scholarly journals Factors Determining the Success and Failure of eHealth Interventions: Systematic Review of the Literature (Preprint)

2018 ◽  
Author(s):  
Conceição Granja ◽  
Wouter Janssen ◽  
Monika Alise Johansen
Keyword(s):  
Systematic Review ◽  
Quality Of Care ◽  
Qualitative Analysis ◽  
Full Text ◽  
Positive Impact ◽  
Future Research ◽  
Inclusion Criteria ◽  
Significant Discrepancy ◽  
Pubmed Database

BACKGROUND eHealth has an enormous potential to improve healthcare cost, effectiveness, and quality of care. However, there seems to be a gap between the foreseen benefits of research and clinical reality. OBJECTIVE Our objective was to systematically review the factors influencing the outcome of eHealth interventions in terms of success and failure. METHODS We searched the PubMed database for original peer-reviewed studies on implemented eHealth tools that reported on the factors for the success or failure, or both, of the intervention. We conducted the systematic review by following the patient, intervention, comparison, and outcome framework, with 2 of the authors independently reviewing the abstract and full text of the articles. We collected data using standardized forms that reflected the categorization model used in the qualitative analysis of the outcomes reported in the included articles. RESULTS Among the 903 identified articles, a total of 221 studies complied with the inclusion criteria. The studies were heterogeneous by country, type of eHealth intervention, method of implementation, and reporting perspectives. The article frequency analysis did not show a significant discrepancy between the number of reports on failure (392/844, 46.5%) and on success (452/844, 53.6%). The qualitative analysis identified 27 categories that represented the factors for success or failure of eHealth interventions. A quantitative analysis of the results revealed the category quality of healthcare (n=55) as the most mentioned as contributing to the success of eHealth interventions, and the category costs (n=42) as the most mentioned as contributing to failure. For the category with the highest unique article frequency, workflow (n=51), we conducted a full-text review. The analysis of the 23 articles that met the inclusion criteria identified 6 barriers related to workflow: workload (n=12), role definition (n=7), undermining of face-to-face communication (n=6), workflow disruption (n=6), alignment with clinical processes (n=2), and staff turnover (n=1). CONCLUSIONS The reviewed literature suggested that, to increase the likelihood of success of eHealth interventions, future research must ensure a positive impact in the quality of care, with particular attention given to improved diagnosis, clinical management, and patient-centered care. There is a critical need to perform in-depth studies of the workflow(s) that the intervention will support and to perceive the clinical processes involved.

scholarly journals Microplastic contamination of salt intended for human consumption: a systematic review and meta-analysis

2020 ◽  
Vol 2 (12) ◽  
Author(s):  
Evangelos Danopoulos ◽  
Lauren Jenner ◽  
Maureen Twiddy ◽  
Jeanette M. Rotchell
Keyword(s):  
Systematic Review ◽  
Assessment Tool ◽  
Meta Analysis ◽  
Future Research ◽  
Human Consumption ◽  
Inclusion Criteria ◽  
Research Findings ◽  
Human Health Effects ◽  
Potential Human Health

Abstract Microplastics (MPs) are an emerging contaminant ubiquitous in the environment. There is growing concern regarding potential human health effects, a major human exposure route being dietary uptake. We have undertaken a systematic review (SR) and meta-analysis to identify all relevant research on MP contamination of salt intended for human consumption. Three thousand nine hundred and nineteen papers were identified, with ten fitting the inclusion criteria. A search of the databases MEDLINE, EMBASE and Web of Science, from launch date to September 2020, was conducted. MP contamination of salt varied significantly between four origins, sea salt 0–1674 MPs/kg, lake salt 8–462 MPs/kg, rock and well salt 0–204 MPs/kg. The majority of samples were found to be contaminated by MPs. Corresponding potential human exposures are estimated to be 0–6110 MPs per year (for all origins), confirming salt as a carrier of MPs. A bespoke risk of bias (RoB) assessment tool was used to appraise the quality of the studies, with studies demonstrating moderate to low RoB. These results suggest that a series of recurring issues need to be addressed in future research regarding sampling, analysis and reporting to improve confidence in research findings.

