scholarly journals Potential Benefits of Multimedia-Based Home Catheter Management Education in Patients With Peripherally Inserted Central Catheters: Systematic Review (Preprint)

2020 ◽  
Author(s):  
Kija Malale ◽  
Jili Fu ◽  
William Nelson ◽  
Helena Marco Gemuhay ◽  
Xiuni Gan ◽  
...  
Keyword(s):  
Systematic Review ◽  
Management Education ◽  
Experimental Studies ◽  
Cochrane Library ◽  
Case Control Studies ◽  
Peripherally Inserted Central Catheters ◽  
Current Systematic Review ◽  
Quasi Experimental ◽  
Potential Benefits ◽  
Central Catheters

BACKGROUND In recent years, there have been many suggestions to use multimedia as a strategy to fully meet the educational needs of patients with peripherally inserted central catheters. However, the potential benefits remain unreliable in the literature. OBJECTIVE In this study, we identified the potential benefits of multimedia-based home catheter management education in patients with peripherally inserted central catheters and discussed the clinical implications. METHODS We performed systematic searches of the PubMed, Cochrane Library, Embase Ovid, Medline, BioMed Central-cancer (BMC-cancer), ScienceDirect, and Google Scholar databases without date constraints until November 30, 2019. The methodological quality of the eligible studies was appraised using the Cochrane risk of bias tool. Narrative synthesis of the study findings was conducted. RESULTS A total of 6 intervention studies met the inclusion criteria, including 3 randomized controlled trials and 3 case-control studies/quasi-experimental studies. The studies included a total of 355 subjects, including a total of 175 in the multimedia groups and 180 in the control groups. We identified 4 potential benefits to patients: (1) improved knowledge, (2) increased satisfaction, (3) reduced incidence of catheter-related complications, and (4) reduced number of cases of delayed care after complications. CONCLUSIONS The current systematic review highlights the potential benefits of multimedia-based home catheter management education for patients with peripherally inserted central catheters.

scholarly journals Potential Benefits of Multimedia-Based Home Catheter Management Education in Patients With Peripherally Inserted Central Catheters: Systematic Review

10.2196/17899 ◽  
2020 ◽  
Vol 22 (12) ◽  
pp. e17899
Author(s):  
Kija Malale ◽  
Jili Fu ◽  
William Nelson ◽  
Helena Marco Gemuhay ◽  
Xiuni Gan ◽  
...  
Keyword(s):  
Systematic Review ◽  
Management Education ◽  
Experimental Studies ◽  
Cochrane Library ◽  
Case Control Studies ◽  
Peripherally Inserted Central Catheters ◽  
Current Systematic Review ◽  
Quasi Experimental ◽  
Potential Benefits ◽  
Central Catheters

Background In recent years, there have been many suggestions to use multimedia as a strategy to fully meet the educational needs of patients with peripherally inserted central catheters. However, the potential benefits remain unreliable in the literature. Objective In this study, we identified the potential benefits of multimedia-based home catheter management education in patients with peripherally inserted central catheters and discussed the clinical implications. Methods We performed systematic searches of the PubMed, Cochrane Library, Embase Ovid, Medline, BioMed Central-cancer (BMC-cancer), ScienceDirect, and Google Scholar databases without date constraints until November 30, 2019. The methodological quality of the eligible studies was appraised using the Cochrane risk of bias tool. Narrative synthesis of the study findings was conducted. Results A total of 6 intervention studies met the inclusion criteria, including 3 randomized controlled trials and 3 case-control studies/quasi-experimental studies. The studies included a total of 355 subjects, including a total of 175 in the multimedia groups and 180 in the control groups. We identified 4 potential benefits to patients: (1) improved knowledge, (2) increased satisfaction, (3) reduced incidence of catheter-related complications, and (4) reduced number of cases of delayed care after complications. Conclusions The current systematic review highlights the potential benefits of multimedia-based home catheter management education for patients with peripherally inserted central catheters.

