scholarly journals The effectiveness of community-based social innovations for healthy ageing in middle- and high-income countries: a systematic review

2020 ◽  
Vol 25 (3) ◽  
pp. 202-210
Author(s):  
Ioana Ghiga ◽  
Emma Pitchforth ◽  
Louise Lepetit ◽  
Celine Miani ◽  
Gemma-Clare Ali ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cost Effectiveness ◽  
Complex Interventions ◽  
The United States ◽  
High Income ◽  
Healthy Ageing ◽  
System Level ◽  
Community Based ◽  
Social Innovations ◽  
Positive Impacts

Objectives Community-based social innovations (CBSIs) are one type of intervention that may help to address the complex needs of ageing populations globally. The aim of this research was to assess evidence for the effectiveness and cost-effectiveness of CBSIs involving in such contexts. Methods We conducted a systematic review of CBSIs for healthy ageing in middle- and high-income countries, including any CBSI that aimed to empower people aged 50 and over by motivating them to take initiative for their own health and wellbeing. The protocol was registered with Prospero (CRD 42016051622). A comprehensive search was conducted in 15 academic databases and advanced search in Google. We included published studies from 2000 onwards in any language. Exploratory meta-analysis was conducted for quantitative studies reporting similar outcomes, and qualitative studies were analysed using thematic analysis. Narrative synthesis was conducted. Searches yielded 13,262 unique hits, from which 44 papers met the inclusion criteria. Results Most studies reported interventions having positive impacts on participants, such as reduced depression, though the majority of studies were classified as being at medium or high risk of bias. There was no evidence on costs or cost-effectiveness and very little reporting of outcomes at an organization or system level. CBSIs have the potential for positive impacts, but with nearly half of studies coming from high-income urban settings (particularly the United Kingdom and the United States of America), there is a lack of generalizability of these findings. Conclusions Our research highlights the need to improve reporting of CBSIs as complex interventions, and for improved conceptualization of these interventions to inform research and practice.

scholarly journals Church-based interventions to address obesity among African Americans and Latinos in the United States: a systematic review

2019 ◽  
Author(s):  
Karen R Flórez ◽  
Denise D Payán ◽  
Kartika Palar ◽  
Malcolm V Williams ◽  
Bozena Katic ◽  
...  
Keyword(s):  
United States ◽  
Systematic Review ◽  
African Americans ◽  
Ethnic Disparities ◽  
The United States ◽  
Effect Sizes ◽  
Community Based ◽  
Vulnerable Communities ◽  
Racial Ethnic ◽  
The Church

Abstract Context Multilevel church-based interventions may help address racial/ethnic disparities in obesity in the United States since churches are often trusted institutions in vulnerable communities. These types of interventions affect at least two levels of socio-ecological influence which could mean an intervention that targets individual congregants as well as the congregation as a whole. However, the extent to which such interventions are developed using a collaborative partnership approach and are effective with diverse racial/ethnic populations is unclear, and these crucial features of well-designed community-based interventions. Objective The present systematic literature review of church-based interventions was conducted to assess their efficacy for addressing obesity across different racial/ethnic groups (eg, African Americans, Latinos). Data Sources and Extraction In total, 43 relevant articles were identified using systematic review methods developed by the Center for Disease Control and Prevention (CDC)’s Task Force on Community Preventive Services. The extent to which each intervention was developed using community-based participatory research principles, was tailored to the particular community in question, and involved the church in the study development and implementation were also assessed. Data Analysis Although 81% of the studies reported significant results for between- or within-group differences according to the study design, effect sizes were reported or could only be calculated in 56% of cases, and most were small. There was also a lack of diversity among samples (eg, few studies involved Latinos, men, young adults, or children), which limits knowledge about the ability of church-based interventions to reduce the burden of obesity more broadly among vulnerable communities of color. Further, few interventions were multilevel in nature, or incorporated strategies at the church or community level. Conclusions Church-based interventions to address obesity will have greater impact if they consider the diversity among populations burdened by this condition and develop programs that are tailored to these different populations (eg, men of color, Latinos). Programs could also benefit from employing multilevel approaches to move the field away from behavioral modifications at the individual level and into a more systems-based framework. However, effect sizes will likely remain small, especially since individuals only spend a limited amount of time in this particular setting.

scholarly journals Economics of gastroenteropancreatic neuroendocrine tumors: a systematic review