scholarly journals Electronic Health Interventions for Preventing and Treating Negative Psychological Sequelae Resulting From Pediatric Medical Conditions: Systematic Review (Preprint)

2018 ◽  
Author(s):  
Ashley Brook McGar ◽  
Christine Kindler ◽  
Meghan Marsac
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Full Text ◽  
Medical Conditions ◽  
Inclusion Criteria ◽  
Psychological Sequelae ◽  
Full Text Review ◽  
Electronic Health ◽  
Anxiety Depression

BACKGROUND Pediatric medical conditions have the potential to result in challenging psychological symptoms (eg, anxiety, depression, and posttraumatic stress symptoms [PTSS]) and impaired health-related quality of life in youth. Thus, effective and accessible interventions are needed to prevent and treat psychological sequelae associated with pediatric medical conditions. Electronic health (eHealth) interventions may help to meet this need, with the capacity to reach more children and families than in-person interventions. Many of these interventions are in their infancy, and we do not yet know what key components contribute to successful eHealth interventions. OBJECTIVE The primary objective of this study was to conduct a systematic review to summarize current evidence on the efficacy of eHealth interventions designed to prevent or treat psychological sequelae in youth with medical conditions. METHODS MEDLINE (PubMed) and PsycINFO databases were searched for studies published between January 1, 1998, and March 1, 2019, using predefined search terms. A total of 2 authors independently reviewed titles and abstracts of search results to determine which studies were eligible for full-text review. Reference lists of studies meeting eligibility criteria were reviewed. If the title of a reference suggested that it might be relevant for this review, the full manuscript was reviewed for inclusion. Inclusion criteria required that eligible studies (1) had conducted empirical research on the efficacy of a Web-based intervention for youth with a medical condition, (2) had included a randomized trial as part of the study method, (3) had assessed the outcomes of psychological sequelae (ie, PTSS, anxiety, depression, internalizing symptoms, or quality of life) in youth (aged 0-18 years), their caregivers, or both, (4) had included assessments at 2 or more time points, and (5) were available in English language. RESULTS A total of 1512 studies were reviewed for inclusion based on their title and abstracts; 39 articles qualified for full-text review. Moreover, 22 studies met inclusion criteria for the systematic review. Of the 22 included studies, 13 reported results indicating that eHealth interventions significantly improved at least one component of psychological sequelae in participants. Common characteristics among interventions that showed an effect included content on problem solving, education, communication, and behavior management. Studies most commonly reported on child and caregiver depression, followed by child PTSS and caregiver anxiety. CONCLUSIONS Previous research is mixed but suggests that eHealth interventions may be helpful in alleviating or preventing problematic psychological sequelae in youth with medical conditions and their caregivers. Additional research is needed to advance understanding of the most powerful intervention components and to determine when and how to best disseminate eHealth interventions, with the goal of extending the current reach of psychological interventions.

Analysis of Amount and Style of Oral Interaction Related to Language Outcomes in Children With Hearing Loss: A Systematic Review (2006–2016)

2019 ◽  
Vol 62 (9) ◽  
pp. 3470-3492 ◽  
Author(s):  
Nuzhat Sultana ◽  
Lena L. N. Wong ◽  
Suzanne C. Purdy
Keyword(s):  
Systematic Review ◽  
Hearing Loss ◽  
Oral Language ◽  
Full Text ◽  
Future Research ◽  
Language Outcomes ◽  
Input Language ◽  
Study Results ◽  
Language Input

Purpose This systematic review summarizes the evidence for differences in the amount of language input between children with and without hearing loss (HL). Of interest to this review is evaluating the associations between language input and language outcomes (receptive and expressive) in children with HL in order to enhance insight regarding what oral language input is associated with good communication outcomes. Method A systematic review was conducted using keywords in 3 electronic databases: Scopus, PubMed, and Google Scholar. Keywords were related to language input, language outcomes, and HL. Titles and abstracts were screened independently, and full-text manuscripts meeting inclusion criteria were extracted. An appraisal checklist was used to evaluate the methodological quality of studies as poor, good, or excellent. Results After removing duplicates, 1,545 study results were extracted, with 27 eligible for full-text review. After the appraisal, 8 studies were included in this systematic review. Differences in the amount of language input between children with and without HL were noted. Conversational exchanges, open-ended questions, expansions, recast, and parallel talk were positively associated with stronger receptive and expressive language scores. The quality of evidence was not assessed as excellent for any of the included studies. Conclusions This systematic review reveals low-level evidence from 8 studies that specific language inputs (amount and style) are optimal for oral language outcomes in children with HL. Limitations were identified as sample selection bias, lack of information on control of confounders and assessment protocols, and limited duration of observation/recordings. Future research should address these limitations.

