scholarly journals Prevention and management of osteoporotic fractures by non-physician health professionals: a systematic literature review to inform EULAR points to consider

RMD Open ◽  
2020 ◽  
Vol 6 (1) ◽  
pp. e001143 ◽  
Author(s):  
Nicky Wilson ◽  
Emailie Hurkmans ◽  
Jo Adams ◽  
Margot Bakkers ◽  
Petra Balážová ◽  
...  

ObjectiveTo perform a systematic literature review (SLR) about the effect of non-pharmacological interventions delivered by non-physician health professionals to prevent and manage osteoporotic fractures.MethodsEight clinical questions based on two criteria guided the SLR: (1) adults≥50 years at high risk of osteoporotic fracture and (2) interventions delivered by non-physician health professionals to prevent and manage osteoporotic fractures. Interventions focused on diagnostic procedures to identify risk of falling, therapeutic approaches and implementation strategies. Outcomes included fractures, falls, risk of falling and change in bone mineral density. Systematic reviews and randomised controlled trials were preferentially selected. Data were synthesised using a qualitative descriptive approach.ResultsOf 15 917 records, 43 articles were included. Studies were clinically and methodologically diverse. We identified sufficient evidence that structured exercise, incorporating progressive resistance training delivered to people who had undergone hip fracture surgery, and multicomponent exercise, delivered to people at risk of primary fracture, reduced risk of falling. The effectiveness of multidisciplinary fracture liaison services in reducing refracture rate was confirmed. There was insufficient evidence found to support the effectiveness of nutrients and falls prevention programmes in this patient population.ConclusionDespite study heterogeneity, our SLR showed beneficial effects of some interventions delivered by non-physician health professionals and the positive impact of multidisciplinary team working and patient educational approaches to prevent and manage osteoporotic fractures. These results informed a EULAR taskforce that developed points to consider for non-physician health professionals to prevent and manage osteoporotic fractures.

2013 ◽  
Vol 21 (02) ◽  
pp. 123-151 ◽  
Author(s):  
MICHAEL LORZ ◽  
SUSAN MUELLER ◽  
THIERRY VOLERY

The majority of studies that analyze the impact of entrepreneurship education on entrepreneurial attitudes, intentions, and venture activities report positive influences. However, several scholars have recently cast doubts about research methods and the generalizability of entrepreneurship education impact studies. In this study, we conducted a systematic literature review of the methods used in entrepreneurship education impact studies. Our results uncover significant methodological deficiencies and question the overwhelmingly positive impact of entrepreneurship education. Based on this evidence, we propose a series of recommendations to improve the reliability and validity of entrepreneurship education impact studies and we outline promising topics which are currently under-researched.


2000 ◽  
Vol 56 (1) ◽  
pp. 3-6 ◽  
Author(s):  
M. Papadopoulos ◽  
P. Rheeder

Physiotherapists, whether serving individual patients or populations, always have to sought to base their decisions and actions on the best possible evidence. In making choices, health professionals may benefit from structured summaries of the options and outcomes, systematic reviews of the evidence and recommendations regarding the best choices. The aim of this paper is to present guidelines on how to conduct a systematic review. The structure and content of a systematic review are being discussed, following a step-by-step approach.


2016 ◽  
Vol 19 (7) ◽  
pp. 725-732 ◽  
Author(s):  
Divya Talwar ◽  
Tung-Sung Tseng ◽  
Margaret Foster ◽  
Lei Xu ◽  
Lei-Shih Chen

RMD Open ◽  
2019 ◽  
Vol 5 (2) ◽  
pp. e001028
Author(s):  
George E Fragoulis ◽  
Lisa Edelaar ◽  
Theodora P M Vliet Vlieland ◽  
Annamaria Iagnocco ◽  
Valentin Sebastian Schäfer ◽  
...  

ObjectiveTo identify generic competences on the desired knowledge, skills and of health professionals in rheumatology (HPRs) to inform the respective EULAR recommendations.MethodsA systematic literature review was performed on the generic core competences (defined as knowledge, skills or attitudes) of HPRs (nurses, physical therapists (PTs) or occupational therapists (OTs)). Literature was obtained from electronic databases, published EULAR recommendations and via personal communication with representatives of national rheumatology societies and experts in the field. Qualitative, quantitative and mixed methods studies were included, and their methodological quality was scored using appropriate instruments.ResultsFrom 766 references reviewed, 79 fulfilled the inclusion criteria. Twenty studies addressed competences of multiple HPRs: 15 were of qualitative design, 1 quantitative, 1 mixed-methods, 2 systematic reviews and 1 opinion paper. The methodological quality of most studies was medium to high. Five studies concerned the development of a comprehensive set of competences. Key competences included: basic knowledge of rheumatic diseases, holistic approach to patient management, effective communication with colleagues and patients and provision of education to patients. The proposed competences were confirmed in studies focusing on one or more specific competences, on a rheumatic disease or on a specific profession (nurses, PTs or OTs).ConclusionGeneric competences were identified for HPRs. Data were mostly derived from qualitative studies. All identified studies varied and were at national level, highlighting the need for the harmonisation of HPR competences across Europe. These findings underpin the development of EULAR recommendations for the core competences of HPRs.


2021 ◽  
Vol 6 (4) ◽  
pp. 287-296
Author(s):  
Belvinna Kaur Ajaib Singh ◽  
Azlina Abdul Aziz

This paper presents a systematic literature review of relevant published studies on integrating Facebook as a platform of discussion in the ESL classroom. The published studies are taken from the year of 2011 to 2019. The systematic literature review gives an overview about the positive impact of using Facebook as a platform of discussion for the ESL learners and the benefits of applying multimodality in teaching the ESL learners. The paper also investigates the challenges faced in integrating Facebook into the teaching and learning. The results of most published papers indicate that learners and educators are comfortable with the presence of Facebook as a platform of discussion and provides a positive feedback for the future ESL learners and educators to implement Facebook. The past studies indicate that Facebook plays a role in motivating the learners and promotes blended learning in improving the learner’s English language skills. The past studies also specify the challenges faced by both learners and educators in using Facebook. The limitations of past related studies and future directions for research were being further discussed.


2018 ◽  
Vol 7 (3.20) ◽  
pp. 35
Author(s):  
Abdullah Abdullah Al-Sakkaf ◽  
Mazni Omar ◽  
Mazida Ahmad

Having a solid theoretical foundation is essential for designing an effective software visualization (SV) tool. Despite the decades of developing different SV tools, there are still doubts about their effectiveness. Furthermore, learner engagement plays an important role in building a successful SV tool. In programming education, the problem of the high failure rates among students is still unresolved. Therefore, there is a need to understand the theories behind the exciting SV tools from the engagement perspective in order to have a road map for future tool construction. Yet the factors influencing learner engagement in SV tools are still unclear. This study set out to determine how to develop an SV design model to enhance student engagement in an introductory programming course. A systematic literature review (SLR) was used to obtain an overview of the current theoretical foundation used. The search identified a total of 432 papers between 2011 and 2017. This study examined 58 papers selected based on a well-defined selection process. In this paper, the contribution in constructing the protocol for SLR is presented as well as the preliminary results of the study. The researchers were in the process of data extraction phase to address the research questions. The expected outcomes of this review became the identification of a theoretical background used to construct and explain engagement in software visualization. The expected output of this study was a list of the factors that have a positive impact on learner engagement in SV tools.  


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