Mindfulness and Executive Functioning in Preadolescents and Adolescents: A Scoping Review

2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512515329p1-7512515329p1
Author(s):  
Rebecca Mariel Rutta ◽  
Shamta Kumar ◽  
Varada Pisharody ◽  
Kaitlyn Cecilia Irwin ◽  
Nancy Baker ◽  
...  
Keyword(s):  
Executive Functioning ◽  
Executive Functions ◽  
Scoping Review ◽  
Target Population ◽  
Current Evidence ◽  
Mindfulness Interventions ◽  
The Impact ◽  
Primary Author

Abstract Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. Executive functions, including attention and regulation, are relevant to successful participation in complex occupations. A scoping review was conducted to summarize and evaluate current evidence for the impact of mindfulness on the attention and regulation skills of preadolescents and adolescents. Findings suggest early promise of mindfulness interventions in improving these skills in the target population. However, firm conclusions cannot be drawn due to low trustworthiness of the evidence. Primary Author and Speaker: Rebecca Mariel Rutta Additional Authors and Speakers: Shamta Kumar, Varada Pisharody, and Kaitlyn Cecilia Irwin Contributing Authors: Nancy Baker, Elizabeth Marfeo, and Margaret Morris

scholarly journals Health system and law enforcement synergies for injury surveillance, control and prevention: a scoping review

2017 ◽  
Vol 24 (4) ◽  
pp. 305-311 ◽  
Author(s):  
Sara F Jacoby ◽  
Laura M Mercer Kollar ◽  
Greg Ridgeway ◽  
Steven A Sumner
Keyword(s):  
Law Enforcement ◽  
Health System ◽  
Scoping Review ◽  
Interpersonal Violence ◽  
Injury Surveillance ◽  
Current Evidence ◽  
Control And Prevention ◽  
Prevention Programmes ◽  
Injury Control ◽  
The Impact

BackgroundHealthcare providers and law enforcement (LE) officers are among the most common first responders to injuring events. Despite frequent interface between the health system (HS) and LE sectors, the published evidence that supports their collaboration in injury surveillance, control and prevention has not been comprehensively reviewed.MethodsWe conducted a scoping review of literature published from 1990 to 2016 that focused on local and regional HS and LE collaborations in injury surveillance, control and prevention. Our aim was to describe what is known and what remains unexplored about these cross-sector efforts.Results128 articles were included in the final review. These were categorised by their focus on either surveillance activities or partnerships in injury control and prevention programmes. The majority of surveillance articles focused on road traffic injuries. Conversely, articles describing partnerships and programme evaluations primarily targeted the prevention of interpersonal violence.DiscussionThis review yielded two major findings: overall, the combination of HS and LE injury data added value to surveillance systems, especially as HS data augmented LE data; and HS and LE partnerships have been developed to improve injury control and prevention. However, there are few studies that have evaluated the impact and sustainability of these partnerships.ConclusionsThe current evidence to support HS and LE collaboration in injury surveillance and control and prevention programmes is heterogeneous. Notable gaps suggest ample opportunity for further research and programme evaluation across all types of injury.

scholarly journals Public Health and Health Systems Impacts of SARS-CoV-2 Variants of Concern: A Rapid Scoping Review

2021 ◽  
Author(s):  
Janet A Curran ◽  
Justine Dol ◽  
Leah Boulos ◽  
Mari Somerville ◽  
Bearach Reynolds ◽  
...  
Keyword(s):  
Public Health ◽  
Health System ◽  
Health Systems ◽  
Scoping Review ◽  
Grey Literature ◽  
Current Evidence ◽  
Risk Of Death ◽  
Health Measures ◽  
Guidance Documents ◽  
The Impact

