A Systematic Review of Questionnaires Measuring Health-Related Empowerment

The objective of this systematic review was to identify questionnaires that measure health-related empowerment in adults or families and demonstrated the best evidence of reliability and validity. A search of nine data bases identified 8,269 abstracts that referred to empowerment. Full article review was completed for abstracts that met the inclusion criteria or that could not be excluded with certainty (n = 124). Fifty distinct, modified, or translated questionnaires measuring empowerment were identified in 74 articles. Each was rated in terms of reliability and validity. One questionnaire had good evidence of reliability and validity, four had moderate evidence, and 45 had limited or no evidence. Limited or no evidence for reliability and validity for many questionnaires could relate in part to lack of consensus on the theoretical definition of, and indicators for measuring empowerment. We recommend that researchers use the questionnaire rated as having good evidence and that data on reliability and validity continue to be reported for other questionnaires.

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A SYSTEMATIC REVIEW ON FACTORS INFLUENCING THE HEALTHY AGING: A KOREAN PERSPECTIVE

Journal of Aging Research and Lifestyle ◽

10.14283/jarcp.2018.2 ◽

2018 ◽

pp. 1-6

Author(s):

J.H. Park ◽

Y.J. Park

Keyword(s):

Systematic Review ◽

Associated Factors ◽

Aging Process ◽

Healthy Aging ◽

Limited Information ◽

Inclusion Criteria ◽

Factors Influencing ◽

Health Related ◽

Modifiable Factor ◽

Definition Of

An increasing number of researches on gerontology has emphasized an aging process without impairments of physical and/or cognitive function, alongside with an increase of life expectancy. However, studies to date on a healthy aging have suggested limited information on normal and usual aging in an inconsistent manner. Here, we review characteristics to define a healthy aging and, moreover, suggest effective elements to achieve the healthy aging through systematic review. Based on two databases including RISS and PUPMED, we collected original articles showing links between health-related traits and associated factors in Korean population aged 65 years or older. After screening the titles and abstracts, full texts of 186 articles were reviewed, and the remaining 109 papers meeting the inclusion criteria were analyzed to extract aging characteristics and factors of healthy aging. Here, we focus on two themes: 1) definition of a healthy aging and 2) effective determinants influencing the healthy aging. Our results suggest that a healthy aging is a multidisciplinary concept involving objective, subjective and comprehensive definitions. We classify the healthy aging-associated factors into physical, emotional, mental, social and economic domains, and identify that dietary patterns and nutrients among the multi-layer elements become good modifiable factor to achieve the healthy aging.

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Medicines Related Problems (MRPs) Originating in Primary Care Settings in Older Adults - A Systematic Review

Journal of Pharmacy Practice ◽

10.1177/08971900211023638 ◽

2021 ◽

pp. 089719002110236

Author(s):

Rosetta Chinyere Ude-Okeleke ◽

Zoe Aslanpour ◽

Soraya Dhillon ◽

Nkiruka Umaru

Keyword(s):

Systematic Review ◽

Primary Care ◽

Library Science ◽

Cochrane Library ◽

Inclusion Criteria ◽

Data Bases ◽

Primary Care Settings ◽

Preventative Interventions ◽

Use Of Health Services

Background: As people age, they become increasingly vulnerable to the untoward effects of medicines due to changes in body systems. These may result in medicines related problems (MRPs) and consequent decline or deterioration in health. Aim: To identify MRPs, indicators of deterioration associated with these MRPs, and preventative interventions from the literature. Design and Setting: Systematic review of primary studies on MRPs originating in Primary Care in older people. Methods: Relevant studies published between 2001 and April 2018 were obtained from Medline (via PubMed), CINAHL, Embase, Psych Info, PASCAL, Scopus, Cochrane Library, Science Direct, and Zetoc. Falls, delirium, pressure ulcer, hospitalization, use of health services and death were agreed indicators of deterioration. The methodological quality of included studies was assessed using the Down and Black tool. Results: There were 1858 articles retrieved from the data bases. Out of these, 21 full text articles met inclusion criteria for the review. MRPs identified were medication error, potentially inappropriate medicines, adverse drug reaction and non-adherence. These were associated with indicators of deterioration. Interventions that involved doctors, pharmacists and patients in planning and implementation yielded benefits in halting MRPs. Conclusion: This Systematic review summarizes MRPs and associated indicators of deterioration. Appropriate interventions appeared to be effective against certain MRPs and their consequences. Further studies to explore deterioration presented in this systematic review is imperative.

