Accuracy of wearable transdermal alcohol devices: A systematic review (Preprint)

2021 ◽  
Author(s):  
Eileen Brobbin ◽  
Paolo Deluca ◽  
Sofia Hemrage ◽  
Colin Drummond

BACKGROUND There are a range of wearable transdermal alcohol sensors (TAS) available and currently being developed. These devices have the potential to be able to monitor alcohol consumption continuously, over extended time periods in an objective manner, overcoming some of the limitations of other alcohol measurement methods (blood, breath and urine). OBJECTIVE This systematic review aims to assess their accuracy. METHODS A systematic search was conducted of the CINAHL, EMBASE, Google Scholar, MEDLINE, PsycINFO, PubMed and Scopus bibliographic databases in February 2021. Two members of the study team independently screened studies for inclusion, extracted data and assessed risk of bias. Each study methodological quality was appraised using the Mixed Methods Appraisal Tool. The primary outcome was TAS accuracy. The data is presented as a narrative synthesis. RESULTS We identified and analysed 32 studies. Study designs included: laboratory and ambulatory, mixed and RCTs and the length the device was worn ranged from days to weeks. Five studies included used more than one brand of TAS. Results for transdermal alcohol concentration data from various TAS were generally found to be positively correlated with BrAC, BAC and self-report. The WrisTAS and BACtrack prototype reported higher malfunctions and noise within data files compared to SCRAM however these devices also report a reduced time lag for transdermal alcohol concentration values than SCRAM. It was also found that many companies were developing new models of TAS devices. CONCLUSIONS There is a lack of research investigating the accuracy of TAS as a tool to monitor alcohol consumption within clinical populations and use over extended periods of time. While there is some preliminary evidence suggesting the accuracy of these devices this needs to be further investigated with clinical populations. CLINICALTRIAL Systematic review registration: CRD42021231027

2020 ◽  
Vol 216 ◽  
pp. 108304
Author(s):  
Sina Kianersi ◽  
Maya Luetke ◽  
Jon Agley ◽  
Ruth Gassman ◽  
Christina Ludema ◽  
...  

BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e019490 ◽  
Author(s):  
María del Mar Fernández ◽  
Jurgita Saulyte ◽  
Hazel M Inskip ◽  
Bahi Takkouche

ObjectivePremenstrual syndrome (PMS) is a very common disorder worldwide which carries an important economic burden. We conducted a systematic review and a meta-analysis to assess the role of alcohol in the occurrence of PMS.MethodsWe searched MEDLINE, EMBASE, the five regional bibliographic databases of the WHO, the Proceedings database and the Open Access Thesis and Dissertations (OATD) from inception to May 2017. We also reviewed the references of every article retrieved and established personal contact with researchers to trace further publications or reports. We did not include any language limitations. Studies were included if: (1) they presented original data from cohort, case-control or cross-sectional studies, (2) PMS was clearly defined as the outcome of interest, (3) one of the exposure factors was alcohol consumption, (4) they provided estimates of odds ratios, relative risks, or any other effect measure and their confidence intervals, or enough data to calculate them.ResultsWe identified 39 studies of which 19 were eligible. Intake of alcohol was associated with a moderate increase in the risk of PMS (OR=1.45, 95% CI: 1.17 to 1.79). Heavy drinking yielded a larger increase in the risk than any drinking (OR=1.79, 95% CI: 1.39 to 2.32).DiscussionOur results suggest that alcohol intake presents a moderate association with PMS risk. Future studies should avoid cross-sectional designs and focus on determining whether there is a threshold of alcohol intake under which the harmful effect on PMS is non-existent.


2020 ◽  
Author(s):  
Yoo Jung Oh ◽  
Jingwen Zhang ◽  
Min-Lin Fang ◽  
Yoshimi Fukuoka

Abstract BackgroundWith the rise of artificial intelligence (AI) technologies in recent years, the rapidly expanding fields of AI-supported chatbot lifestyle interventions have offered new solutions to the global epidemic of physical inactivity and obesity. However, to the best of our knowledge no systematic review of chatbot-based lifestyle change intervention exists. The goals of this systematic review are to summarize the characteristics of chatbot interventions and to synthesize and evaluate uses of chatbots to improve physical activity, dietary, and weight management behaviors and to identify knowledge gaps and directions for future studies.MethodsIn collaboration with a medical librarian, six electronic bibliographic databases (PubMed, EMBASE, ACM Digital Library, Web of Science, PsycINFO, and IEEE) will be searched to identify all relevant studies. Main outcomes include changes in self-report and/or objectively measured physical activity, sedentary behavior, diet, and body weight. Additional outcomes include feasibility, acceptability, safety, and user satisfactions of chatbots. Two reviewers will independently screen the title and abstract, conduct a full-text screening to select the qualified studies, extract data from the included studies, and assess the risk of bias using Covidence software. Lastly, we will conduct a qualitative synthesis of the findings. However, if several randomized controlled trials that report similar outcome measurements are identified., quantitative synthesis will be provided.DiscussionTo the best of our knowledge, this is the first systematic review to synthesize and evaluate the existing research that assess the impact of AI chatbots on changing physical activity, dietary, and weight management behaviors. We anticipate our findings to advance knowledge by identifying the key characteristics of effective AI chatbot interventions and by highlighting knowledge gaps and limitations in the literature.Systematic review registrationInternational Prospective Register of Systematic Reviews (PROSPERO): CRD42020216761.