Background: As of April 2021, three SARS-CoV-2 variants of concern (VOC: B.1.1.7, B.1.351 and P.1) have been detected in over 132 countries. Increased transmissibility of VOC has implications for public health measures and health system arrangements. This rapid scoping review aims to provide a synthesis of current evidence related to public health measures and health system arrangements associated with VOC. Methods: Rapid scoping review. Seven databases were searched up to April 7, 2021 for terms related to VOC, transmission, public health and health systems. A grey literature search was conducted up to April 14, 2021. Title, abstracts and full text were screened independently by two reviewers. Data were double extracted using a standardized form. Studies were included if they reported on at least one of the VOC and public health or health system outcomes. Results: Of the 2487 articles and 59 grey literature sources retrieved, 37 studies and 21 guidance documents were included. Included studies used a wide range of designs and methods. Most of the studies and guidance documents reported on B.1.1.7, and 18 studies and 4 reports provided data for consideration in relation to public health measures. Public health measures, including lockdowns, physical distancing, testing and contact tracing, were identified as critical adjuncts to a comprehensive vaccination campaign. No studies reported on handwashing or masking procedures related to VOC. For health system arrangements, 17 studies were identified. Some studies found an increase in hospitalization due to B.1.1.7 but no difference in length of stay or ICU admission. Six studies found an increased risk of death ranging from 15-67% with B.1.1.7 compared non-B.1.1.7, but three studies reported no change. One study reported on the effectiveness of personal protective equipment in reducing VOC transmission in the hospital. No studies reported on screening staff and visitors, adjusting service provisions, or adjusting patient accommodations and shared spaces, which is a significant gap in the literature. Guidance documents did not tend to cite any evidence and were thus assumed to be based on expert opinion. Conclusion: While the findings should be interpreted with caution as most of the sources identified were preprints, findings suggest a combination of non-pharmaceutical interventions (e.g., masking, physical distancing, lockdowns, testing) should be employed alongside a vaccine strategy to improve population and health system outcomes. While the findings are mixed on the impact of VOC on health system arrangements, the evidence is trending towards increased hospitalization and death.

scholarly journals Examining the Evidence on the Impact of Nutrition Policies on Child Health and Undernutrition Globally: A Scoping Review (P22-017-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Nandita Perumal ◽  
Beverly Bradley ◽  
Aviva Rappaport ◽  
Vanessa Pike ◽  
Stanley Zlotkin
Keyword(s):  
Child Health ◽  
Scoping Review ◽  
Population Level ◽  
Child Growth ◽  
High Income ◽  
Primary Data ◽  
Current Evidence ◽  
Food Fortification ◽  
Nutrition Policies ◽  
The Impact

Abstract Objectives To summarize the evidence on the impact of nutrition policies on improving health among children in low-, middle- and high-income countries (LMHICs). Methods A scoping review was conducted to map and describe peer-reviewed studies evaluating the impact of population-level nutrition policies on child health and undernutrition (using primary data) in LMHICs. We systematically searched Medline, Embase, Web of Science, Scopus, and PAIS Index for public policy, to identify eligible studies. Data on key study characteristics, including research design, type of nutrition policy, time span of policy, child's age at outcome assessment, and types of outcomes assessed, were abstracted. Abstract screening and data abstraction were conducted in duplicate and reconciled. Results Of the 5646 abstracts screened, 83 studies were included. The majority of studies were conducted in upper-middle or high-income settings (66%, 54/83 studies) (Figure 1). Most studies were observational study design (49%, 41/83 studies), evaluated regional/sub-national policies (68%, 56/83 studies), reported on mandatory policies (71%, 59/83 studies), were related to micronutrient food fortification and/or supplementation (70%, 58/83 studies), and assessed outcomes among children <5 years of age (55%, 46/83 studies). Iodine deficiency disorders (40%, 33 studies) and neural tube defects (18%, 15 studies) were the most commonly assessed child health outcomes. The impact of policy intervention on outcomes, such as low birth weight, breastfeeding rates, vitamin A deficiencies, and child growth, were assessed less frequently. Policies were largely implemented between 1990–2000 (36%, 30/83 studies) and studies mostly evaluated effects within a year (28%, 23/83) or within 2–5 years since policy implementation (13%, 11/83 studies). Conclusions Among the studies reviewed, nutrition policies were commonly associated with improved child nutrition and health. However, current evidence is primarily based on regional studies from high-income settings evaluating the effect of micronutrient food fortification and/or supplementation policies on a narrow set of outcomes. Further research is needed to assess the impact of a broader range of nutrition policies on child health, particularly in LMICs. Funding Sources Funding for this research was provided by the 2017 SickKids Centre for Global Child Health Catalyst Grant Competition. Supporting Tables, Images and/or Graphs

scholarly journals Measuring the Impact of Bilingualism on Executive Functioning Via Inhibitory Control Abilities in Autistic Children

