JBI evidence synthesis最新文献

{"title":"Physical activity-based interventions in the management of dementia or cognitive impairment in Sub-Saharan Africa: a scoping review protocol.","authors":"Michael C Ibekaku, Lawrence Adebusoye, Lori Weeks, Parisa Ghanouni, Nazanin Nasiri, Onyekere C Prince, Caitlin McArthur","doi":"10.11124/JBIES-24-00504","DOIUrl":"https://doi.org/10.11124/JBIES-24-00504","url":null,"abstract":"<p><strong>Objective: </strong>This scoping review aims to map the existing literature on physical activity-based interventions for the management of dementia and cognitive impairment in sub-Saharan Africa.</p><p><strong>Introduction: </strong>Dementia and cognitive impairment are growing public health concerns in sub-Saharan Africa, where the number of affected individuals is expected to rise significantly. Given the high rate of dementia underdiagnosis in this region, many individuals experiencing cognitive decline may not have a formal dementia diagnosis. Physical activity-based interventions, conceptualized in this review as both structured exercise programs (eg, aerobic training, resistance exercises) and unstructured physical activities (eg, walking, dancing, or daily movement-based activities), are increasingly used in cognitive impairment dementia care. However, most research in this area has been conducted other regions, with limited knowledge of how these interventions are applied in sub-Saharan African countries.</p><p><strong>Inclusion criteria: </strong>The review will include studies focusing on individuals with dementia or cognitive impairment, where physical activity-based interventions are implemented. The setting will be sub-Saharan African countries, with no restrictions on the language and date of publication.</p><p><strong>Methods: </strong>The review will follow the JBI methodology for scoping reviews and adhere to the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). A comprehensive search will be conducted in PubMed, CINAHL, PsycINFO, SPORTDiscus, Scopus, Embase, and African Journals Online databases. Gray literature sources, including Google Scholar and Database of African Theses and Dissertations-Research (DATAD-R), will also be searched. Data will be charted and summarized descriptively, with the results presented in narrative and visual formats.</p><p><strong>Review registration: </strong>Open Science Framework https://osf.io/gz65k.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of health literacy interventions on the knowledge, skills, and attitudes in community health workers: a systematic review protocol.","authors":"Kerwyn Jim C Chan, Jeriel R De Silos, Madelyn A Gabrieles, Michael Justin S Valles","doi":"10.11124/JBIES-25-00035","DOIUrl":"https://doi.org/10.11124/JBIES-25-00035","url":null,"abstract":"<p><strong>Objective: </strong>This systematic review aims to evaluate the effectiveness of health literacy interventions compared to standard or usual educational practices on the knowledge, skills, and attitudes in community health workers.</p><p><strong>Introduction: </strong>Health literacy plays a crucial role in improving personal and societal health outcomes. Community health workers, who serve as cultural mediators and health educators in communities, often face gaps in formal training on health literacy. Addressing this need through evidence-based interventions is essential to enhance their competencies and support their critical roles in health care systems worldwide.</p><p><strong>Inclusion criteria: </strong>The review will consider experimental and quasi-experimental studies, including randomized controlled trials, cohort studies, and cross-sectional studies. Studies evaluating health literacy interventions, such as training, workshops, or seminars, delivered through any modality and language will be included. Primary outcomes include community health workers' health literacy knowledge assessed through validated measures. Secondary outcomes include skills in obtaining and processing health information and health literacy attitudes.</p><p><strong>Methods: </strong>Databases including PubMed, Embase, and CINAHL will be searched, along with gray literature sources such as ClinicalTrials.gov. Screening of reports and assessment of methodological quality will be done by at least 2 independent reviewers. Data synthesis will involve meta-analysis, where appropriate, with subgroup analyses based on socioeconomic status, intervention duration, and delivery modality. Alternative synthesis methods will be used if statistical pooling is not possible. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach will be used to assess the certainty of findings.</p><p><strong>Review registration: </strong>PROSPERO ID CRD42025639226.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of silver diamine fluoride application with atraumatic restorative treatment in arresting the progression of dental caries in children and adults: a systematic review and meta-analysis.","authors":"Anju Varughese, Chandrashekhar Janakiram, Vineetha Karuveettil, Anju James","doi":"10.11124/JBIES-24-00299","DOIUrl":"https://doi.org/10.11124/JBIES-24-00299","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This systematic review aimed to evaluate the effectiveness of the application of silver diamine fluoride (SDF) with atraumatic restorative treatment (ART) in arresting the progression of dental caries in cavitated primary or permanent teeth compared with any other caries-arresting treatment.