Self-efficacy and quality of life among people with cardiovascular diseases: A meta-analysis.

2018 ◽  
Vol 63 (2) ◽  
pp. 295-312 ◽  
Author(s):  
Anna Banik ◽  
Ralf Schwarzer ◽  
Nina Knoll ◽  
Katarzyna Czekierda ◽  
Aleksandra Luszczynska
2020 ◽  
Vol 34 (5) ◽  
pp. 520-537
Author(s):  
Fatih Gür ◽  
Ganime Can Gür

Objectives: This systematic review and meta-analysis examined the effects of exercise on individuals with alcohol use disorders (AUDs) across multiple health outcomes. Data Sources: PubMed, Medline, Web of Science, Scopus, Academic Search complete, Sport Discuss, and ERIC databases. Study Inclusion and Exclusion Criteria: Interventional studies published between 2000 and 2018 focused on evaluating the effectiveness of exercise interventions in adults with AUD. Data Extraction: This protocol was prepared using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses protocols standard and the Meta-Analyses and Systematic Reviews of Observational Studies guidelines. Data Synthesis: Physical activity levels/fitness [VO2 max (Oxygen Uptake) and HRmax (Maximum Heart Rate)], levels of depression, anxiety, self-efficacy, quality of life, and alcohol consumption (number of standard drinks consumed per day and per week). Results: The findings indicated that exercise significantly improved physical fitness as assessed by VO2 max (standardized mean difference [SMD]: 0.487, P < .05) and HRmax (SMD: 0.717, P < .05). Similarly, exercise significantly improved mental health as assessed by quality of life (SMD: 0.425, P < .05), but levels of depression, anxiety, self-efficacy, and alcohol consumption did not change significantly. Aerobic exercise alleviated depression and anxiety symptoms more than that of yoga and mixed types. Duration of exercise also had a similar effect on anxiety and depression. Conclusions: Exercise can be an effective and persistent adjunctive treatment for individuals with AUDs.


2021 ◽  
Author(s):  
Arkers Kwan Ching Wong ◽  
Jonathan Bayuo ◽  
Frances Kam Yuet Wong ◽  
Wing Shan Yuen ◽  
Athena Yin Lam Lee ◽  
...  

BACKGROUND In recent years, telehealth has become a common channel for healthcare professionals to use to promote health and provide distance care. Coronavirus disease (COVID-19) has further fostered the widespread use of this new technology, which can improve access to care while protecting the community from exposure to infection by direct personal contact, and reduce the time and cost of travelling for both healthcare users and providers. This is especially true for community-dwelling older adults who have multiple chronic diseases and require frequent hospital visits. Nurses are globally recognized as healthcare professionals who provide effective community-based care to older adults, facilitating their desire to age in place. However, to date, it is unclear whether the use of telehealth can facilitate their work of promoting self-care to community-dwelling older adults. Objective: We aimed to summarize findings from randomized controlled trials on the effect of nurse-led telehealth self-care promotion programmes compared to the usual onsite or face-to-face services on the quality of life, self-efficacy, depression, and hospital admissions among community-dwelling older adults. OBJECTIVE We aimed to summarize findings from randomized controlled trials on the effect of nurse-led telehealth self-care promotion programmes compared to the usual onsite or face-to-face services on the quality of life, self-efficacy, depression, and hospital admissions among community-dwelling older adults. METHODS A search of six major databases was undertaken of relevant studies published from May 2011 to April 2021. Standardized mean differences (SMDs) and their 95% confidence intervals were calculated from post-intervention outcomes for continuous data, while the odds ratio (ORs) was obtained for dichotomous data using the Mantel-Haenszel test. RESULTS From 1173 possible publications, 13 trials involving a total of 4097 participants were included in this meta-analysis. Compared to the control groups, the intervention groups of community-dwelling older adults significantly improved in overall quality of life (SMD=0.12; 95% CI: 0.03 to 0.20; p=.006; I2=21%), self-efficacy (SMD=0.19; 95% CI: 0.08 to 0.30; p=.0005; I2=0%), and depression level (SMD=-0.22; 95% CI: -0.36 to -0.08; p=.003; I2=89%). CONCLUSIONS This meta-analysis suggests that employing telehealth in nurse-led self-care promotion programmes may have a positive impact on older adults, although more studies are needed to strengthen the evidence base, particularly regarding organization and delivery. CLINICALTRIAL International Prospective Register of Systematic Reviews (PROSPERO) CRD42021257299; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=257299.


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