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Short-term Efficacy of Upper-Extremity Exercise Training in Patients With Chronic Airway Obstruction: A Systematic Review

Physical Therapy ◽

10.2522/ptj.20070368 ◽

2009 ◽

Vol 89 (5) ◽

pp. 443-455 ◽

Cited By ~ 18

Author(s):

Stefania Costi ◽

Mauro Di Bari ◽

Paolo Pillastrini ◽

Roberto D'Amico ◽

Ernesto Crisafulli ◽

...

Keyword(s):

Quality Of Life ◽

Systematic Review ◽

Exercise Training ◽

Pulmonary Rehabilitation ◽

Health Related Quality ◽

Inclusion Criteria ◽

Patient Centered ◽

Related Quality ◽

Health Related

Background, Objectives, and Measurements Patients with chronic airway obstruction (CAO) frequently experience dyspnea and fatigue during activities performed by accessory muscles of ventilation, which competitively participate in arm elevation. This systematic review of randomized controlled trials (RCTs) concerning patients with CAO addresses the effects of upper-extremity exercise training (UEET), added to lower-extremity training or comprehensive pulmonary rehabilitation, on the following patient-centered outcomes: exercise capacity, symptoms, ability to perform daily activities, and health-related quality of life. Methods Studies were retrieved using comprehensive database and hand-search strategies. Two independent reviewers determined study eligibility based on inclusion criteria. A detailed description of treatments was mandatory. Reviewers rated study quality and extracted information on study methods, design, intervention, and results. Results Forty publications were evaluated. Four RCTs met the inclusion criteria but had serious methodological limitations, which introduce possible biases that reduce their internal validity. The outcomes measured were heterogeneous, and the results were inconsistent regarding maximal exercise capacity, dyspnea, and health-related quality of life. No effect of UEET was demonstrated for measures of arm fatigue. Limitations and Conclusions The limited methodological quality of the studies retrieved prevented us from performing a meta-analysis, the results of which could be misleading. This systematic review shows that there is limited evidence examining UEET and that the evidence available is of poor quality. Therefore, a recommendation for the inclusion or exclusion of UEET in pulmonary rehabilitation programs for individuals with CAO is not possible. Further research is needed to definitively ascertain the effects of this training modality on patient-centered outcomes.

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Clinical Evidence in the Treatment of Obstructive Sleep Apnoea with Oral Appliances: A Systematic Review

International Journal of Dentistry ◽

10.1155/2021/6676158 ◽

2021 ◽

Vol 2021 ◽

pp. 1-12

Author(s):

Andrea Rossi ◽

Antonino Lo Giudice ◽

Camilla Di Pardo ◽

Alberto Teodoro Valentini ◽

Francesca Marradi ◽

...

Keyword(s):

Systematic Review ◽

Obstructive Sleep Apnoea ◽

Assessment Tool ◽

Sleep Apnoea ◽

Common Finding ◽

Control Group ◽

Oral Appliances ◽

Inclusion Criteria ◽

Obstructive Sleep ◽

Definition Of

Background. Recent clinical guidelines have extended indications for oral appliances to subjects affected by moderate-to-severe obstructive sleep apnoea (OSA). The aim of this systematic review covering this important issue for public health is twofold: updating and summarizing the best available scientific evidence by selecting RCTs of quality only, and identifying the therapeutic pathways that can be transferred to the current clinical practice. Methods. All the abstracts which were published before February 18, 2019, have been identified in three electronic databases (PubMed, Web of Science, and Cochrane). The Cochrane Collaboration’s tool for assessing risk of bias was used as an assessment tool in order to evaluate the quality of the selected studies. Results. The search strategy yielded 2,260 studies. After removing duplicates and studies that did not comply with the inclusion criteria, 32 full-text articles were assessed for eligibility, and 17 RCTs were finally included in the qualitative synthesis. The 17 selected studies were very heterogeneous in the type of included RCTs in terms of patient inclusion criteria, sample size, distribution of the two genders in the various groups, duration of treatment, and definition of primary and secondary outcomes, without any restriction on the definition of the control group. A common finding was the positive responsiveness of oral appliance treatment in subjects affected by mild-to-moderate OSA with some evidence for cases of severe OSA. Conclusion. Higher-quality studies are needed in order to provide additional useful guidelines for dental clinicians for OSA management.

