The prevalence, predictors, associated symptoms, and outcomes of social disinhibition following moderate-to-severe TBI: A scoping review of quantitative evidence

Author(s):  
Michaela Filipčíková ◽  
Travis Wearne ◽  
Ranran Li ◽  
Skye McDonald
2020 ◽  
Author(s):  
Enrico Quilico ◽  
Bonnie Swaine ◽  
Christophe Alarie ◽  
Angela Colantonio

BACKGROUND Long-term physical, cognitive, and psychosocial problems resulting from moderate to severe traumatic brain injury (TBI) can prevent individuals from returning to preinjury lifestyles because of significant challenges with employment, leisure, and relationships. While physical activity (PA) is proposed as a cost-effective method to alleviate problems after moderate to severe TBI, there is no review to date that synthesizes the evidence for PA in the community-based context. Further, although sex- and gender-based considerations in research are considered requisite to good science, there is no review on PA and TBI that has included this explicit focus. OBJECTIVE The purpose of this review is to map and synthesize the current evidence identified through a systematic search of community-based PA interventions for individuals of all ages with moderate to severe TBI and provide an overview of that evidence by asking the following research questions: (1) what are the characteristics of community-based PA programs for individuals with moderate to severe TBI, (2) what are the reported health-related outcomes and measurement tools used to evaluate them, and (3) what considerations have been given to sex and/or gender? METHODS Searches will be conducted of six academic databases for peer-reviewed articles. Two reviewers will independently screen the articles for inclusion and extract data for the analysis. The extracted data will be coded according to the Consensus on Exercise Reporting Template checklist and the Template for Intervention Description and Replication checklist to provide sufficient detail for replication. RESULTS The abstract screening was completed by two reviewers and the extracted data were analyzed. A qualitative synthesis and description of community-based PA interventions for individuals with moderate to severe TBI will be provided. CONCLUSIONS This scoping review will generate new knowledge from published and publicly available literature. Dissemination of the results will include activities related to knowledge transfer for community-based PA after moderate to severe TBI for future research and practice. Evidence-based recommendations, future directions, potential limitations, use of online/digital components, and the possible need for a systematic review will be discussed as well. INTERNATIONAL REGISTERED REPORT DERR1-10.2196/24689


2020 ◽  
Author(s):  
Ana Paula Vieira Faria ◽  
Thales Philipe Rodrigues da Silva ◽  
Camila Kümmel Duarte ◽  
Luana Caroline dos Santos ◽  
Maria Margarida Leitão Filipe ◽  
...  

Abstract The aim of the present study was to perform a systematically review the literature in order to clarify whether breastfeeding is safe for babies of mothers infected with coronavirus, called SARS-CoV-2. The searches were carried out on MEDLINE (via PubMed), EMBASE and government statements and publications and manual search of reference lists on 5 July. The title, abstracts and full text were read in duplicate by two independent researchers to verify the eligibility criteria. From 2723 records, 17 citations were included. Eleven citations guide avoiding breastfeeding in cases of maternal infection confirmed by SARS-CoV-2. Fourteen citations did not present consensus on breastfeeding and twelve citations recommended to maintain breastfeeding. Conclusion : Through the evidence found so far, it is emphasized that the mother / child separation in the neonatal period is discouraged, as it harms the maternal bond, in addition to interfering considerably in breastfeeding. Therefore, the evidence found so far is extremely low in quality and does not present quantitative evidence in one way or another with regard to vertical transmission of SARS-CoV-2, there is no way to recommend, avoid or even guarantee that there will be no infection, but it is recommended to continue breastfeeding.


