A systematic review and meta-analysis to evaluate the effectiveness of physical and behavioral intervention on community dwelling older adult’s well-being

Q2 Nursing

International Journal of Africa Nursing Sciences Pub Date : 2025-01-01 DOI:10.1016/j.ijans.2025.100837

Rashida Bibi , Zhang Yan , Hamayun Khan , Fath ur Rahman , Nahed Ahmed Hussien , Imtiaz Alam

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引用次数: 0

Abstract

Background

Several lines of gerontology researches support the efficacy of physical activity, and behavioural modification interventions in a large population. However, the true impact of this kind of intervention on the subjective well-being of community-based older adults is still unknown. The purpose of this study was to evaluate the true effects of physical, and behavioral interventions on the subjective well-being (WB) of high-risk older adults.

Methods

The search process was carried out from January 2023 to May 2023; following databases were searched to pool all the relevant scientific papers: PubMed (Web of Science (1950–January 2020), Medline (2006–2021), Scopus (1978–2022), Springer (2008–2020), Science Direct (1978–2021), Google Scholar (2010–2020), and Mandalay (2014–2023). Checking the reference lists; searching for ongoing trials and research registers; and performing manual searches. Two independent authors did this, and a third independent author tested the data extraction. We adopted the PRISMA guidelines.

Results

The review included 12 randomized controlled trials (RCTs) with 2037 community-based older adults. The overall effect size of physical, and behavioral interventions on the overall subjective WB of community based older adults was −0.0274 (95 % CI: −0.6697 to 0.8950), which was statistically significant (Z = 0.03752, p.0.02075). Five studies had shown statistically significant improvements in Quality Of life (QOL) scales in the intervention group compared to the control group

Conclusion

Physical, and behavioral intervention when blended together improve the WB of community based high-risk older adults. Further research with appropriate randomization, and allocation maybe needed.

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系统回顾和荟萃分析评估身体和行为干预对社区居住老年人幸福感的有效性

背景：在大量人群中，一些老年学研究支持身体活动和行为矫正干预的有效性。然而，这种干预对社区老年人主观幸福感的真正影响仍然未知。本研究的目的是评估身体和行为干预对高危老年人主观幸福感（WB）的真实影响。方法检索时间为2023年1月~ 2023年5月；检索了以下数据库以汇集所有相关科学论文：PubMed (Web of Science（1950 - 2020年1月）、Medline（2006-2021）、Scopus（1978-2022）、施普林格（2008-2020）、Science Direct（1978-2021）、谷歌Scholar（2010-2020）和Mandalay（2014-2023）。核对参考书目；搜索正在进行的试验和研究登记；并执行手动搜索。两位独立作者完成了这项工作，第三位独立作者对数据提取进行了测试。我们通过了PRISMA指南。结果本综述纳入了12项随机对照试验（RCTs），涉及2037名社区老年人。身体和行为干预对社区老年人主观体重的总体效应值为- 0.0274 (95% CI: - 0.6697 ~ 0.8950)，差异有统计学意义（Z = 0.03752, p.0.02075）。有5项研究显示干预组与对照组相比，生活质量（QOL）量表有统计学意义上的改善。结论身体干预和行为干预相结合，可改善社区高危老年人的生活质量。可能需要进一步的研究，并进行适当的随机化和分配。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Africa Nursing Sciences Nursing-Nursing (all)

CiteScore

2.40

自引率

0.00%

发文量

114

审稿时长

21 weeks

期刊介绍： International Journal of Africa Nursing Sciences (IJANS) is an international scientific journal published by Elsevier. The broad-based journal was founded on two key tenets, i.e. to publish the most exciting research with respect to the subjects of Nursing and Midwifery in Africa, and secondly, to advance the international understanding and development of nursing and midwifery in Africa, both as a profession and as an academic discipline. The fully refereed journal provides a forum for all aspects of nursing and midwifery sciences, especially new trends and advances. The journal call for original research papers, systematic and scholarly review articles, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing as related to nursing and midwifery in Africa, technical reports, and short communications, and which will meet the journal''s high academic and ethical standards. Manuscripts of nursing practice, education, management, and research are encouraged. The journal values critical scholarly debate on issues that have strategic significance for educators, practitioners, leaders and policy-makers of nursing and midwifery in Africa. The journal publishes the highest quality scholarly contributions reflecting the diversity of nursing, and is also inviting international scholars who are engaged with nursing and midwifery in Africa to contribute to the journal. We will only publish work that demonstrates the use of rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of nursing and midwifery as it relates to the Africa context.