Systematic review of perception of barriers and facilitators to chronic disease self‐management among older adults: Implications for evidence‐based practice

People who wish to systematically work in the area of chronic disease self-management will find the two resources in this section of great value. The first, by Hill and Stoelwinder, discusses an approach to evidence-based practice developed by the Cochrane Consumers and Communication Review Group, to identify areas where communication interventions produce benefits for consumers. The second paper in this section (Aroni et al.) is a ?beginner?s bibliography? prepared for people who are interested in working on issues of self-management. The bibliography will be of interest to practitioners, consumers, and researchers.

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Animal‐Assisted Therapy as an Intervention for Older Adults: A Systematic Review and Meta‐Analysis to Guide Evidence‐Based Practice

Worldviews on Evidence-Based Nursing ◽

10.1111/wvn.12484 ◽

2020 ◽

Author(s):

Sun Ju Chang ◽

Jongeun Lee ◽

Hyeran An ◽

Woi‐Hyun Hong ◽

Joo Yun Lee

Keyword(s):

Systematic Review ◽

Older Adults ◽

Evidence Based Practice ◽

Meta Analysis ◽

Animal Assisted Therapy ◽

Evidence Based

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Evaluation of Facilitators and Barriers to Implementing Evidence-Based Practice in the Health Services: A Systematic Review

10.31661/gmj.v9i0.1645 ◽

2020 ◽

Vol 9 ◽

pp. 1645

Author(s):

Ali Ayoubian ◽

Amir Ashkan Nasiripour ◽

Seyed Jamaledin Tabibi ◽

Mohammadkarim Bahadori

Keyword(s):

Systematic Review ◽

Health Service ◽

Health Services ◽

Evidence Based Practice ◽

Healthcare Management ◽

Barriers And Facilitators ◽

Cochrane Library ◽

Evidence Based ◽

Care Health ◽

Evidence Based Healthcare

Background: Evidence-based practice (EBP) is an ambition for health service administrators. We aimed to systematically review the major relevant articles in case of barriers and facilitators to implementing evidence-based practice in health services. Methods and Materials: The type of study was a systematic review. We searched the libraries and online sources such as PubMed, MEDLINE, Wiley, EMBASE, ISI Web of Knowledge, Scopus, Science Direct, Cochrane Library, and Google scholar. We used keywords included “Evidence-Based Practice”, “Evidence-Based Management”, “Healthcare”, “Care Management, Evidence-Based Healthcare Management”, “Health Care”, Health”, “Barrier”, “Facilitator”, policy and “Evidence-Based Healthcare”. Results: In total, 12 studies were included. Several barriers and facilitators were recognized through the included papers, the factors such as organization support and a helpful education system improved skills, knowledge, and confidence to EBP. The outcomes of studies were identified as the employ of the internet as a highest-rated skill for increasing EBP quality. Conclusion: Generally, the results showed health service administrators should first identify barriers of EBP then transferred them to facilitators to the implementation of proper and efficient EBP. [GMJ.2020;9:e1645]

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A systematic review of the effectiveness of Evidence Based Practice (EBP) programs for allied health professionals

The JBI Database of Systematic Reviews and Implementation Reports ◽

10.11124/01938924-201008081-00017 ◽

2010 ◽

Vol 8 (Supplement) ◽

pp. 1-13

Keyword(s):

Systematic Review ◽

Health Professionals ◽

Allied Health ◽

Evidence Based Practice ◽

Evidence Based ◽

Allied Health Professionals

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Effectiveness of an eHealth self-management tool for older adults with multimorbidity (KeepWell): protocol for a hybrid effectiveness–implementation randomised controlled trial

BMJ Open ◽

10.1136/bmjopen-2020-048350 ◽

2021 ◽

Vol 11 (2) ◽

pp. e048350

Author(s):

Monika Kastner ◽

Julie Makarski ◽

Leigh Hayden ◽

Jemila S Hamid ◽

Jayna Holroyd-Leduc ◽

...

Keyword(s):

Older Adults ◽

Chronic Disease ◽

Randomised Controlled Trial ◽

Disease Management ◽

Chronic Conditions ◽

Controlled Trial ◽

Management Tool ◽

Self Management ◽

Plain Language ◽

Randomised Controlled

IntroductionIn response to the burden of chronic disease among older adults, different chronic disease self-management tools have been created to optimise disease management. However, these seldom consider all aspects of disease management are not usually developed specifically for seniors or created for sustained use and are primarily focused on a single disease. We created an eHealth self-management application called ‘KeepWell’ that supports seniors with complex care needs in their homes. It incorporates the care for two or more chronic conditions from among the most prevalent high-burden chronic diseases.Methods and analysisWe will evaluate the effectiveness, cost and uptake of KeepWell in a 6-month, pragmatic, hybrid effectiveness–implementation randomised controlled trial. Older adults age ≥65 years with one or more chronic conditions who are English speaking are able to consent and have access to a computer or tablet device, internet and an email address will be eligible. All consenting participants will be randomly assigned to KeepWell or control. The allocation sequence will be determined using a random number generator.Primary outcome is perceived self-efficacy at 6 months. Secondary outcomes include quality of life, health background/status, lifestyle (nutrition, physical activity, caffeine, alcohol, smoking and bladder health), social engagement and connections, eHealth literacy; all collected via a Health Risk Questionnaire embedded within KeepWell (intervention) or a survey platform (control). Implementation outcomes will include reach, effectiveness, adoption, fidelity, implementation cost and sustainability.Ethics and disseminationEthics approval has been received from the North York General Hospital Research and Ethics Board. The study is funded by the Canadian Institutes of Health Research and the Ontario Ministry of Health. We will work with our team to develop a dissemination strategy which will include publications, presentations, plain language summaries and an end-of-grant meeting.Trial registration numberNCT04437238.

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