10.2196/24689 ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. e24689
Author(s):  
Enrico Quilico ◽  
Bonnie Swaine ◽  
Christophe Alarie ◽  
Angela Colantonio

Background Long-term physical, cognitive, and psychosocial problems resulting from moderate to severe traumatic brain injury (TBI) can prevent individuals from returning to preinjury lifestyles because of significant challenges with employment, leisure, and relationships. While physical activity (PA) is proposed as a cost-effective method to alleviate problems after moderate to severe TBI, there is no review to date that synthesizes the evidence for PA in the community-based context. Further, although sex- and gender-based considerations in research are considered requisite to good science, there is no review on PA and TBI that has included this explicit focus. Objective The purpose of this review is to map and synthesize the current evidence identified through a systematic search of community-based PA interventions for individuals of all ages with moderate to severe TBI and provide an overview of that evidence by asking the following research questions: (1) what are the characteristics of community-based PA programs for individuals with moderate to severe TBI, (2) what are the reported health-related outcomes and measurement tools used to evaluate them, and (3) what considerations have been given to sex and/or gender? Methods Searches will be conducted of six academic databases for peer-reviewed articles. Two reviewers will independently screen the articles for inclusion and extract data for the analysis. The extracted data will be coded according to the Consensus on Exercise Reporting Template checklist and the Template for Intervention Description and Replication checklist to provide sufficient detail for replication. Results The abstract screening was completed by two reviewers and the extracted data were analyzed. A qualitative synthesis and description of community-based PA interventions for individuals with moderate to severe TBI will be provided. Conclusions This scoping review will generate new knowledge from published and publicly available literature. Dissemination of the results will include activities related to knowledge transfer for community-based PA after moderate to severe TBI for future research and practice. Evidence-based recommendations, future directions, potential limitations, use of online/digital components, and the possible need for a systematic review will be discussed as well. International Registered Report Identifier (IRRID) DERR1-10.2196/24689


BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e041721
Author(s):  
Chukwudi A Nnaji ◽  
Charles S Wiysonge ◽  
Joseph Okeibunor ◽  
Thobile Malinga ◽  
Abdu A Adamu ◽  
...  

IntroductionImplementation research has emerged as part of evidence-based decision-making efforts to plug current gaps in the translation of research evidence into health policy and practice. While there has been a growing number of institutions and initiatives promoting the uptake of implementation research in Africa, their role and effectiveness remain unclear, particularly in the context of universal health coverage (UHC). This review aims to extensively identify and characterise the nature, facilitators and barriers to the use of implementation research for assessing or evaluating UHC-related interventions or programmes in Africa.Methods and analysisThis scoping review will be developed based on the methodological framework proposed by Arksey and O’Malley and enhanced by the Joanna Briggs Institute. It will be reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines. A comprehensive search of the following electronic databases will be conducted: Medline (via PubMed), Scopus and the Cochrane Library. Relevant grey literature and reference lists will also be searched. All publications describing the application of implementation research in the context of UHC will be considered for inclusion. Findings will be narratively synthesised and analysed using a predefined conceptual framework. Where applicable, quantitative evidence will be aggregated using summary statistics. There will be consultation of stakeholders, including UHC-oriented health professionals, programme managers, implementation researchers and policy-makers; to provide methodological, conceptual and practical insights.Ethics and disseminationThe data used in this review will be sourced from publicly available literature; hence, this study will not require ethical approval. Findings and recommendations will be disseminated to reach a diverse audience, including UHC advocates, implementation researchers and key health system stakeholders within the African region. Additionally, findings will be disseminated through an open-access publication in a relevant peer-reviewed journal.


2020 ◽  
Author(s):  
Lena Quilty ◽  
Branka Agic ◽  
Michelle Coombs ◽  
Betty-Lou Kristy ◽  
Jill Shakespeare ◽  
...  

