with PCOS were included. Based on a preregistered protocol (PROSPERO CRD42019140454), the systematic review was performed following the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. Two reviewers made study selection, data extraction and bias assessment independently. Risk ratios and mean difference with 95% confidence intervals were assessed by a random-effects model. Statistical heterogeneity within comparisons was evaluated by Cochran’s Q test and quantified by the I-squared (I2) statistic.ResultsTwenty RCTs with 1113 participants were included. Results showed diet significantly related to improved fertility outcomes (increasing clinical pregnancy, ovulation and menstrual regularity rate; reducing miscarriage rate), reproductive endocrine [increasing sex hormone-binding globulin (SHBG); decreasing Anti-Müllerian Hormone (AMH), free androgen index (FAI), total testosterone (T)] and clinical hyperandrogenism (hirsutism assessed by Ferriman-Gallwey score) in PCOS. Specifically, subgroup analyses indicated low-carbohydrate diets were superior in optimizing reproductive outcomes and calorie restriction was critical in ameliorating hyperandrogenism. Additionally, the positive effects were associated with the treatment duration. The longer the duration, the greater the improvement was.ConclusionOverall, diet is an effective intervention for improving fertility health, thus professional and dynamic dietary advice should be offered to all PCOS patients, based on the changeable circumstances, personal needs and expectations of the individuals.

scholarly journals Personal financial incentives for changing habitual health-related behaviors: A systematic review and meta-analysis

2015 ◽  
Vol 75 ◽  
pp. 75-85 ◽  
Author(s):  
Eleni Mantzari ◽  
Florian Vogt ◽  
Ian Shemilt ◽  
Yinghui Wei ◽  
Julian P.T. Higgins ◽  
...  
Keyword(s):  
Systematic Review ◽  
Financial Incentives ◽  
Meta Analysis ◽  
Health Related Behaviors ◽  
Health Related

Mobile Health to Support Ageing in Place

2019 ◽  
Vol 10 (3) ◽  
pp. 1-21 ◽  
Author(s):  
Nelson Pacheco Rocha ◽  
Milton Rodrigues dos Santos ◽  
Margarida Cerqueira ◽  
Alexandra Queirós
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Clinical Practice ◽  
Mobile Health ◽  
Chronic Conditions ◽  
Ageing In Place ◽  
Positive Effects ◽  
Health Related ◽  
Review Of Reviews ◽  
Meta Analyses

The study reported in this article aimed to identify: i) the most relevant application domains of mHealth to support older adults in their domiciles; ii) the most relevant chronic conditions of older adults, whose management is being supported by mHealth; iii) the characteristics, outcomes and impacts of mHealth tools that might support older adults in their domiciles. The method of a systematic review of reviews and meta-analyses was performed based on a search of the literature. The result of a total of 66 reviews and meta-analyses across several chronic diseases were retrieved. These studies compare mHealth interventions with usual care. The conclusion is that mHealth interventions have positive effects on various health related outcomes, but further research is required to allow their incorporation in the clinical practice.

scholarly journals The Effects of Yoga on Pain, Mobility, and Quality of Life in Patients with Knee Osteoarthritis: A Systematic Review

2016 ◽  
Vol 2016 ◽  
pp. 1-10 ◽  
Author(s):  
Laidi Kan ◽  
Jiaqi Zhang ◽  
Yonghong Yang ◽  
Pu Wang
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Knee Osteoarthritis ◽  
Cochrane Central Register ◽  
Inclusion Criteria ◽  
Positive Effects ◽  
Central Register ◽  
Evidence Database ◽  
And Function

Objective.To systematically assess the effects of yoga on pain, mobility, and quality of life in patients with knee osteoarthritis.Methods.Pubmed, Medline, EMBASE, the Cochrane Central Register of Controlled Trials, Physiotherapy Evidence Database (PEDro), and other sources were searched systematically in this study. Two reviewers identified eligible studies and extracted data independently. Downs and Black’s Quality Index were used to evaluate the methodological quality of the included studies.Results.A total of 9 articles (6 studies) involving 372 patients with knee osteoarthritis met the inclusion criteria. The most common yoga protocol is 40~90 minutes/session, lasting for at least 8 weeks. The effect of yoga on pain relief and function improvement could be seen after two-week intervention.Conclusion.This systematic review showed that yoga might have positive effects in relieving pain and mobility on patients with KOA, but the effects on quality of life (QOL) are unclear. Besides, more outcome measure related to mental health of yoga effects on people with KOA should be conducted.

