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.

scholarly journals Rural physical activity interventions in the United States: a systematic review and RE-AIM evaluation

2019 ◽  
Vol 16 (1) ◽  
Author(s):  
Nishat Bhuiyan ◽  
Pritika Singh ◽  
Samantha M. Harden ◽  
Scherezade K. Mama
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Rural Health ◽  
Classification System ◽  
External Validity ◽  
The United States ◽  
Population Census ◽  
Physical Activity Interventions ◽  
Internal And External Validity ◽  
The U.S

Abstract Background Previous reviews of rural physical activity interventions were focused on intervention effectiveness and had reported overall mixed findings. The purpose of this systematic review was to apply the Reach, Efficacy, Adoption, Implementation and Maintenance (RE-AIM) framework to evaluate the extent to which rural physical activity interventions in the U.S. have reported on dimensions of internal and external validity and to offer suggestions for future physical activity interventions for rural U.S. populations. Methods Pubmed, PsychINFO, CINAHL, PAIS, and Web of Science were searched through February 2019 to identify physical activity intervention studies conducted in rural regions in the U.S. with adult populations. Titles, abstracts, and full texts of articles were reviewed against inclusion and exclusion criteria. Data extraction from included articles included a summary of study details, rural classification system used, and the presence or absence of a total 61 RE-AIM indicators, including reach (n = 13), efficacy/effectiveness (n = 10), adoption (n = 21), implementation (n = 9), and maintenance (n = 8). Results A total of 40 full-text articles representing 29 unique studies were included. Classifications of rurality included self-statements by authors (n = 19, 65.5%), population/census-based definitions (n = 3, 10.3%), Rural Urban Continuum Codes (n = 3, 10.3%), Rural Urban Commuting Area codes (n = 2, 6.9%), the 2014 Alabama Rural Health Association classification system (n = 1, 3.4%) and the U.S. Office of Management and Budget classification system (n = 1, 3.4%). Individual studies reported between 14.8 to 52.5% of total RE-AIM indicators. Studies reported 15.4 to 84.6% indicators for reach; 20.0 to 70.0% indicators for efficacy/effectiveness; 4.8 to 47.6% indicators for adoption; 11.1 to 88.9% indicators for implementation; and 0 to 25.0% indicators for maintenance. Conclusions We found an overall poor reporting of components related to external validity, which hinders the generalizability of intervention findings, and a lack of consistency in the definition of rurality. Future research should focus on balancing factors of internal and external validity, and should aim to develop a greater understanding of how rurality influences health and behavior to provide contextual knowledge needed to advance the translation of physical activity interventions into practice in rural communities and reduce rural health disparities. Trial registration The review protocol was registered with PROSPERO: CRD42019116308.

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.

The state of the science for communication training in pediatric oncology: A systematic review

2020 ◽  
Vol 67 (10) ◽  
Author(s):  
Erica C. Kaye ◽  
Daniel Cannone ◽  
Jennifer M. Snaman ◽  
Justin N. Baker ◽  
Holly Spraker‐Perlman
Keyword(s):  
Systematic Review ◽  
Pediatric Oncology ◽  
Communication Training ◽  
The State ◽  
State Of The Science

scholarly journals A systematic review of the implementation of obesity prevention interventions in early childcare and education settings using the RE-AIM framework

2020 ◽  
Vol 10 (5) ◽  
pp. 1168-1176
Author(s):  
Jennifer C Sanchez-Flack ◽  
Annie Herman ◽  
Joanna Buscemi ◽  
Angela Kong ◽  
Alexis Bains ◽  
...  
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Obesity Prevention ◽  
Real World ◽  
External Validity ◽  
Implementation Fidelity ◽  
Evidence Based ◽  
Inclusion Criteria ◽  
Prevention Interventions ◽  
Early Childcare

Abstract Previous systematic reviews have examined the efficacy of obesity prevention interventions within early childcare/education settings. Often lacking in these reviews is reporting on external validity, which continues to be underemphasized compared to internal validity. More attention to external validity would help better translate evidence-based interventions to real-world settings. This systematic review aimed to determine the availability of data on both internal and external validity across dimensions of the Reach, Efficacy/Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework in studies reporting on obesity prevention interventions in early childcare/education settings. Inclusion criteria included: randomized controlled trials, early childcare/education setting, targeted children 2–6 years old, addressed both diet and physical activity, collected measures of weight status and diet and/or physical activity, and published within the last 10 years. Searches were conducted in ERIC, PsychInfo, and PubMed; 23 studies met inclusion criteria. A validated RE-AIM abstraction tool was used to code studies. Most commonly reported dimensions were Reach (62.3%), Implementation (53.5%), and Efficacy/Effectiveness (48.7%). Adoption (21.7%) and Maintenance (11.6%) were less often reported. All studies reported on primary outcomes, but few reported on RE-AIM indicators of characteristics of participation and adoption, quality of life, methods used to identify staff, staff inclusion/exclusion criteria and adoption rates, implementation fidelity, measures of cost to start-up and deliver the intervention, and indicators of maintenance. This systematic review underscores the need for more focus on external validity to inform replication, dissemination, and implementation so that evidence-based early childcare/education obesity interventions can be generalized to real-world settings.

scholarly journals A Systematic Review of Self-Care Interventions for African American Family Caregivers

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 354-354
Author(s):  
Eunjung Ko ◽  
Karen Moss ◽  
Tara O'Brien ◽  
Loren Wold ◽  
Karen Rose ◽  
...  
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Family Caregivers ◽  
Caregiver Burden ◽  
Self Care ◽  
American Family ◽  
Exclusion Criteria ◽  
Future Studies ◽  
Unpaid Care ◽  
The Impact

Abstract African Americans (AA) family caregivers provide the bulk of unpaid care to persons living with dementia (PLWD). This role leaves little time for the adoption of self-care behaviors—critical to the prevention and management of chronic diseases. In this systematic review, we appraise caregiver self-care interventions that include AA caregivers of PLWD. PubMed, CINAHL, PsycINFO, Cochrane, and Embase databases were searched. Terms included AA/Black, self-care, caregiving, lifestyle, intervention, psychological stress, and faith/community. We initially found 250 references and after application of exclusion criteria and removal of redundant references, 18 articles were analyzed. Most interventions focused on impacting levels of caregiver burden, depression, physical activity, anxiety, or wellbeing. Psychoeducation, physical activity, and spiritually-focused interventions were most effective in improving outcomes in caregivers. Future studies should examine the impact of interventions on the prevention and management of chronic disease in AA caregivers of PLWD.

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