2019 ◽  
Vol 10 ◽  
pp. 204201881982821 ◽  
Author(s):  
Enrique Grande ◽  
Ángel Díaz ◽  
Carlos López ◽  
Javier Munarriz ◽  
Juan-José Reina ◽  
...  
Keyword(s):  
Systematic Review ◽  
Economic Evaluation ◽  
Cost Effectiveness ◽  
Adverse Events ◽  
Resource Utilization ◽  
Neuroendocrine Tumors ◽  
Cost Of Illness ◽  
Budget Impact ◽  
The United States ◽  
Economic Evaluations

Background: Despite current interest, enthusiasm and progress in the development of therapies for gastroenteropancreatic (GEP) neuroendocrine tumors (NETs), there are substantial gaps in the published literature regarding cost-of-illness analyses, economic evaluation and budget impact analyses. Compounding the issue is that data on resource utilization and cost-effectiveness of different diagnostic and therapeutic modalities for GEP-NETs are scarce. Methods: A systematic review on the economic impact of GEP-NETs was carried out using four databases: EMBASE, PubMed, the National Health Service Economic Evaluation Database and Cochrane review. Fully published articles from January 2000 to May 2017, in English and Spanish, were included. All articles that satisfied the inclusion criteria were included in the systematic review; summary descriptive statistics were used to describe the methodological characteristics. Results: The 14 studies selected included cost-of-illness analyses ( n = 4), economic evaluations ( n = 7) and budget impact analyses ( n = 3). Almost all studies were performed in the United States. Healthcare costs for patients with NETs included medication, outpatient visits, hospitalizations, and check-ups/tests. Reducing adverse events is an area where cost savings could be achieved; however, there was not enough evidence on the cost impact of adverse events. Conclusion: There is a lack of data related to resource utilization in the field of GEP-NETs. Therefore, cost-effectiveness and budget impact studies of existing and emerging treatments are urgently needed to help the decision-making process for patients with NETs.

scholarly journals Effectiveness of community-based condom distribution interventions to prevent HIV in the United States: A systematic review and meta-analysis

PLoS ONE ◽  
2017 ◽  
Vol 12 (8) ◽  
pp. e0180718 ◽  
Author(s):  
Mohsen Malekinejad ◽  
Andrea Parriott ◽  
Janet C. Blodgett ◽  
Hacsi Horvath ◽  
Ram K. Shrestha ◽  
...  
Keyword(s):  
United States ◽  
Systematic Review ◽  
Meta Analysis ◽  
The United States ◽  
Community Based ◽  
Condom Distribution

scholarly journals Cost-Effectiveness of Community-Based Tobacco Dependence Treatment Interventions: Initial Findings of a Systematic Review

2019 ◽  
Vol 16 ◽  
Author(s):  
Sarah A. Reisinger ◽  
Sahar Kamel ◽  
Eric Seiber ◽  
Elizabeth G. Klein ◽  
Electra D. Paskett ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cost Effectiveness ◽  
Tobacco Dependence ◽  
Community Based ◽  
Treatment Interventions ◽  
Tobacco Dependence Treatment

Abstract 377: A Systematic Review of Medication Adherence Among African American Heart Failure Patients

2016 ◽  
Vol 119 (suppl_1) ◽  
Author(s):  
Lila de Tantillo ◽  
Rosa M Gonzalez-Guarda
Keyword(s):  
Heart Failure ◽  
Systematic Review ◽  
African American ◽  
Medication Adherence ◽  
American Heart ◽  
The United States ◽  
System Level ◽  
Inclusion Criteria ◽  
Heart Failure Patients ◽  
Adaptation Model

Background: Heart failure is a leading cause of death in the United States and a condition of particular concern for the African American population. Although effective treatments are available for the disease, medication adherence is a key determinant of survival. Objective: This systematic review examines articles from the last 15 years that research medication adherence and African American heart failure patients. Methods: A systematic review of the published literature was conducted to identify articles examining predictors and outcomes of medication adherence among African Americans and then using Sister Callista Roy’s Health Adaptation conceptual framework - physiological, self-concept, role function and interdependence. Results: This review identified 14 articles that met inclusion criteria, most of which focused on physiological predictors, noting that age and comorbid conditions such as dialysis status may play a role in medication adherence. Psychological, cultural and social determinants were also found to impact adherence behaviors. Conclusions: More research is needed to examine other components of the Health Adaptation model, especially socioeconomic and healthcare system level predictors.

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