2021 ◽  
Author(s):  
Lewis Montgomery ◽  
Vicky Chondrogianni ◽  
Sue Fletcher-Watson ◽  
Hugh Rabagliati ◽  
Antonella Sorace ◽  
...  
Keyword(s):  
Visual Attention ◽  
Executive Functioning ◽  
Executive Functions ◽  
Inhibitory Control ◽  
Behavioural Control ◽  
Autistic Children ◽  
Diagnostic Status ◽  
Language Environment ◽  
The Impact ◽  
Important Evidence

AbstractOne factor that may influence how executive functions develop is exposure to more than one language in childhood. This study explored the impact of bilingualism on inhibitory control in autistic (n = 38) and non-autistic children (n = 51). Bilingualism was measured on a continuum of exposure to investigate the effects of language environment on two facets of inhibitory control. Behavioural control of motor impulses was modulated positively through increased bilingual exposure, irrespective of diagnostic status, but bilingual exposure did not significantly affect inhibition involving visual attention. The results partially support the hypothesis that bilingual exposure differentially affects components of inhibitory control and provides important evidence for families that bilingualism is not detrimental to their development.

Executive function processes mediate the impact of working memory impairment on intelligence in schizophrenia

2015 ◽  
Vol 30 (1) ◽  
pp. 1-7 ◽  
Author(s):  
P. Wongupparaj ◽  
V. Kumari ◽  
R.G. Morris
Keyword(s):  
Working Memory ◽  
Executive Function ◽  
Executive Functioning ◽  
Executive Functions ◽  
Structural Equation Modelling ◽  
Structural Equation ◽  
Intellectual Function ◽  
Equation Modelling ◽  
The Impact ◽  
The Relationship

AbstractObjective:The study investigated working memory, executive functions (conceptualized as response inhibition, updating, and shifting), and intelligence in schizophrenia, using structural equation modelling to determine the relationship between working memory and intelligence, testing whether specific executive functions act as a mediator for the association.Method:One hundred and twenty-five individuals diagnosed with schizophrenia and 64 healthy participants were included in the study, tested using measures of working memory, intelligence and executive functioning. Structural equation modelling (SEM) was used to estimate direct and indirect associations between main measures.Results:The schizophrenia group had significantly lower working memory, executive function and intelligence than the healthy group. The relationship between working memory and intelligence was significantly mediated by inhibition, updating and shifting functions.Conclusion:The study indicates a mediating role of executive functions in determining the association between working memory and intellectual function in schizophrenia. It is further proposed that in people with schizophrenia, cognitive remediation approaches targeting working memory through executive functioning may in turn improve intellectual function generally.

scholarly journals An exploration of the implementation of open disclosure of adverse events in the UK: a scoping review and qualitative exploration

2014 ◽  
Vol 2 (20) ◽  
pp. 1-196 ◽  
Author(s):  
Yvonne Birks ◽  
Reema Harrison ◽  
Kate Bosanquet ◽  
Jill Hall ◽  
Melissa Harden ◽  
...  
Keyword(s):  
Health Care ◽  
Adverse Events ◽  
Scoping Review ◽  
Current Evidence ◽  
Second Phase ◽  
Inclusion Criteria ◽  
Open Disclosure ◽  
Literature Reviews ◽  
The Uk ◽  
The Impact