A Systematic Review of Interventions to Increase Awareness, Knowledge, and Folic Acid Consumption before and during Pregnancy

2008 ◽  
Vol 22 (4) ◽  
pp. 237-245 ◽  
Author(s):  
Corina Mihaela Chivu ◽  
Theodore H. Tulchinsky ◽  
Karla Soares-Weiser ◽  
Rony Braunstein ◽  
Mayer Brezis
Keyword(s):  
Systematic Review ◽  
Folic Acid ◽  
Data Extraction ◽  
Interrupted Time Series ◽  
Cochrane Library ◽  
Case Control Studies ◽  
Effective Interventions ◽  
Before And After ◽  
Quasi Experimental ◽  
Time Series Studies

Objective. We conducted a systematic review of studies designed to increase awareness of, knowledge about, and consumption of folic acid before and during pregnancy. Data sources. Studies were identified from Cochrane Library, Medline, and the references of primary studies and reviews. Study inclusion and exclusion criteria. Studies included randomized controlled trials, quasi-experimental interrupted time series studies, follow-up studies, case-control studies, and before-and-after studies, all of which were conducted between 1992 and 2005 on women ages 15 to 49 years and/or health professionals, evaluating awareness and/or knowledge and/or consumption of folic acid both before and after intervention. Studies were excluded if data were not presented both before and after intervention or were other outcomes than those mentioned here. Data extraction. Data were extracted in relation to characteristics of studies, participants, interventions, and outcomes. Data synthesis. Because of heterogeneity, we performed a narrative synthesis describing the direction and the size of effects. Results. On average, women's awareness increased from 60% to 72%, knowledge from 21% to 45%, and consumption from 14% to 23%. Conclusions. Interventions had a positive effect on folic acid intakes before and during pregnancy, although the average usage reached less than 25%. So what? Further research is needed to design more effective interventions to increase periconceptional use of folic acid.

Effectiveness of pictographs in improving patient education outcomes: a systematic review

2020 ◽  
Author(s):  
Tongyao Wang ◽  
Joachim G Voss
Keyword(s):  
Systematic Review ◽  
Patient Education ◽  
Patient Population ◽  
Health Management ◽  
Experimental Studies ◽  
Cochrane Library ◽  
Education Outcomes ◽  
Outcome Measurements ◽  
Quasi Experimental ◽  
Outcome Differences

Abstract The objective of this review was to investigate process of pictograph development and the effectiveness of pictographs in patient education. We conducted searches in Medline/PubMed, CINAHL with full text, PsycInfo, ERIC and Cochrane Library with keywords: (pictograph or pictorial) AND (patient education) NOT (children or adolescent or youth or child or teenagers). After excluding manuscripts that did not meet inclusion criteria, 56 articles were included between the time of the last review on this topic (January 2008) and May 2019. There are 17 descriptive studies, 27 randomized control trial studies, 9 quasi-experimental studies and 2 unique literatures in the systematic review. Major goals of the studies are pictograph development or validation. The majority of manuscripts (n = 48) supported the approach. However, six studies did not find significant differences in the outcome. Differences in patient population, pictograph designs and author-developed outcome measurements made it difficult to compare the findings. There is a lack of evidence on validating information outcome measurements. This review demonstrated that implementing pictographs into patient education is a promising approach for better information understanding and health management. Pictographic interventions need to be carefully developed and validated with both the targeted patient population and the clinical experts.

scholarly journals Effectiveness of Azadirachta indica (neem tree) on prevention and treatment of clinical human malaria: A systematic review

2021 ◽  
Vol 3 (1) ◽  
pp. 34-43
Author(s):  
Erasto Vitus Mbugi ◽  
Alfred Said Sife ◽  
Mboni Ruzegea ◽  
Grace Emmanuel Peter Msoffe ◽  
Bestina Daniel ◽  
...  
Keyword(s):  
Systematic Review ◽  
Azadirachta Indica ◽  
Experimental Studies ◽  
Case Control Studies ◽  
Cross Sectional Survey ◽  
Neem Tree ◽  
Cross Sectional ◽  
Prophylactic Agent ◽  
Quasi Experimental ◽  
Parasitic Effects