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Dental caries is the most prevalent oral disease globally. Patient-friendly, minimally invasive therapeutic interventions are needed to prevent caries progression and restore cavitated caries lesions cost-effectively. This review assessed the effectiveness of the silver diamine fluoride with atraumatic restorative treatment (SDF-ART technique) in cavitated primary and permanent dentition.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Inclusion criteria: &lt;/strong&gt;Participants of any age with cavitated dental caries lesions in either coronal or root caries of primary or permanent teeth according to International Caries Detection and Assessment System criteria were included. Tooth restoration with direct pulp capping was excluded. Eligible randomized controlled trials included primary or permanent teeth treated with the SDF-ART technique compared with a control, such as SDF application only, ART only, restoration using composite or topical application of other fluoride, placebo, or no interventions. The primary outcome assessed was caries arrest.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;The review details were registered in PROSPERO, following which a primary search was conducted in MEDLINE (Ovid), Scopus, Cochrane Central Register of Controlled Trials, Dentistry and Oral Sciences Source, CINAHL (EBSCOhost), Web of Science Core Collection, ProQuest Dissertations and Theses, and Google Scholar. The search date was from January 2016 until March 31, 2024. Data was extracted from included studies regarding the main outcome variable: caries arrest. Critical appraisal was done by 2 independent reviewers to evaluate methodological quality using the JBI Critical Appraisal Checklist for Randomized Controlled Trials. The random-effects model was employed in meta-analysis. The certainty of the evidence was assessed using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach, and a Summary of Findings was created.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;After removal of duplicates, 638 records were retrieved from the databases. After screening against the inclusion criteria, 7 studies were selected for narrative synthesis after meeting the eligibility criteria requirements. A total of 611 children between 3 and 13 years were included for descriptive analysis. A meta-analysis of 4 studies, with a total sampling unit of 1085 teeth, showed no significant difference in clinical effectiveness of SDF-ART compared with ART alone for caries arrest at 12-month recall (odds ratio 0.84; 95% CI 0.64, 1.11; P=0.215), and the evidence was graded very low. Similarly, pooled results from 2 studies with a sample size of 879 teeth at 24-mo","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics of respiratory rehabilitation programs for people with Parkinson's disease: a scoping review.","authors":"Ricardo Filipe de Moura Loureiro, Elaine Dos Santos Santana, Filipa Margarida Gonçalves Duque, Rafael Alves Bernardes, Filipa Isabel Quaresma Ventura, Rosa Carla Gomes da Silva, Albertina Lima de Oliveira, Margarida Pedroso de Lima, Maria de Lurdes Ferreira de Almeida, Daniela Filipa Batista Cardoso, Ana Filipa Dos Reis Marques Cardoso","doi":"10.11124/JBIES-24-00183","DOIUrl":"https://doi.org/10.11124/JBIES-24-00183","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;The objective of this review was to map the characteristics of respiratory rehabilitation programs for people with Parkinson's disease.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Parkinson's disease is a progressive and heterogeneous neurodegenerative disease. Respiratory dysfunction is highly prevalent in people with Parkinson's disease and is a major contributor to morbidity and mortality. People with Parkinson's disease may experience respiratory dysfunction such as ineffective coughing and dyspnea. Complications, such as atelectasis and respiratory infections, significantly impact their self-care and quality of life. To mitigate its impact on people's lives, various respiratory rehabilitation programs have been developed and implemented. Many studies have examined this topic, yet respiratory rehabilitation programs vary significantly in structure and evaluated outcomes.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Inclusion criteria: &lt;/strong&gt;We considered for inclusion studies focused on respiratory rehabilitation programs implemented to prevent or target one or more symptoms for adults (18 years and older) with Parkinson's disease, regardless of the disease stage. The programs could be provided by any health professional in any health care setting.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;We conducted a scoping review following JBI methodology and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews (PRISMA-ScR). Published and unpublished literature were considered for inclusion. A literature search was conducted across PubMed, CINAHL Complete (EBSCOhost), Cochrane Central Register of Controlled Trials (EBSCOhost), the Cochrane Database of Systematic Reviews (EBSCOhost), Scielo, Scopus, PEDro, and ClinicalTrials.gov. Unpublished studies were identified via Google Scholar, DART-Europe, and MedNar. All search strategies were conducted on April 24, 2023. Sources published in English, Spanish, and Portuguese were included and no date restrictions were applied. Study selection and data extraction, were conducted independently by 2 reviewers using a standardized extraction tool.