BackgroundIn 2009 the UK National Patient Safety Agency relaunched its Being Open framework to facilitate the open disclosure of adverse events to patients in the NHS. The implementation of the framework has been, and remains, challenging in practice.AimThe aim of this work was to both critically evaluate and extend the current evidence base relating to open disclosure, with a view to supporting the implementation of a policy of open disclosure of adverse events in the NHS.MethodsThis work was conducted in three phases. The first phase comprised two focused systematic literature reviews, one summarising empirical research on the effectiveness of interventions to enhance open disclosure, and a second, broader scoping review, looking at reports of current opinion and practice and wider knowledge. The second phase involved primary qualitative research with the objective of generating new knowledge about UK-based stakeholders’ views on their role in and experiences of open disclosure. Stakeholder interviews were analysed using the framework approach. The third phase synthesised the findings from the first two phases to inform and develop a set of short pragmatic suggestions for NHS trust management, to facilitate the implementation and evaluation of open disclosure.ResultsA total of 610 papers met the inclusion criteria for the broad review. A large body of literature discussed open disclosure from a number of related, but sometimes conflicted, perspectives. Evidential gaps persist and current practice is based largely on expert consensus rather than evidence. There appears to be a tension between the existing pragmatic guidance and the more in-depth critiques of what being consistent and transparent in health care really means. Eleven papers met the inclusion criteria for the more focused review. There was little evidence for the effectiveness of disclosure alone on organisational or individual outcomes or of interventions to promote and support open disclosure. Interviews with stakeholders identified strong support for the basic principle of being honest with patients or relatives when someone was seriously harmed by health care. In practice however, the issues are complex and there is confusion about a number of issues relating to disclosure policies in the UK. The interviews generated insights into the difficulties perceived within health care at individual and institutional levels, in relation to fully implementing the Being Open guidance.ConclusionsThere are several clear strategies that the NHS could learn from to implement and sustain a policy of openness. Literature reviews and stakeholder accounts both identified the potential benefits of a culture that was generally more open (not just retrospectively open about serious harm). Future work could usefully evaluate the impact of disclosure on legal challenges within the NHS, best practice in models of support and training for open disclosure, embedding disclosure conversations in critical incident analysis and disclosure of less serious events.FundingThe National Institute for Health Research Health Services and Delivery Research programme.

scholarly journals Telemedicine interventions for hypertension management in low- and middle-income countries: A scoping review

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0254222
Author(s):  
Michael Hoffer-Hawlik ◽  
Andrew Moran ◽  
Lillian Zerihun ◽  
John Usseglio ◽  
Jennifer Cohn ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Clinical Outcomes ◽  
Scoping Review ◽  
Intervention Group ◽  
Small Sample ◽  
Current Evidence ◽  
Middle Income ◽  
Middle Income Countries ◽  
The Impact ◽  
Low And Middle Income

Hypertension remains the leading cause of cardiovascular disease worldwide and disproportionately impacts patients living in low- and middle-income countries (LMICs). Telemedicine offers a potential solution for improving access to health care for vulnerable patients in LMICs. Objectives The purpose of this scoping review was to summarize the evidence for telemedicine interventions for blood pressure management in LMICs and assess the relationships between the telemedicine intervention characteristics and clinical outcomes. Design Published studies were identified from the following databases (from their inception to May 2020): PubMed, Scopus, and Embase. Search terms related to “Low and Middle Income Countries,” “Telemedicine,” and “Hypertension” were used, and clinical outcomes were extracted from the screened articles. Results Our search resulted in 530 unique articles, and 14 studies were included in this review. Five studies assessed telemedicine interventions for patient-provider behavioral counseling, four assessed patient-provider medical management, and five assessed provider-provider consultation technologies. Out of fourteen individual studies, eleven demonstrated a significant improvement in systolic or diastolic blood pressure in the intervention group. Of the eight studies that reported difference-in-differences changes in systolic blood pressure, between-arm differences ranged from 13.2 mmHg to 0.4 mmHg. Conclusions The majority of the studies in this review demonstrated a significant reduction in blood pressure with use of the telemedicine intervention, though the magnitude of benefit was not consistently large. Limitations of the studies included small sample sizes, short duration, and intervention heterogeneity. Current evidence suggests that telemedicine may provide a promising approach to increase access to care and improve outcomes for hypertension in LMICs, especially during events that limit access to in-person care, such as the COVID-19 pandemic. However, high-quality clinical trials of sufficient size and duration are needed to establish the impact and role of telemedicine in hypertension care. The protocol for this review was not registered.