scholarly journals Technology Implementation in Persons With Dementia: A Systematic Review and Meta-Analysis

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 316-316
Author(s):  
Sarah Hubner ◽  
Julie Blaskewicz Boron ◽  
Brenda Nguyen
Keyword(s):  
Systematic Review ◽  
Full Text ◽  
Technology Implementation ◽  
Meta Analysis ◽  
Community Dwelling ◽  
Functional Improvement ◽  
Future Research ◽  
Journal Articles ◽  
Full Text Screening

Abstract Maintaining independence and quality of life (QOL) is a primary goal for adults. To support this goal, assistive and interactive technology (AIT) has been implemented to improve function and mitigate disease. To assess AIT effect on QOL in community-dwelling persons with dementia and mild cognitive impairment (MCI), a systematic review was performed, and articles were prepared for meta-analysis. Electronic database searches were carried out in PubMed, Cumulative Index for Nursing and Allied Health Literature, PsychINFO, and Web of Knowledge/Web of Science. Peer-reviewed journal articles published in English between January 2010 and February 2020 were included in the search. Studies investigated personal AIT use aimed at improving QOL (i.e. satisfaction/mood, functional ability, psychological/social function, independence). Technology was implemented in the home in everyday life. Studies were limited to those including community-dwelling participants aged 65+ with a diagnosis or report of MCI or dementia. Initial search resulted in 2624 total titles. After duplicate deletion, 1546 unique articles were identified. After title and abstract deletion, 60 articles were screened at full-text. After full-text screening, five usable articles remained. Usable studies presented: 1) a digital tablet companion, 2) a digital reminder calendar, 3) a medication-adherence bottle, 4) an automatic medication dispenser, and 5) a comprehensive tele-care computer system. These studies provide outcome measures focused on functional improvement and/or subjective QOL, informing future research in AIT implementation. Additionally, the severe paucity of applicable studies indicates a need for increased primary research on intersections between dementia and technology in the home environment.

scholarly journals The Impact of Non-Price In-premise Marketing on Food and Beverage Purchasing and Consumer Behaviour: A Systematic Review

2021 ◽  
Author(s):  
Ross Whitehead ◽  
Stefania Greci ◽  
Hilary Thomson ◽  
Gillian Armour ◽  
Kathryn Angus ◽  
...  
Keyword(s):  
Systematic Review ◽  
Public Policy ◽  
English Language ◽  
Consumer Behaviour ◽  
Future Research ◽  
Inclusion Criteria ◽  
Online Purchase ◽  
Food And Beverage ◽  
The Impact

In-premise marketing is commonly used to promote foods that are high in fat, sugar or salt. In order to inform development of public policy in this area, this systematic review sought to determine the quantity and quality of English-language evidence which examines the role and impact of in-premise advertising (e.g., signage, posters) and positional promotions (e.g., checkout displays) on consumer behaviour and diet-related outcomes in retail, out-of-home (i.e., cafes, restaurants, takeaways) and online purchasing environments. Sixty-two studies met inclusion criteria, of which 69% (n=42) were identified as being methodologically weak. The best-available evidence constitutes findings from four methodologically strong studies, and ten moderate studies which are not confounded by additional promotions such as price or availability. These studies predominantly found evidence that in-premise marketing is likely to be successful in influencing consumer behaviour towards targeted items, across retail and out-of-home settings. These findings provide a basis for authorities to consider acting to restrict in-premise marketing of unhealthy foods and encouraging the in-premise marketing of healthier products. This review identified gaps in the evidence available on non-sales outcomes, and on online purchase environments. These gaps, and identified methodological limitations of the extant evidence remain to be addressed by future research.

scholarly journals Electronic Health Interventions for Preventing and Treating Negative Psychological Sequelae Resulting From Pediatric Medical Conditions: Systematic Review