Crisis ◽  
2016 ◽  
Vol 37 (1) ◽  
pp. 59-67 ◽  
Author(s):  
Nicole J. Peak ◽  
James C. Overholser ◽  
Josephine Ridley ◽  
Abby Braden ◽  
Lauren Fisher ◽  
...  

Abstract. Background: People who feel they have become a burden on others may become susceptible to suicidal ideation. When people no longer feel capable or productive, they may assume that friends and family members would be better off without them. Aim: The present study was designed to assess preliminary psychometric properties of a new measure, the Perceived Burdensomeness (PBS) Scale. Method: Depressed psychiatric patients (N = 173) were recruited from a veterans affairs medical center. Patients were assessed with a structured diagnostic interview and self-report measures assessing perceived burdensomeness, depression severity, hopelessness, and suicidal ideation. Results: The present study supported preliminary evidence of reliability and concurrent validity of the PBS. Additionally, perceived burdensomeness was significantly associated with higher levels of hopelessness and suicidal ideation. Conclusion: It is hoped that with the aid of the PBS clinicians may be able to intervene more specifically in the treatment of suicidality.


Author(s):  
Sunny J. Dutra ◽  
Marianne Reddan ◽  
John R. Purcell ◽  
Hillary C. Devlin ◽  
Keith M. Welker

This chapter not only draws from previous authoritative measurement overviews in the general field of emotion, but also advances these resources in several key ways. First, it provides a specific focus on positive valence systems, which have not yet received specific methodological attention. Second, the field of positive emotion (PE) has expanded in recent years with new and innovative methods, making an updated review of methodological tools timely. Third, the chapter incorporates discussion of PE disturbance in clinical populations and the methods best suited to capture PE dysfunctions. This chapter also outlines some tools that can allow researchers to capture a broad array of PE quantified by self-report, behavioral coding, and biological correlates as seen through changes in the central and peripheral nervous system (i.e., brain and body). After reviewing PE measurement methods and correlates, this chapter includes several methods for studying PE beyond the individual level (i.e., interpersonal) and traditional laboratory settings (i.e., ambulatory or experience sampling). It provides key examples of their applications to study PE in clinical populations while acknowledging several of their basic advantages and disadvantages.


2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Charles James ◽  
Catherine Walshe ◽  
Katherine Froggatt

Abstract Background The knowledge about the experience of informal caregivers who provide care to people with moderate to advanced dementia in a domestic home setting is limited. A consequence of long hours of caregiving in addition to dealing with normal challenges of daily living is their experience of a poor quality of life. Some of their experiences may be described in terms of a feeling of powerlessness to make changes during care provision. This feeling may also suggest an experience of moral distress. The aim of this systematic review is to synthesise qualitative evidence relating to these experiences. Methods This review adopts a narrative synthesis approach. A search will be conducted for studies written in the English language in the bibliographic databases MEDLINE Complete, CINAHL, EMBASE, PsycINFO, Web of Science and Academic Search Complete covering periods from 1984 to present. Included studies will be qualitative or mixed-methods designs. The search terms will be related to dementia and caregivers, and the process will be focused on dementia at the moderate to the advanced stages within the domestic home setting. Reference lists of included papers will also be searched for additional relevant citations. Search terms and strategies will be checked by two independent reviewers. The identification of abstracts and full texts of studies will be done by the author, while the quality and the risk of bias will also be checked by the two independent reviewers. Discussion Psychological distress is cited as an experience reported within informal caregiving. For the caregiver, it is associated with a negative impact on general health. To date, no synthesis exists on the specific experience of informal caregiving for people with moderate to advanced dementia within the domestic home setting. This review considers that variation of accounts contributes to how the informal caregivers’ general experience is explored in future research. This may enable gaps in current knowledge to be highlighted within the wider context of caregiving in the domestic home setting. Systematic review registration This review is registered with PROSPERO (CRD42020183649).


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