scholarly journals A Systematic Review of Effects of Physical Activity of Family Caregivers of Older Adults With Chronic Disease

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 395-395
Author(s):  
Dawon Baik ◽  
Jiyoun Song ◽  
Aluem Tark ◽  
Heather Coats ◽  
Catherine Jankowski
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Older Adults ◽  
Chronic Disease ◽  
Physical Health ◽  
Family Caregivers ◽  
Psychological Health ◽  
Randomized Clinical Trials ◽  
Cochrane Collaboration ◽  
Cochrane Library

Abstract More than 17 million family caregivers (FCGs) provide care for older adults with chronic illness in the US. Caregiving for older adults with chronic disease places a considerable burden on FCGs and they tend to neglect their personal health. Generally, physical activity (PA) programs benefit the physical and psychological health of FCGs. However, no review of PA randomized clinical trials (RCTs) focused on FCGs of older adults with chronic disease. In this systematic review, we analyzed the most recent trends (2010-2020) in RCTs identifying the effects of PA in this population. This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Electronic databases (PubMed, CINAHL, Embase, PsycInfo, Cochrane Library) were searched for publications dated from 2010 to 2020. All studies included were appraised for quality using the Cochrane Collaboration Risk of Bias Tool. Of the resulting 16 studies, most studies (n=11) targeted FCGs of older adults with dementia or cancer. Most FCGs were non-Hispanic white. PA interventions with mixed modes (e.g., aerobic and resistance exercise), mixed delivery methods (e.g., in-person and telephone) and mixed settings (e.g., supervised gym- and unsupervised home sessions) were used most frequently. PA interventions significantly improved psychological health but had inconsistent effects on physical health. Tailored PA programs, designed based on FCGs’ goals, preferences and limitations, may improve upon physical health outcomes. Future PA studies should include samples of racially and ethnically diverse FCGs of older adults representing a broader range of chronic diseases.

Chronic Disease Self-Management Among Iranian Older Adults: A Scoping Review

2019 ◽  
Vol 39 (8) ◽  
pp. 922-930 ◽  
Author(s):  
Aein Zarrin ◽  
Nima Tourchian ◽  
George A. Heckman
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Chronic Disease ◽  
Scoping Review ◽  
Self Management ◽  
Cochrane Library ◽  
Self Monitoring ◽  
Care Models ◽  
Language Objectives ◽  
Main Components

Background: Implementing care models that emphasize chronic disease self-management (CDSM) strategies may be an effective approach to the growing prevalence of chronic conditions in Iran. We, therefore, conducted a scoping review on CDSM among older Iranians to identify existing gaps and opportunities to improve chronic disease care. Method: We conducted a search in CINAHL, EMBASE, MEDLINE/PubMed, and Cochrane library. Selected articles were charted based on year of publication, language, objectives, methods, target chronic disease(s), sample demographics, self-management type, and key findings. Results: We selected 73 articles. The main components of CDSM addressed were social support, education, physical activity, nutrition, self-monitoring, spirituality, and financial support. Older Iranians reported low levels of physical activity. Conclusion: Enhancing the quality of CDSM research and provision of coaching to enhance older adults’ social and mental health are among the main strategies to enhance CDSM among the Iranian older population.

What is the State of the Science on Physical Activity Interventions for Family Caregivers? A Systematic Review and RE-AIM Evaluation

2017 ◽  
Vol 14 (7) ◽  
pp. 578-595 ◽  
Author(s):  
Colleen A. Cuthbert ◽  
Kathryn King-Shier ◽  
Dean Ruether ◽  
Dianne M. Tapp ◽  
S. Nicole Culos-Reed
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Family Caregivers ◽  
Psychological Health ◽  
External Validity ◽  
Significant Proportion ◽  
The State ◽  
Caregiver Health ◽  
State Of The Science ◽  
Internal And External Validity

Background:Family caregivers are an important health care resource and represent a significant proportion of Canadian and US populations. Family caregivers suffer physical and psychological health problems because of being in the caregiver role. Interventions to support caregiver health, including physical activity (PA), are slow to be investigated and translated into practice.Purpose:To examine the evidence for PA interventions in caregivers and determine factors hampering the uptake of this evidence into practice.Methods:A systematic review and evaluation of internal and external validity using the RE-AIM (Reach, Efficacy/Effectiveness, Adoption, Implementation, and Maintenance) framework was conducted. Randomized controlled trials or pretest/posttest studies of PA interventions were included.Results:Fourteen studies were published between 1997 and 2015. Methodological quality of studies and risk of bias was variable. External validity criteria were often not reported. Mean reporting levels were 1) reach, 53%; 2) efficacy/effectiveness, 73%; 3) adoption, 18%; 4) implementation, 48%; and 5) maintenance, 2%.Conclusions:The lack of reporting of components of internal and external validity hinders the integration of caregiver PA interventions into clinical or community settings. Researchers should focus on standardized outcomes, accepted reporting criteria, and balancing factors of internal and external validity, to advance the state of the science.