10.2196/12427 ◽  
2019 ◽  
Vol 2 (2) ◽  
pp. e12427
Author(s):  
Ashley Brook McGar ◽  
Christine Kindler ◽  
Meghan Marsac
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Full Text ◽  
Medical Conditions ◽  
Inclusion Criteria ◽  
Psychological Sequelae ◽  
Full Text Review ◽  
Electronic Health ◽  
Anxiety Depression

Background Pediatric medical conditions have the potential to result in challenging psychological symptoms (eg, anxiety, depression, and posttraumatic stress symptoms [PTSS]) and impaired health-related quality of life in youth. Thus, effective and accessible interventions are needed to prevent and treat psychological sequelae associated with pediatric medical conditions. Electronic health (eHealth) interventions may help to meet this need, with the capacity to reach more children and families than in-person interventions. Many of these interventions are in their infancy, and we do not yet know what key components contribute to successful eHealth interventions. Objective The primary objective of this study was to conduct a systematic review to summarize current evidence on the efficacy of eHealth interventions designed to prevent or treat psychological sequelae in youth with medical conditions. Methods MEDLINE (PubMed) and PsycINFO databases were searched for studies published between January 1, 1998, and March 1, 2019, using predefined search terms. A total of 2 authors independently reviewed titles and abstracts of search results to determine which studies were eligible for full-text review. Reference lists of studies meeting eligibility criteria were reviewed. If the title of a reference suggested that it might be relevant for this review, the full manuscript was reviewed for inclusion. Inclusion criteria required that eligible studies (1) had conducted empirical research on the efficacy of a Web-based intervention for youth with a medical condition, (2) had included a randomized trial as part of the study method, (3) had assessed the outcomes of psychological sequelae (ie, PTSS, anxiety, depression, internalizing symptoms, or quality of life) in youth (aged 0-18 years), their caregivers, or both, (4) had included assessments at 2 or more time points, and (5) were available in English language. Results A total of 1512 studies were reviewed for inclusion based on their title and abstracts; 39 articles qualified for full-text review. Moreover, 22 studies met inclusion criteria for the systematic review. Of the 22 included studies, 13 reported results indicating that eHealth interventions significantly improved at least one component of psychological sequelae in participants. Common characteristics among interventions that showed an effect included content on problem solving, education, communication, and behavior management. Studies most commonly reported on child and caregiver depression, followed by child PTSS and caregiver anxiety. Conclusions Previous research is mixed but suggests that eHealth interventions may be helpful in alleviating or preventing problematic psychological sequelae in youth with medical conditions and their caregivers. Additional research is needed to advance understanding of the most powerful intervention components and to determine when and how to best disseminate eHealth interventions, with the goal of extending the current reach of psychological interventions.

scholarly journals Manfaat Emotional Freedom Technique (EFT) Bagi Pasien Dengan Gangguan Kecemasan

2020 ◽  
Vol 11 (2) ◽  
pp. 129
Author(s):  
Nurmawati S Lataima ◽  
Ninuk Dian Kurniawati ◽  
Puji Astuti
Keyword(s):  
Systematic Review ◽  
Full Text ◽  
Psychological Intervention ◽  
Improve Quality ◽  
Full Text Article ◽  
Inclusion Criteria ◽  
Stress Increase ◽  
The World ◽  
Common Problems

