Effectiveness of self-management digital interventions for improving health-related outcomes in patients with chronic obstructive pulmonary disease: an umbrella review protocol.
Ricardo Salgado, Hugo Fernandes, Véronique de Goumoëns, Blanche Kiszio, Patrício Costa, Philippe Delmas, Miguel Padilha
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引用次数: 0
Abstract
Objective: This aim of this umbrella review is to assess the effectiveness of self-management digital interventions for improving health-related outcomes in patients with chronic obstructive pulmonary disease (COPD).
Introduction: Respiratory rehabilitation programs that promote self-management are crucial for patients with COPD. However, current face-to-face strategies involve challenges, such as low participation, high dropout rates, and short-lived post-intervention benefits. Digital self-management interventions may address these issues by improving access to support and enhancing health-related outcomes. Several systematic reviews have examined the effectiveness of these interventions for improving health-related outcomes, prompting the need for an umbrella review to summarize the existing evidence.
Inclusion criteria: This review will consider systematic reviews that examine the effectiveness of self-management digital interventions for improving health-related outcomes in patients with COPD. It will not be restricted by COPD stage, phase, comorbidity, sex or gender, setting, or context.
Methods: The JBI methodology for umbrella reviews will be followed. A comprehensive search will be conducted in PubMed, Embase, Cochrane Database of Systematic Reviews, CINAHL Ultimate (EBSCOhost), PEDro, the International Network of Agencies for Health Technology Assessment, Epistemonikos, Web of Science, ProQuest Dissertations and Theses, and COPD-related websites to identify reviews published in any language, from database inception to the present. Titles and abstracts, and then full texts, will be screened independently by 2 reviewers against the inclusion criteria. Methodological quality will be assessed using the JBI critical appraisal checklist for systematic reviews and research syntheses. Data will be extracted using an adapted and piloted JBI data extraction tool. The findings will be presented in tabular format, along with narrative descriptions and visual support. A citation matrix will be produced to assess study overlap.
目的：本综述旨在评估自我管理数字干预在改善慢性阻塞性肺疾病（COPD）患者健康相关结局方面的有效性。促进自我管理的呼吸康复计划对COPD患者至关重要。然而，目前的面对面策略存在挑战，如参与率低、辍学率高、干预后效益短暂。数字自我管理干预措施可以通过改善获得支持的机会和提高与健康相关的结果来解决这些问题。几项系统综述检查了这些干预措施在改善健康相关结果方面的有效性，促使当前的总括性综述总结现有证据。纳入标准：本综述将考虑系统评价，检查自我管理数字干预在改善COPD患者健康相关结局方面的有效性。它不受COPD分期、期、合并症、性别、环境或环境的限制。方法：采用JBI方法进行总体评价。将在PubMed、Embase、Cochrane系统评价数据库、CINAHL、PEDro、国际卫生技术评估机构网络、Epistemonikos、Web of Science、ProQuest和copd相关网站进行全面搜索，以确定从成立至今以任何语言发表的评论。题目和摘要，然后是全文，将由2名审稿人根据纳入标准独立筛选。方法学质量将使用JBI关键评估清单进行系统审查和研究综合评估。数据将使用经过调整和试点的JBI数据提取工具提取。调查结果将以表格形式呈现，并附有叙述性描述和视觉支持。将产生一个引文矩阵来评估研究重叠。伞型评审注册：PROSPERO CRD42024517476。
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