Are antidepressants effective in quality of life improvement among children and adolescents? A systematic review

CNS Spectrums ◽  
2013 ◽  
Vol 19 (2) ◽  
pp. 134-141 ◽  
Author(s):  
Dejan Stevanovic ◽  
Ivana Tadic ◽  
Rajna Knez
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Clinical Trials ◽  
Anxiety Disorders ◽  
Children And Adolescents ◽  
Antidepressant Treatment ◽  
Positive Effects ◽  
Related Quality ◽  
Health Related

There is some evidence indicating that psychotropic medications might lead to health-related quality of life (QOL) improvements among children and adolescents with psychiatric disorders. The aim of this systematic review is to assess evidence regarding whether antidepressant treatment improves QOL among children and adolescents with depressive or anxiety disorders. A comprehensive search resulted in 5 clinical trials to be included in this review: 4 trials with major depressive disorder (MDD) and 1 trial with social anxiety disorder (SAD). In one MDD trial, fluoxetine combined with cognitive behavior therapy (CBT) significantly improved QOL compared to fluoxetine or CBT alone (effect sizes were 0.53 and 0.69, respectively). In 2 combined trials, sertraline alone significantly improved QOL among adolescents with MDD (effect size was 0.29), but not among children with MDD. Essentially, it was observed that antidepressants in these trials had minor positive effects on QOL improvement, which were lower than their potential to improve depressive symptoms. Although fluoxetine with CBT or sertraline monotherapy were shown to have some potential to improve QOL, this systematic review found inconclusive evidence that antidepressant treatments improve QOL among children and adolescents with depressive or anxiety disorders. More research is required, considering that QOL is currently under-evaluated in clinical trials with antidepressants among children and adolescents and available trials have limited methodological quality when reporting QOL data.

scholarly journals Correction of Breech Presentation with Moxibustion and Acupuncture: A Systematic Review and Meta-Analysis

Healthcare ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 619
Author(s):  
Jian-An Liao ◽  
Shih-Chieh Shao ◽  
Chian-Ting Chang ◽  
Pony Yee-Chee Chai ◽  
Kok-Loon Owang ◽  
...  
Keyword(s):  
Systematic Review ◽  
Sensitivity Analysis ◽  
Meta Analysis ◽  
Asian Population ◽  
Breech Presentation ◽  
Controlled Trials ◽  
Cochrane Central Register ◽  
Positive Effects ◽  
Randomized Controlled ◽  
Central Register

Acupuncture-type interventions (such as moxibustion and acupuncture) at Bladder 67 (BL67, Zhiyin point) have been proposed to have positive effects on breech presentation. The aim of this systematic review and meta-analysis was to evaluate the effectiveness and safety of moxibustion and acupuncture in correcting breech presentation. We searched PubMed, MEDLINE, Embase, the Cochrane Central Register of Controlled Trials (CENTRAL), the Chinese Electronic Periodical Services (CEPS), and databases at ClinicalTrials.gov to identify relevant randomized controlled trials (RCTs). In this study, sixteen RCTs involving 2555 participants were included. Compared to control, moxibustion significantly increased cephalic presentation at birth (RR = 1.39; 95% CI = 1.21–1.58). Moxibustion also seemed to elicit better clinical outcomes in the Asian population (RR = 1.42; 95% CI = 1.21–1.67) than in the non-Asian population (RR = 1.20; 95% CI = 1.01–1.43). The effects of acupuncture on correcting breech presentation after sensitivity analysis were inconsistent relative to control. The effect of moxibustion plus acupuncture was synergistic for correcting breech presentation (RR = 1.53; 95% CI = 1.26–1.86) in one RCT. Our findings suggest that moxibustion therapy has positive effects on correcting breech presentation, especially in the Asian population.

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