Introduction: Neem tree parts such as leaves, stem barks, and roots are known to have some medicinal values in both humans and animals. However, the evidence is scattered and vary with populations and regions. This systematic review sought to explore the effectiveness of neem as a therapeutic and prophylactic agent against malaria. Methodology: The systematic review examined the effectiveness of neem using the pre-registered review protocol and followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist. The Population Intervention Comparator Outcome (PICO) question was: “What is the effectiveness of neem (Azadirachta indica) when used as a therapeutic and prophylactic agent for malaria infection?” It included all cross-sectional survey studies, qualitative studies, case-control studies, randomised controlled trials, quasi-experimental studies, and cohort studies with or without comparison groups. Studies that had both children and adult patients who were diagnosed with malaria were included in the survey. Malaria patients using traditional medications other than neem as well as those who did not use neem were excluded from this study. The search for articles, screening, and synthesis were conducted using the Rayyan software. Results: Out of the total 1089 articles retrieved, only 3 fitted the inclusion criteria, 1 article could not be retrieved. A narrative synthesis was therefore done on 2 final research articles that were retrievable. The pooled evidence shows that Azadirachta indica is effective against malaria. The medicinal effects are more on symptoms and curbing development to clinical disease than ant parasitic effects. Conclusion: Neem is potential traditional medicine for malaria symptoms’ treatment, but evidence on ant parasitic effects is still not conclusive. The study recommends further primary studies to enhance the power of results to further recommend this plant for the prevention of or treatment of malaria symptoms.

scholarly journals Systematic Review of Fatigue in Individuals With Cerebral Palsy

2021 ◽  
Vol 15 ◽  
Author(s):  
Luca Puce ◽  
Ilaria Pallecchi ◽  
Karim Chamari ◽  
Lucio Marinelli ◽  
Tiziano Innocenti ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cerebral Palsy ◽  
Critical Appraisal ◽  
Experimental Studies ◽  
Cochrane Library ◽  
Evidence Quality ◽  
Quasi Experimental ◽  
Daily Physical Activities ◽  
Objectively Measured

In this systematic review, we collected and analyzed literature works comparing self-reported fatigue and objectively-measured fatigue in individuals with cerebral palsy (CP) and in age-matched typically developing/typically developed (TD) controls (Healthy). The search was conducted on four electronic databases/platforms (PubMed, Web of Science, Cochrane Library, and Scopus) using the key words “cerebral palsy” combined with “fatig*,” where the asterisk was used as a wildcard. As a critical appraisal tool, the Joanna Briggs Institute Critical Appraisal Checklist for Quasi-Experimental Studies (2017) was used. A total of 22 studies passed the critical appraisal rating and were included in both narrative and quantitative analyses. The overall evidence quality of the findings was considered very good. Data of objectively-measured fatigue in performing maximal fatiguing tasks indicated lower fatigue levels in participants with CP, possibly due to their pathological inability to recruit highly fatigable muscle fibers. Highly trained individuals with CP and TD controls performing maximal fatiguing tasks seem to be an exception to this, as they exhibited similar levels of fatigue. In submaximal fatiguing tasks, including daily physical activities, either objectively-measured or self-reported fatigue was higher in participants with CP than in TD controls, indicating a lower ability for development of neurophysiological compensation for fatigue among participants with CP. Further studies on fatigue are needed to gain an insight into the multifold mechanisms of fatigue in individuals with CP. Understanding fatigue mechanisms could help in setting up strategies for effective intervention programs, with benefits in healthcare and improved quality of life of individuals with CP.Systematic Review Registration: [PROSPERO 2019], identifier [CRD42019143524].

EMDR in the Treatment of Chronic Subjective Tinnitus: A Systematic Review

2020 ◽  
pp. EMDR-D-20-00005 ◽  
Author(s):  
Tine Luyten ◽  
Vincent Van Rompaey ◽  
Paul Van de Heyning ◽  
Nancy Van Looveren ◽  
Laure Jacquemin ◽  
...  
Keyword(s):  
Systematic Review ◽  
Effect Size ◽  
Early Stage ◽  
Experimental Studies ◽  
Treatment Method ◽  
Cochrane Library ◽  
Future Research ◽  
Subjective Tinnitus ◽  
Current Systematic Review ◽  
Tinnitus Distress