Does emotional disclosure have any effects? A systematic review of the literature with meta-analyses

2005 ◽  
Vol 21 (2) ◽  
pp. 153-164 ◽  
Author(s):  
Catherine Meads ◽  
Arie Nouwen
Keyword(s):  
Systematic Review ◽  
Physical Health ◽  
Psychological Health ◽  
Meta Analysis ◽  
Psychological Outcomes ◽  
Emotional Disclosure ◽  
Cochrane Library ◽  
Jadad Score ◽  
Beneficial Effects ◽  
Meta Analyses

Objectives:Emotional disclosure has been widely publicized as having beneficial effects on physical and psychological health. A full systematic review was undertaken, with standard health technology appraisal methods, with the aim to assess the effects of emotional disclosure on healthy participants and those with pre-existing morbidity, particularly on longer-term physical health, performance, and psychological outcomes.Methods:Randomized controlled trials of emotional disclosure were obtained from database searches (Medline (1966–2003), Embase (1980–2003), Cochrane Library (2002, issue 4), Web of Science (1981–2003), Cinahl (1982–2003), and Theses (March 2003), Internet sites (including Professor J.W. Pennebaker's home pages), and personal contacts. Quality was assessed qualitatively and by Jadad score. Meta-analysis was conducted, using Revman 4.1 software, where more than two trials reported the same outcome.Results:Sixty-one trials were found meeting the inclusion criteria. Most had less than 100 participants and the median Jadad score was 0. A wide variety of physical, physiological, immunological, performance, and psychological outcomes were measured, but fewer were reported. There was no clear improvement for emotional disclosure compared with controls in objectively measured physical health and most other outcomes assessed.Conclusions:The opinion that this intervention is beneficial needs to be reassessed in light of the totality of evidence available.

scholarly journals Physical activity and absenteeism for worker’s disease: a systematic review

2020 ◽  
pp. 1-6
Author(s):  
Michell Vetoraci Viana ◽  
Almir de França Ferraz ◽  
Tiago Costa de Figueiredo ◽  
Roberta Luksevicius Rica ◽  
Luciane Bresciani Salaroli ◽  
...  
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Randomized Clinical Trials ◽  
Selection Process ◽  
Data Extraction ◽  
Health And Safety ◽  
Analysis Data ◽  
Cochrane Library ◽  
Bias Analysis ◽  
Guidelines And Recommendations

Introduction: Although Brazil has complete legislation that establishes guidelines and recommendations for companies regarding Occupational Health and Safety, according to data from the Ministry of Labor and Social Security, indices of absenteeism and absences from work functions increase with each year. Objective: To identify the association of the level of physical activity on absenteeism by diseases in workers, through a systematic review. Methods: Four databases (Lilacs, SciELO, Medline via Pubmed and Cochrane Library) were consulted from November 10 to 23, 2017. Results: The selection process of the articles were included after screening 25 articles: (08) articles did not mention workers, only school children, (05) articles were systematically reviewed, and (12) articles had randomized clinical trials. The systematic relationship included a bias analysis, data extraction and important discussions of the characteristics of the articles selected so that we had breadth of knowledge produced in this theme. Conclusion: We evidenced the need for more research in the area of physical activity and less number of absenteeism due to diseases in workers.

scholarly journals BEHAVIORAL ACTIVATION FOR FAMILY CAREGIVERS OF PEOPLE WITH DEMENTIA: A SYSTEMATIC REVIEW AND META-ANALYSIS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S109-S109
Author(s):  
Xinyi Xu ◽  
Rick Kwan ◽  
Angela Y M Leung
Keyword(s):  
Systematic Review ◽  
Physical Health ◽  
Family Caregivers ◽  
Psychological Health ◽  
Behavioral Activation ◽  
Positive Impact ◽  
Meta Analysis ◽  
Neuropsychiatric Symptoms ◽  
People With Dementia ◽  
Physical And Psychological Health