BACKGROUND Digital health resources are being increasingly used to support women with substance use concerns. Although empirical research demonstrates that these resources have promise, the available evidence for their benefit in women requires further investigation. OBJECTIVE The objective of the current investigation was to evaluate the evidence supporting the efficacy or effectiveness for online or mobile interventions for risky or harmful substance use in adults who identify as female or women, or who report a history of trauma. METHODS This scoping review is based on an academic search in MEDLINE, APA PsycINFO, EMBASE, Cochrane Central, and CINAHL, as well as a grey literature search in U.S. and Canadian government and funding agency websites. Of the 4977 records identified, 355 remained following title and abstract screening. Of these, 121 met all eligibility criteria and were reviewed and synthesized. RESULTS The 121 records reflected 96 distinct studies, and 85 distinct interventions. Investigations and the interventions evaluated predominantly focused on alcohol use or general substance use. Digital health resources evaluated included multi-session and brief session interventions, with a wide range of therapeutic elements. More intensive online and mobile interventions exhibited moderate to strong effects in the vast majority of studies, whereas brief interventions demonstrated smaller effect sizes at short-term follow-up periods. Most investigations did not assess gender identity, or conduct sex- or gender-based analyses. Only 10 investigations that included trauma were located. CONCLUSIONS Despite the overall promise of digital health interventions for substance use concerns, direct or quantitative evidence for efficacy or effectiveness of interventions in females or women specifically is weak.


Dementia ◽  
2020 ◽  
pp. 147130122097163
Author(s):  
Rotem Perach ◽  
Jennifer Rusted ◽  
Peter R. Harris ◽  
Eleanor Miles ◽  

Background and Objectives Emotion is integral to decision-making, and emotion regulation is associated with improved well-being in older age. Persons with dementia are likely to experience impairments in emotion regulation processes that can potentially contribute to differential decision-making and well-being outcomes. To promote the development of theoretical models of well-being in dementia, we review the quantitative evidence concerning the associations between emotion regulation and decision-making in dementia. Methods Scoping review. Results Seven studies of persons with dementia met our criteria. In persons with frontotemporal lobar degeneration, emotion regulation processes that precede the emotional experience were associated with decision-making in a moral (but not uncertainty) context. Independent of type of dementia, evidence concerning the associations between emotion regulation processes that occur after emotion is experienced and decision-making was mixed and drew on different methodologies. No studies relating to the associations between decision-making in dementia and several emotion regulation processes and strategies were found. Conclusions In this review, we sought to clarify the concept of everyday decision-making in dementia and map the current state of evidence concerning its associations with emotion regulation. Our findings show that emotion regulation processes are associated with decision-making in dementia, depending on type of decision-making assessment and emotional experience. We outline the gaps in the literature to set a research agenda for promoting our understanding of how emotion regulation processes can shape the various decisions that are made by persons with dementia on a daily basis.


2019 ◽  
Vol 26 (9) ◽  
pp. 520-535 ◽  
Author(s):  
Jennifer O’Neil ◽  
Jacquie van Ierssel ◽  
Heidi Sveistrup

Introduction Individuals with moderate or severe traumatic brain injury (TBI) often have persistent impairments upon discharge home. In rural communities, specialized rehabilitation services to address impairments can be difficult to access. The purpose of this scoping review is to examine how remote supervision is currently being used in TBI rehabilitation to identify gaps in knowledge that need to be addressed to facilitate access to and implementation of these services. Methods The main objective for this review is to identify the methods being used to deliver remote supervision for rehabilitation in a moderate or severe TBI population. The aim of this review was to document the implementation characteristics of remote supervision used including: (1) type of supervision such as synchronous, asynchronous supervision or mixed; (2) frequency and intensity of remote supervision; and (3) outcomes used to measure intervention delivery as well as effectiveness within this population. This scoping review follows EQUATOR Network recommendations for screening and extracting data. Results Twenty-six studies using a variety of remote supervision technology and outcome measures were included. Supervision frequency and intensity are poorly reported with no standardization. One hundred and six outcome measures were reported in this review showing large diversity in the areas being explored. Discussion Different types of remote supervision have been used with this population; however, there are no clear guidelines on clinical implementation. Future studies must better define implementation parameters of remote supervision. Benefit on physical activity, balance and mobility outcomes also need to be further explored.


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