The aim of the current systematic review is to examine the efficacy of eye movement desensitization and reprocessing (EMDR) therapy as treatment for chronic subjective tinnitus. Insights concerning the EMDR treatment method and the mechanisms could offer valuable therapeutic guidelines in tinnitus management. The systematic review was performed according to the PRISMA guidelines. PubMed (MEDLINE), the Cochrane Library, PSYNDEX, PsycINFO, and the Francine Shapiro Library were used as data sources. Included were studies with at least two patients with diagnosed chronic subjective tinnitus, with pre- and post-measurements, testing the effect of EMDR. Two experimental studies with a total of 49 tinnitus patients met the inclusion criteria. Both studies assessed tinnitus distress. The pre–post treatment effect size of the studies was calculated in one study (a medium between-effect size of Cohen’s dz = .72). The other eligible study described significant improvement in 64.3% of the participants. No adverse events or side effects were reported. Research on the application of EMDR as treatment for tinnitus is still in an early stage. Both studies present EMDR as effective treatment for tinnitus distress, at least for about 50% of the patients, and that the effect remains at 3 months’ follow-up. Recommendations for future research are provided.

scholarly journals Do Mouthwashes Reduce Covid-19 Viral Load during Dental Procedures and Oropharyngeal Examinations? A Systematic Review

2021 ◽  
Author(s):  
Simin Z. Mohebbi ◽  
Tayebe Ebrahimi ◽  
Ahmad Reza Shamshiri
Keyword(s):  
Systematic Review ◽  
Hydrogen Peroxide ◽  
Viral Load ◽  
Data Extraction ◽  
Experimental Studies ◽  
Virus Transmission ◽  
Cross Infection ◽  
Cochrane Library ◽  
Dental Procedures ◽  
Quasi Experimental

There is a relatively high risk of virus transmission in dental procedures and oropharyngeal examinations. We investigated the effects of mouthwashes on covid-19 viral load reduction during dental practices and oro-pharyngeal assessments. We performed a systematic search in PubMed, EMBASE, Scopus, Web of Science, Cochrane library for relevant studies up to February 2021. Papers evaluating patients with covid-19 infection (patients) who rinse mouthwashes (intervention) compared to patients who don’t rinse them (comparison) for reducing covid-19 viral load or reducing cross-infection of covid-19 (outcome) in the randomized and non-randomized clinical trial and quasi-experimental studies (study) were included due to PICOS question. Three independent authors conducted literature screening and data extraction. We extracted the most relevant data and we evaluated the risk of bias from the included studies. Out of 344 potentially eligible articles, six studies were included in this systematic review. Regarding viral load and negative cycle threshold (ct) values, 1% PVP_I and Listerine mouthwash were effective. 0.12% CHX mouthwash was effective 0-2 hours post rinsing, but it was not effective after 2 hours. A mixture solution of 0.2% Chlorhexidine gluconate and 6% Hydrogen peroxide was effective on day 5 of intervention. Gargling 1% hydrogen peroxide, 0.075% Cetylpiridinum Chloride (CPC), 0.5%PVP-I and 0.2% CHX mouthwashes was not effective on SARS-COV-2. It cannot be guaranteed that rinsing a specific kind of mouthwash prevents cross-infection of covid-19; however, the viral load of SARS-COV-2 in saliva will be decreased after rinsing mouthwashes containing 1%PVP-I and Listerine.

scholarly journals Effects of telerehabilitation in occupational therapy practice: A systematic review

2019 ◽  
Vol 32 (1) ◽  
pp. 3-21 ◽  
Author(s):  
Goris Hung KN ◽  
Kenneth NK Fong
Keyword(s):  
Systematic Review ◽  
Occupational Therapy ◽  
Service Delivery ◽  
Experimental Studies ◽  
Current Evidence ◽  
Cochrane Library ◽  
Therapeutic Effects ◽  
Post Intervention ◽  
Quasi Experimental ◽  
Randomised Controlled