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Strategi monitoring kepatuhan penggunaan antiretroviral pre-exposure prophilaxis pada pasangan serodiscordant

Berita Kedokteran Masyarakat ◽

10.22146/bkm.35359 ◽

2019 ◽

Vol 35 (1) ◽

pp. 29

Author(s):

Ni Kadek Diah Purnamayanti ◽

Nurma Yuni Pari Usemahu ◽

Fatih Haris M ◽

Marina Kristi Layun R

Keyword(s):

Systematic Review ◽

Clinical Trial ◽

Monitoring Strategy ◽

Inclusion Criteria ◽

Serodiscordant Couple ◽

Data Bases ◽

Social Commitment ◽

Homosexual Orientation ◽

Exposure Prophylaxis ◽

Level Monitoring

Monitoring strategy of antiretroviral pre-exposure prophylaxis adherence among serodiscordant couple Antiretroviral pre-exposure prophylaxis (PrEP) has been recommended as HIV prevention but poor medical adherence can cause suboptimal therapy. This study explored the strategies of monitoring PrEP adherence among the serodiscordant couples. This systematic review based on 4 data bases (Scopus, Pubmed, Ebsco and Sage Journal), included clinical trial studies articles between 2013-2018, in English, and available in full-text. Papers, which not met the inclusion criteria, will be excluded. Keywords used in this study are ‘serodiscordant couple’ AND ‘method’ OR ‘strategy’ OR ‘approach’ AND ‘pre-exposure prophylaxis intention’ OR ‘pre-exposure prophylaxis adherence’. This study discovered various strategies applied based on the type of delivering process, the variance of dose, and variance of preference of the couple. Preference of PrEP dose and type of application related to heterosexual or homosexual orientation and their social commitment. The paper explains the advantage of M-health and biomarker level monitoring.

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Can we predict the clinical outcome of arthroscopic partial meniscectomy? A systematic review

British Journal of Sports Medicine ◽

10.1136/bjsports-2017-097836 ◽

2017 ◽

Vol 52 (8) ◽

pp. 514-521 ◽

Cited By ~ 27

Author(s):

Susanne M Eijgenraam ◽

Max Reijman ◽

Sita M A Bierma-Zeinstra ◽

Daan T van Yperen ◽

Duncan E Meuffels

Keyword(s):

Systematic Review ◽

Prognostic Factors ◽

Clinical Outcome ◽

Knee Osteoarthritis ◽

Partial Meniscectomy ◽

Cochrane Central Register ◽

Inclusion Criteria ◽

Arthroscopic Partial Meniscectomy ◽

Duration Of Symptoms ◽

Moderate Evidence

NHS-Prospero registration number42016048592ObjectiveIn order to make a more evidence-based selection of patients who would benefit the most from arthroscopic partial meniscectomy (APM), knowledge of prognostic factors is essential. We conducted a systematic review of predictors for the clinical outcome following APM.DesignSystematic reviewData sourcesMedline, Embase, Cochrane Central Register, Web of Science, SPORTDiscus, PubMed Publisher, Google ScholarInclusion criteriaReport an association between factor(s) and clinical outcome; validated questionnaire; follow-up >1 year.Exclusion criteria<20 subjects; anterior cruciate ligament-deficient patients; discoid menisci; meniscus repair, transplantation or implants; total or open meniscectomy.MethodsOne reviewer extracted the data, two reviewers assessed the risk of bias and performed a best-evidence synthesis.ResultsFinally, 32 studies met the inclusion criteria. Moderate evidence was found, that the presence of radiological knee osteoarthritis at baseline and longer duration of symptoms (>1 year) are associated with worse clinical outcome following APM. In addition, resecting >50% of meniscal tissue and leaving a non-intact meniscal rim after meniscectomy are intra-articular predictive factors for worse clinical outcome. Moderate evidence was found that sex, onset of symptoms (acute or chronic), tear type or preoperative sport level are not predictors for clinical outcome. Conflicting evidence was found for the prognostic value of age, perioperative chondral damage, body mass index and leg alignment.Summary/conclusionLong duration of symptoms (>1 year), radiological knee osteoarthritis and resecting >50% of meniscus are associated with a worse clinical outcome following APM. These prognostic factors should be considered in clinical decision making for patients with meniscal tears.