scholarly journals Association Between Executive Functioning and Functional Impairment Among Pediatric Cancer Survivors and Controls

2018 ◽  
Vol 34 (5) ◽  
pp. 599-609 ◽  
Author(s):  
Sarah J Erickson ◽  
Sarah Hile ◽  
Rebecca E Rieger ◽  
Natalia C Moss ◽  
Sarah Dinces ◽  
...  
Keyword(s):  
Executive Functioning ◽  
Executive Functions ◽  
Cancer Survivors ◽  
Functional Impairment ◽  
Pediatric Cancer ◽  
Treatment Intensity ◽  
Neurocognitive Deficits ◽  
Cross Sectional ◽  
Pediatric Cancer Survivors ◽  
The Impact

Abstract Objective To examine the impact of cancer treatment upon neurocognitive and functional impairment; and to explore the relationship between these constructs in pediatric cancer survivors compared to controls. Method A cross-sectional cohort of survivors (n = 26) and controls (n = 53) was included. Survivors were off treatment an average of 6.35 years (SD = 5.38; range 1–15 years) and demonstrated an average “medium” Central Nervous System (CNS) treatment intensity score. Participants completed measures of neurocognitive functions including intellectual assessment (RIST) and executive functions (NIH Examiner), while parents reported on children’s functional impairment (BIS). Results Survivors were similar to controls in neurocognitive ability, including intellectual and executive functions, and functional impairment. Regardless of group membership, NIH Examiner performance and functional impairment increased with age. Increased impairment was associated with different neurocognitive variables for survivors versus controls. Conclusions Research regarding functional impairment of cancer survivors and the association between neurocognitive deficits and functional impairment has been limited. Our results demonstrate that, while low treatment intensity may confer relative sparing of neurocognitive and executive functioning among survivors, functional impairment continues to be a potential risk. In conclusion, pediatric cancer survivors should be screened for functional difficulties, particularly in the areas of interpersonal relations and self-care.

scholarly journals N2b Reflects the Cognitive Changes in Executive Functioning After Concussion: A Scoping Review

2020 ◽  
Vol 14 ◽  
Author(s):  
Sophie N. Krokhine ◽  
Nathalee P. Ewers ◽  
Kiersten I. Mangold ◽  
Rober Boshra ◽  
Chia-Yu A. Lin ◽  
...  
Keyword(s):  
Head Injury ◽  
Executive Functioning ◽  
Scoping Review ◽  
Response Selection ◽  
Event Related Potential ◽  
Future Research ◽  
Cognitive Changes ◽  
Stimulus Response ◽  
Healthy Control ◽  
The Impact

Objectives: The N2b is an event-related potential (ERP) component thought to index higher-order executive function. While the impact of concussion on executive functioning is frequently discussed in the literature, limited research has been done on the role of N2b in evaluating executive functioning in patients with concussion. The aims of this review are to consolidate an understanding of the cognitive functions reflected by the N2b and to account for discrepancies in literature findings regarding the N2b and concussion.Methods: A scoping review was conducted on studies that used the N2b to measure cognitive functioning in healthy control populations, as well as in people with concussions.Results: Sixty-six articles that met inclusion criteria demonstrated that the N2b effectively represents stimulus-response conflict management, response selection, and response inhibition. However, the 19 included articles investigating head injury (using terms such as concussion, mild head injury, and mild traumatic brain injury) found widely varied results: some studies found the amplitude of the N2b to be increased in the concussion group, while others found it to be decreased or unchanged.Conclusion: Based on the available evidence, differences in the amplitude of the N2b have been linked to response selection, conflict, and inhibition deficits in concussion. However, due to large variations in methodology across studies, findings about the directionality of this effect remain inconclusive. The results of this review suggest that future research should be conducted with greater standardization and consistency.

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