Background: Psychological problems such as anxiety are one of the most common problems in the world. Handling for this anxiety problem is not adequate and requires a lot of money. Psychological intervention is needed to help patients overcome the anxiety they experience. Objective: To outline some of the benefits of the Emotional Freedom Technique (EFT) intervention that can help patients reduce anxiety Method: The database used in this study was Scopus, Google Schoolar and Pubmed was limited to the last 5 years from 2015 to 2020, full text article in English. The keywords used were "Emotional Freedom Technique", "OR", "AND", "Anxiety", "AND", "Tapping". This systematic review used 11 articles that fit the inclusion criteria. Result: The EFT intervention was an easy, inexpensive and effective intervention. The benefits of the EFT intervention were reduce depression, anxiety, stress, increase immunological levels, reduce levels of cortisol in the blood and improve quality of life. Conclusion: EFT intervention has many benefits in helping patients who experience various psychological illnesses. Suggestion: EFT can be applied in health services or applied independently. Keywords: Emotional Freedom Technique; anxiety; tapping ABSTRAK Latar belakang: Masalah psikologi seperti kecemasan menjadi salah satu masalah yang paling umum di dunia. Penanganan untuk masalah kecemasan ini belum mamadai dan memerlukan biaya yang tidak sedikit. Intervensi psikologi sangat dibutuhkan untuk membantu pasien mengatasi kecemasan yang dialami. Tujuan: Untuk menguraikan beberapa manfaat intervensi EFT yang dapat membantu pasien dalam mengurangi kecemasan. Metode: Database yang digunakan dalam penelitian ini adalah Scopus, Google Schoolar dan Pubmed terbatas 5 tahun terakhir dari 2015 hingga 2020, full text article dengan berbahasa Inggris. Kata kunci yang digunakan adalah “Emotional Freedom Technique”, ”OR”, “AND”, “ Anxiety”, “AND”, “Tapping”. Systematic review ini menggunakan 11 artikel yang sesuai dengan kriteria inklusi. Hasil: EFT merupakan intervensi yang mudah, murah dan efektif. Manfaat intervensi EFT yaitu dapat menurunkan depresi, kecemasan, stress, meningkatkan kadar imunologi, menurunkan kadar kortisol dalam darah dan meningkatkan kualitas hidup. Simpulan: EFT memiliki banyak manfaat dalam membantu pasien yang mengalami berbagai penyakit psikologi. Saran: EFT dapat diterapkan dalam pelayanan kesehatan maupun diterapkan secara mandiri. Kata kunci: Emotional Freedom Technique; anxiety; tapping

scholarly journals Congress of Neurological Surgeons Systematic Review and Evidence-Based Guideline on Neuroablative Procedures for Patients With Cancer Pain

Neurosurgery ◽  
2020 ◽  
Author(s):  
Ahmed M Raslan ◽  
Sharona Ben-Haim ◽  
Steven M Falowski ◽  
André G Machado ◽  
Jonathan Miller ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cancer Pain ◽  
Full Text ◽  
Task Force ◽  
The United States ◽  
Inclusion Criteria ◽  
Patients With Cancer ◽  
Clinical Scenarios ◽  
Pubmed Database ◽  
Intractable Cancer Pain

Abstract BACKGROUND Managing cancer pain once it is refractory to conventional treatment continues to challenge caregivers committed to serving those who are suffering from a malignancy. Although neuromodulation has a role in the treatment of cancer pain for some patients, these therapies may not be suitable for all patients. Therefore, neuroablative procedures, which were once a mainstay in treating intractable cancer pain, are again on the rise. This guideline serves as a systematic review of the literature of the outcomes following neuroablative procedures. OBJECTIVE To establish clinical practice guidelines for the use of neuroablative procedures to treat patients with cancer pain. METHODS A systematic review of neuroablative procedures used to treat patients with cancer pain from 1980 to April 2019 was performed using the United States National Library of Medicine PubMed database, EMBASE, and Cochrane CENTRAL. After inclusion criteria were established, full text articles that met the inclusion criteria were reviewed by 2 members of the task force and the quality of the evidence was graded. RESULTS In total, 14 646 relevant abstracts were identified by the literature search, from which 189 met initial screening criteria. After full text review, 58 of the 189 articles were included and subdivided into 4 different clinical scenarios. These include unilateral somatic nociceptive/neuropathic body cancer pain, craniofacial cancer pain, midline subdiaphragmatic visceral cancer pain, and disseminated cancer pain. Class II and III evidence was available for these 4 clinical scenarios. Level III recommendations were developed for the use of neuroablative procedures to treat patients with cancer pain. CONCLUSION Neuroablative procedures may be an option for treating patients with refractory cancer pain. Serious adverse events were reported in some studies, but were relatively uncommon. Improved imaging, refinements in technique and the availability of new lesioning modalities may minimize the risks of neuroablation even further. The full guidelines can be accessed at https://www.cns.org/guidelines/browse-guidelines-detail/guidelines-on-neuroablative-procedures-patients-wi.

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