Subjective versus objective measures of distress, arousal and symptom burden in patients with Functional seizures and other Functional Neurological Symptom Disorder presentations: a systematic review

Background: The concept of hope is an important theme in chronic illness and palliative care and has been associated with increased psycho-spiritual well-being and quality of life. Psycho-spiritual interventions have been described in this population, but no systematic review of hope-enhancing interventions or hopelessness-reducing interventions has been conducted for persons with palliative care diseases. Aim: To describe and assess the effectiveness of interventions in palliative care that measure hope and/or hopelessness as an outcome. Design: This systematic review and meta-analysis was pre-registered (Prospero ID: CRD42019119956). Data sources: Electronic databases, journals, and references were searched. We used the Cochrane criteria to assess the risk of bias within studies. Results: Thirty-five studies (24 randomized controlled trials, 5 quasi-experimental, 6 pre-post studies) involving a total of 3296 palliative care patients were included. Compared with usual/standard cancer care alone, interventions significantly increased hope levels at a medium effect size ( g = 0.61, 95% confidence interval (CI) = 0.28–0.93) but did not significantly reduce hopelessness ( g = −0.08, 95% CI = −0.18 to 0.02). It was found that interventions significantly increase spirituality ( g = 0.70, 95% CI = 0.02–1.37) and decrease depression ( g = −0.29, 95% CI = −0.51 to −0.07), but had no significant effect over anxiety, quality of life, and symptom burden. Overall, quality of evidence across the included studies was rated as low. Conclusions: Evidence suggests that interventions can be effective in increasing hope in palliative care patients.

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Objective Measures to Assess Active Commuting Physical Activity to School in Young People: A Systematic Review Protocol and Practical Considerations

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17165936 ◽

2020 ◽

Vol 17 (16) ◽

pp. 5936

Author(s):

Pablo Campos-Garzón ◽

Javier Sevil-Serrano ◽

Yaira Barranco-Ruíz ◽

Palma Chillón

Keyword(s):

Physical Activity ◽

Systematic Review ◽

Young People ◽

Web Of Science ◽

Cochrane Library ◽

Objective Measures ◽

Active Commuting ◽

School Based ◽

Review Protocol

There are no systematic reviews that have identified the existing studies assessing active commuting physical activity (PA) to and from (to/from) school using objective measures, as well as the contribution of both walking and cycling to/from school to PA levels. To fill this gap in the literature, this systematic review will aim (a) to identify existing studies that assess active commuting PA to/from school with objective measures in young people and to examine the contribution of walking and cycling to/from school to PA levels, and (b) to propose an appropriate methodology and practical considerations to assess active commuting PA to/from school based on the studies identified. The review protocol was registered in PROSPERO (CRD42020162004). We will conduct a systematic search up to 2020 in five databases: PubMed, Web of Science, SPORTdiscuss, Cochrane Library, and National Transportation Library. Both the risk of bias and the quality of the identified studies will be evaluated through different instruments according to the design of each study. This systematic review will help to choose the most appropriate objective measures to assess active commuting PA to/from school and to promote walking and cycling to/from school to increase PA levels.

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WS04.1 A comparison of subjective verses objective measures for assessing physical activity in cystic fibrosis: a systematic review

Journal of Cystic Fibrosis ◽

10.1016/s1569-1993(21)00933-4 ◽

2021 ◽

Vol 20 ◽

pp. S7

Author(s):

M. Dundas ◽

M. Curran ◽

A. Tierney ◽

B. Button ◽

B. Casserly ◽

...

Keyword(s):

Physical Activity ◽

Systematic Review ◽

Cystic Fibrosis ◽

Objective Measures

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Relationships Between Financial Toxicity and Symptom Burden in Cancer Survivors: A Systematic Review

Journal of Pain and Symptom Management ◽

10.1016/j.jpainsymman.2018.12.003 ◽

2019 ◽

Vol 57 (3) ◽

pp. 646-660.e1 ◽

Cited By ~ 22

Author(s):

Raymond Javan Chan ◽

Louisa G. Gordon ◽

Chia Jie Tan ◽

Alexandre Chan ◽

Natalie K. Bradford ◽

...