Abstract Behavioural activation (BA) aims to increase positive response-contingent environmental reinforcement and help caregivers to engage in pleasant and constructive activities, and therefore improve psychological and physical health among family caregivers of people with dementia (PWD). However, knowledge of the effectiveness of BA in this population remains limited. The current study applied a systematic review and meta-analysis in order to determine the effectiveness of BA among family caregivers of PWD. Literature was searched in PubMed, Medline, CINAHL, Cochrane, Embase and PsycINFO published from March 1988 to March 2018. Seven Randomized Control Trials (RCT)s evaluating the effects of BA in family caregivers of PWD were eligible to be included in this review. Cochrane’s guideline was used in order to measure risk of bias and extract data. A random effects model was used to pool the effect size. Family caregivers of PWD receiving BA that only for caregivers demonstrated a statistically significant reduction in depression (n=3; 311 participants; Cohen’d=0.55; 95% CI: 0.30 to 0.81; P<0.001). BA also had a positive impact on interlukin-6, negative affect of caregiving, relationship satisfaction, dysfunctional thoughts and distress related to neuropsychiatric symptoms of PWD for family caregivers. The available evidence suggests that future studies are needed to focus on better ways of administering BA to family caregivers of PWD, to improve their physical and psychological health. Meanwhile, more RCTs to investigate the effects of BA on psychological and physical health for family caregivers of PWD is needed.

scholarly journals Benefits of Qigong as an integrative and complementary practice for health: a systematic review

2020 ◽  
Vol 28 ◽  
Author(s):  
Bruna Francielle Toneti ◽  
Rafael Fernando Mendes Barbosa ◽  
Leandro Yukio Mano ◽  
Luana Okino Sawada ◽  
Igor Goulart de Oliveira ◽  
...  
Keyword(s):  
Systematic Review ◽  
Clinical Trials ◽  
Randomized Clinical Trials ◽  
Cochrane Collaboration ◽  
The Elderly ◽  
Risk Of Bias ◽  
Cochrane Library ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Meta Analyses

Objective: to analyze, in the literature, evidence about the benefits of the integrative and complementary practice of Qigong with regard to the health of adults and the elderly. Method: a systematic review by searching for studies in the PubMed, CINAHL, LILACS, EMBASE and Cochrane Library databases. Randomized and non-randomized clinical trials were included; in Portuguese, English and Spanish; from 2008 to 2018. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses strategy was adopted, as well as the recommendation of the Cochrane Collaboration for assessing the risk of bias in the clinical trials analyzed. Results: 28 studies were selected that indicated the benefit of the practice to the target audience, which can be used for numerous health conditions, such as: cancer; fibromyalgia; Parkinson’s disease; Chronic Obstructive Pulmonary Disease; Burnout; stress; social isolation; chronic low back pain; cervical pain; buzz; osteoarthritis; fatigue; depression; and cardiovascular diseases. However, there was a great risk of bias in terms of the blinding of the research studies. Conclusion: the practice of Qigong produces positive results on health, mainly in the medium and long term. This study contributes to the advancement in the use of integrative and complementary practices in nursing, since it brings together the scientific production in the area from the best research results available.

scholarly journals Depression and Objectively Measured Physical Activity: A Systematic Review and Meta-Analysis

2020 ◽  
Vol 17 (10) ◽  
pp. 3738 ◽  
Author(s):  
Vincenza Gianfredi ◽  
Lorenzo Blandi ◽  
Stefano Cacitti ◽  
Mirko Minelli ◽  
Carlo Signorelli ◽  
...  
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Meta Analysis ◽  
Cochrane Collaboration ◽  
Protective Role ◽  
Cochrane Library ◽  
P Value ◽  
Meta Analyses ◽  
The Cochrane Collaboration ◽  
Objectively Measured

Depression is a major contributor to the overall global burden of disease, with high prevalence and relapse rate. Several factors have been considered in order to reduce the depression burden. Among them, physical activity (PA) showed a potential protective role. However, evidence is contrasting probably because of the differences in PA measurement. The aim of this systematic review with meta-analysis is to assess the association between objectively measured PA and incident and prevalent depression. The systematic review was conducted according to methods recommended by the Cochrane Collaboration and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Relevant papers published through 31 August 2019 were identified searching through the electronic databases PubMed/MEDLINE, Excerpta Medica dataBASE (Embase), PsycINFO, Scopus, Web of Science (WoS), and the Cochrane Library. All analyses were conducted using ProMeta3. Finally, 42 studies met inclusion criteria. The overall Effect size (ES) of depression for the highest vs. the lowest level of PA was −1.16 [(95% CI = −1.41; −0.91), p-value < 0.001] based on 37,408 participants. The results of the meta-analysis showed a potential protective effect of PA on prevalent and incident depression.

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