Objective/background This study aimed to review the current evidence on the application of telerehabilitation in occupational therapy practice and its clinical outcomes over the last 10 years. Methods A systematic review was performed on studies published in English in the decade 2008 to 2017, retrieved from seven electronic databases (MEDLINE, Cochrane Library, CINAHL, Web of Science, SAGE, Science Direct and EMBASE). Only articles evaluating the use of telerehabilitation to provide occupational therapy services from a distance were included, with no restrictions on pathology, impairment, age, or the nature of occupational therapy intervention. Results Fifteen articles (three randomised controlled trials, eight quasi-experimental studies, one trial with single-group post-intervention and three case studies) were reviewed. Despite various study designs and outcome measures, most studies indicated positive therapeutic effects of using telerehabilitation in occupational therapy practice. There is insufficient evidence, however, to confirm that telerehabilitation is more effective than the face-to-face model. Little evidence was shown on the long-term effect and cost efficacy. Only two studies used smartphones in their applications. Conclusion Telerehabilitation offers an alternative service delivery model for occupational therapy, not only bridging distance but also offering user-friendly treatment for patients at home. Further research, particularly on the use of the most cutting-edge mobile technology, is needed to determine effectiveness in occupational therapy practice treating various diseases, conditions and impairments and the characteristics of patients, interventions and therapists that lead to the best fit with this alternative and emerging form of service delivery.

scholarly journals Effectiveness of Nutritional Education for Obese Older Adults With Frailty: A Systematic Review and Meta-Analysis

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 401-401
Author(s):  
Yue-Heng Yin ◽  
Liu Yat Justina
Keyword(s):  
Systematic Review ◽  
Physical Function ◽  
Meta Analysis ◽  
Experimental Studies ◽  
Well Being ◽  
Risk Of Bias ◽  
Cochrane Library ◽  
Nutritional Education ◽  
Hand Search ◽  
Education Interventions

Abstract Obesity has been shown to intensify the decline of physical function and lead to frailty. Nutrition is an important method in managing obesity and frailty, while seldom reviews have ever explored the effects of nutritional education interventions. We conducted a systematic review (PROSPERO: CRD42019142403) to explore the effectiveness of nutritional education interventions in managing body composition and physio-psychosocial parameters related to frailty. Randomized controlled trials and quasi-experimental studies were searched in CINAHL, Cochrane Library, EMBASE, MEDLINE, PsycINFO, PubMed and Scopus from 2001 to 2019. Hand search for the reference lists of included papers was conducted as well. We assessed the quality of included studies by Cochrane risk of bias tool. Meta-analyses and narrative synthesis were used to analyse the data. Two studies with low risk of bias were screened from 180 articles, which involved 177 older people with an average age of 69.69±4.08 years old. The results showed that nutritional education was significantly effective in reducing body weight and fat mass than exercises, and it was beneficial to enhancing physical function and psychosocial well-being. But the effects of nutritional education in increasing muscle strength were not better than exercises. The combined effects of nutritional education and exercises were superior than either exercises or nutritional education interventions solely in preventing the loss of lean mass and bone marrow density, and in improving physical function. Due to limited numbers of relevant studies, the strong evidence of effectiveness of nutritional education interventions on reversing frailty is still lacking.

scholarly journals Between Level Up and Game Over: A Systematic Literature Review of Gamification in Education

2021 ◽  
Vol 13 (4) ◽  
pp. 2247 ◽  
Author(s):  
Ana Manzano-León ◽  
Pablo Camacho-Lazarraga ◽  
Miguel A. Guerrero ◽  
Laura Guerrero-Puerta ◽  
José M. Aguilar-Parra ◽  
...  
Keyword(s):  
Systematic Review ◽  
Academic Performance ◽  
Game Design ◽  
Learning Strategy ◽  
Experimental Studies ◽  
Quasi Experimental ◽  
Current Lines ◽  
Meta Analyses ◽  
Game Elements ◽  
The Impact

Educational gamification consists of the use of game elements and game design techniques in the educational context. The objective of this study is to examine the existing evidence on the impact of educational gamification on student motivation and academic performance in the last five years in order to analyze its distribution over time, educational level, variables, and most used game elements, and know the advantages of its implementation in the classroom. For this, a systematic review is proposed through the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) methodology in three multidisciplinary databases, through an exhaustive search with inclusion and exclusion criteria on quantitative experimental studies that explore gamification in educational centers, which provide information about the most current lines of research. Fourteen studies were included in this review. These used experimental or quasi-experimental designs. Most of them report gamification as a valid learning strategy. The results support the conclusion that educational gamification has a potential impact on the academic performance, commitment, and motivation of students. Therefore, this study implies the need to expand research on the needs and challenges of students when learning with gamified techniques.

Sign in / Sign up

Export Citation Format

Share Document