Keyword(s):

Systematic Review ◽

Cancer Survivors ◽

Symptom Burden ◽

Financial Toxicity

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Measurement Discrepancies Between Logged and Self-Reported Digital Media Use: A Systematic Review and Meta-Analysis

10.31234/osf.io/f6xvz ◽

2020 ◽

Author(s):

Douglas Parry ◽

Brittany I Davidson ◽

Craig Sewall ◽

Jacob T. Fisher ◽

Hannah Mieczkowski ◽

...

Keyword(s):

Systematic Review ◽

Digital Media ◽

Media Use ◽

Meta Analysis ◽

Well Being ◽

Self Report ◽

Effect Sizes ◽

Objective Measures ◽

Valid Index ◽

Accurate Reflection

The influence of digital media on personal and social well-being is a question of immense public and academic interest. Scholars in this domain often use retrospective self-report measures of the quantity or duration of media use as a proxy for more objective measures, but the validity of these self-report measures remains unclear. Recent advancements in log-based data collection techniques have produced a growing collection of studies indexing both self-reported media use and device-logged measurements. Herein, we report a meta-analysis of this body of research. Based on 104 effect sizes, we found that self-reported media use was only moderately correlated with device-logged measurements, and that these self-report measures were rarely an accurate reflection of logged media use. These results demonstrate that self-reported measures of the quantity or duration of media use are not a valid index of the amount of time people actually spend using media. These findings have serious implications for the study of media use and well- being, suggesting that cautiousness is warranted in drawing conclusions regarding media effects from studies relying solely on self-reported measures of media use.

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Does Conservative Kidney Management Offer a Quantity or Quality of Life Benefit Compared to Dialysis? A Systematic Review

10.21203/rs.3.rs-196946/v1 ◽

2021 ◽

Author(s):

Buur Louise Engelbrecht ◽

Madsen Jens Kristian ◽

Eidemak Inge ◽

Krarup Elizabeth ◽

Lauridsen Thomas Guldager ◽

...

Keyword(s):

Quality Of Life ◽

Systematic Review ◽

Treatment Options ◽

Symptom Burden ◽

Place Of Death ◽

Cochrane Library ◽

Elderly Individuals ◽

Secondary Outcomes ◽

The Cochrane Library

Abstract Background Patients with stage 5 chronic kidney disease (CKD5) collaborate with their clinicians when choosing their future treatment modality. Most elderly patients with CKD5 may only have two treatment options: dialysis or conservative kidney management (CKM). The objective of this systematic review was to investigate whether CKM offers a quantity or quality of life benefit compared to dialysis for some patients with CKD5.MethodsThe databases MEDLINE, EMBASE, the Cochrane Library, and CINAHL were systematically searched for studies comparing patients with CKD5 treated with CKM or dialysis. The primary outcomes were mortality and quality of life (QoL). Hospitalization, symptom burden, and place of death were secondary outcomes. For studies reporting hazard ratios, pooled values were calculated, and forest plots conducted.ResultsTwenty-four primary studies, all observational, were identified. All studies except one reported an increased mortality in patients treated with CKM (pooled hazard ratio 0.53, 95% confidence interval 0.41-0.69). For patients aged ≥ 80 years and for elderly individuals with comorbidities, results were ambiguous. In most studies, CKM seemed advantageous for QoL and secondary outcomes. Findings were limited by the heterogeneity of studies and biased outcomes favouring dialysis.ConclusionsIn general, patients with CKD5 live for a shorter time on CKM than on dialysis. In patients aged ≥ 80 years old, and in elderly individuals with comorbidities, the survival benefits of dialysis seem to be lost. Regarding QoL, symptom burden, hospitalization, and place of death, CKM may have advantages. Higher quality studies are needed to guide patients and clinicians in the decision-making process.

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