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Compendium of the Health and Wellness Coaching Literature

American Journal of Lifestyle Medicine ◽

10.1177/1559827617708562 ◽

2017 ◽

Vol 12 (6) ◽

pp. 436-447 ◽

Cited By ~ 24

Author(s):

Gary A. Sforzo ◽

Miranda P. Kaye ◽

Irina Todorova ◽

Sebastian Harenberg ◽

Kyle Costello ◽

...

Keyword(s):

Systematic Review ◽

Health Care ◽

Behavior Change ◽

Health Care Professionals ◽

Health And Wellness ◽

Inclusion Criteria ◽

Wellness Coaching ◽

Treatment Of Diabetes ◽

Definition Of

Health and wellness coaching (HWC) for lifestyle behavior change is emerging as a practice, role, and profession, in diverse health care, employee wellness, and community settings. Health care professionals apply HWC as a behavior change methodology for the prevention and treatment of diabetes, hypertension, hyperlipidemia, heart disease, cancer, and other chronic disorders. The purpose of this systematic review was to provide a comprehensive and organized compendium of HWC literature. To date, extant HWC literature remains scattered with no meaningful summary accessible. Lack of comprehensive summary stems from lack of consensus on HWC definition and standards. We applied a recently proposed, standardized definition of HWC to determine compendium inclusion criteria for peer-reviewed, data-based literature from relevant search engines (ie, PubMed, PsychInfo, and CINAHL). A systematic review process was executed and ultimately yielded 219 articles meeting HWC inclusion criteria. Of these, 150 were data-based and the remainder were expert opinion or review-style articles. A summary of results generally reveals HWC as a promising intervention for chronic diseases though further research is needed in most categories. The resulting HWC compendium organizes and describes the quantity and quality of available literature for the use and benefit of HWC practitioners and researchers.

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Pain neuroscience education on YouTube: a systematic review

10.1101/492967 ◽

2018 ◽

Author(s):

Lauren C. Heathcote ◽

Joshua W. Pate ◽

Anna L. Park ◽

Hayley B. Leake ◽

G. Lorimer Moseley ◽

...

Keyword(s):

Systematic Review ◽

Target Concept ◽

Inclusion Criteria ◽

Pain Education ◽

Related Information ◽

Research Institution ◽

Search Terms ◽

Neuroscience Education ◽

Health Related ◽

Youtube Videos

AbstractObjectivesThe Internet in general, and YouTube in particular, is now one of the most popular sources of health-related information. Pain neuroscience education has become a primary tool for managing persistent pain, based in part on the discovery that information about pain can change pain. Our objective was to examine the availability, characteristics, and content of YouTube videos providing pain neuroscience education.MethodsWe conducted a systematic review of videos on YouTube using the search terms “pain education”, “what is pain”, and “pain brain” in January 2018. Videos were included if they were in English, were under 10 minutes long, and included information on the neuroscience of pain. Videos were coded for i) descriptive characteristics (e.g., number of views, duration on YouTube), ii) source and style, iii) whether or not they addressed seven pre-determined target concepts of pain neuroscience education (e.g., ‘Pain is not an accurate marker of tissue state’), and iv) how engaging they were.ResultsWe found 106 unique videos that met the inclusion criteria. The videos ranged from having four views to over five million views (Mdn = 1163 views), with the three most highly viewed videos accounting for 75% of the total views. Animated videos were much more highly viewed than non-animated videos. Only a small number of videos had been posted by a clearly-identifiable reputable source such as an academic or medical research institution (10%), although a number of videos were posted by healthcare professionals and professional medical societies. For a small number of videos (7%), the source was unclear. We found 17 videos that addressed at least one target concept of pain neuroscience science education, only nine of which were considered to be engaging. The target concept ‘Pain is a brain output’ was considered to be well addressed by the most videos (N = 11), followed by ‘Pain is a protector’ (N = 10). We found only one video that adequately addressed all seven target concepts of pain neuroscience education.DiscussionYouTube contains a variety of videos that practitioners, patients, and families may view to access pain neuroscience education information. A small portion of these videos addressed one or more target concepts of pain neuroscience education in an engaging manner. It is yet to be determined to what extent patients are able to learn information from these videos, to what extent the videos promote behavior change, and thus to what extent the videos may be useful for clinical practice.

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Reliability and Validity of the AOSpine Thoracolumbar Injury Classification System: A Systematic Review

Global Spine Journal ◽

10.1177/2192568218806847 ◽

2018 ◽

Vol 9 (2) ◽

pp. 231-242 ◽

Cited By ~ 7

Author(s):

Aidin Abedi ◽

Lidwine B. Mokkink ◽

Shayan Abdollah Zadegan ◽

Permsak Paholpak ◽

Koji Tamai ◽

...

Keyword(s):

Systematic Review ◽

Classification System ◽

Methodological Quality ◽

Reliability And Validity ◽

Measurement Properties ◽

Moderate Evidence ◽

Thoracolumbar Injury ◽

Injury Classification ◽

Morphologic Classification

Study Design: Systematic review. Objectives: The AOSpine thoracolumbar injury classification system (ATLICS) is a relatively simple yet comprehensive classification of spine injuries introduced in 2013. This systematic review summarizes the evidence on measurement properties of this new classification, particularly the reliability and validity of the main morphologic injury types with and without inclusion of the subtypes. Methods: A literature search was performed using PubMed and Embase in September 2016. A revised version of the COSMIN checklist was used for evaluation of the quality of studies. Two independent reviewers performed all steps of the review. Results: Nine articles were included in the final review, all of which evaluated the reliability of the ATLICS and had a fair methodological quality. The reliability of the modifiers was unknown. Overall, the quality of evidence for reliability of the morphologic and neurologic classification sections was low. However, there was moderate evidence for poor interobserver reliability of the morphologic classification when all subtypes were included, and moderate evidence for good intraobserver reliability with exclusion of subtypes. The reliability of the morphologic classification was independent of the observer’s experience and cultural background. Conclusions: ATLICS represents the most current system for evaluation of thoracolumbar injuries. Based on this review, further studies with robust methodological quality are needed to evaluate the measurement properties of ATLICS. Shortcomings of the reliability studies are discussed.

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Diagnostic Criteria of Recurrent Acute Rhinosinusitis: A Systematic Review

American Journal of Rhinology and Allergy ◽

10.1177/1945892420956871 ◽

2020 ◽

pp. 194589242095687

Author(s):

Mohamad Z. Saltagi ◽

Brett T. Comer ◽

Samuel Hughes ◽

Jonathan Y. Ting ◽

Thomas S. Higgins

Keyword(s):

Systematic Review ◽

Diagnostic Criteria ◽

Inclusion Criteria ◽

Level Of Evidence ◽

Sinus Disease ◽

Acute Rhinosinusitis ◽

Study Results ◽

Prisma Statement ◽

Clinical Phenomenon ◽

Definition Of

Background RARS is a challenging clinical phenomenon that affects many patients, and diagnostic criteria for this condition are not fully characterized in the literature. Objective To examine diagnostic criteria for recurrent acute rhinosinusitis (RARS). Study Design Systematic review. Methods Cochrane, PubMed (MEDLINE), clinicaltrials.gov, EMBASE, Google Scholar, and Web of Science databases were queried for articles related to RARS dating from 1990 to present, according to PRISMA statement guidelines. Full text articles pertinent to the diagnostic criteria of RARS were included in this review. Inclusion criteria included articles specifically addressing RARS; studies with 3 or more patients; and articles in English. Results A total of 1022 titles/abstracts potentially related to RARS were identified. Of these, sixty-nine full texts were selected for review, and 22 of these ultimately met inclusion criteria. The level of evidence was generally low. Studies and guidelines have used many different definitions for RARS diagnosis over the years based on symptomatology, physical examination, nasal endoscopy, imaging, and laboratory domains. Clinically important RARS has been defined most commonly as 4 or more discrete episodes of ARS per year, but this frequency is typically based on expert opinion. Additionally, radiologic anatomic associations such as concha bullosa, accessory maxillary os, and narrowed infundibular distance may be associated with RARS. Endoscopic visualization and imaging are sometimes used to confirm the presence of sinus disease during exacerbations of RARS, but there is variability in this practice. Conclusion The diagnostic definition for RARS has developed over time and is currently based on low level 4 and 5 evidence. Because of the migratory definition of RARS, comparing inter-study results of RARS management remains difficult, and future studies should aim to follow current expert guidelines on diagnostic criteria of RARS.

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