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Thirty-three studies published between 2001 and 2023 were included. Studies were conducted in USA, Brazil, Turkey, Chile, Australia, Taiwan, Czechia, Italy, Republic of Korea, Germany, India, and Israel. The sample sizes ranged from 1 participant to 75 participants. The combined sample size of all studies totals 1007 participants. Most programs integrate respiratory muscle strength training using devices, targeting people with Parkinson´s disease in Hoehn and Yahr scale stages I-III. Speech-language pathologists, physiotherapists, and medical doctors were the health professionals responsible for delivering these programs in home-based or clinical settings. A broad spectrum of outcomes related to respiratory function was reported. Additionally, the studies assessed other outcomes such as quality of life, func","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of alternative exercises in cardiac rehabilitation for program completion and outcomes in women with or at high risk of cardiovascular disease: a systematic review and meta-analysis.","authors":"Orathai Suebkinorn, Joyce S Ramos, Sherry L Grace, Lemlem G Gebremichael, Norma B Bulamu, Maria Alejandra Pinero de Plaza, Hila Ariela Dafny, Vincent Pearson, Lemma N Bulto, Roufei Trophy Chen, Siwanon Rattanakanokchai, Gabriela L M Ghisi, Tania Marin, Katie Nesbitt, Aarti Gulyani, Sonia Hines, Lance C Dalleck, Jeroen M Hendriks, Robyn A Clark, Alline Beleigoli","doi":"10.11124/JBIES-24-00457","DOIUrl":"10.11124/JBIES-24-00457","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This systematic review aimed to evaluate the effectiveness of alternative exercises within a cardiac rehabilitation (CR) program compared to traditional gym-based exercises or usual care. The focus was on CR completion and outcomes in women.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;CR programs generally offer traditional gym-based exercises, including treadmill exercises, cycling on ergometers, and conventional resistance training. However, these exercises may not be suitable for all individuals, particularly women with chronic musculoskeletal conditions. Alternative exercises, such as yoga, Pilates, tai chi, Nordic walking, and dancing, have been suggested as safer and more enjoyable options, potentially increasing CR completion rates among women. However, the evidence on the effectiveness of alternative exercises for improving CR completion and other health outcomes for women remains limited.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Inclusion criteria: &lt;/strong&gt;This systematic review included randomized controlled trials (RCTs) evaluating the effects of alternative exercises in a CR program that recruited at least 50% women participants. Studies were eligible if they included women aged 18 years and over, diagnosed with cardiovascular disease (CVD) or at high risk of CVD, and participating in an exercise-based CR program. Exercise-based CR programs were defined as interventions for secondary prevention of CVD or for reducing CVD risk in high-risk patients. Alternative exercises could be supervised or unsupervised exercises other than traditional gym-based exercises. Eligible comparators included gym-based exercises, exercise education only, or usual care. The primary outcome was CR completion.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;The following databases were searched from inception to January 15, 2024: MEDLINE (Ovid), CINAHL (EBSCOhost), the Cochrane Central Register of Controlled Trials, Embase (Ovid), Emcare (Ovid), Scopus, Web of Science, LILACS, and PsycINFO (Ovid). At least 2 reviewers independently screened titles and abstracts, and full texts for inclusion. Two reviewers independently assessed the methodological quality and certainty of evidence of included studies using the JBI Critical Appraisal Checklist for Randomized Controlled Trials and the Grading of Recommendations Assessment, Development and Evaluation (GRADE), respectively. Meta-analyses with random-effects models were conducted for data synthesis.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Eight RCTs were included involving 398 women. Alternative exercises (yoga, tai chi, stepping exercises, Nordic walking, outdoor walking, and aerobic dance) had little to no effect on women's CR completion compared to usual care (risk ratio [RR] 1.02; 95%CI 0.87 to 1.20; 2 trials; 51 participants; I2 =0%, very low certainty of evidence). These alternative exercises may result in improved systolic blood pressure, diastolic blood pressure, body weight, and 6-minute walk test at ≤12 weeks follow-up. Alternativ","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":"1041-1076"},"PeriodicalIF":1.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143989134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of self-management digital interventions for improving health-related outcomes in patients with chronic obstructive pulmonary disease: an umbrella review protocol.","authors":"Ricardo Salgado, Hugo Fernandes, Véronique de Goumoëns, Blanche Kiszio, Patrício Costa, Philippe Delmas, Miguel Padilha","doi":"10.11124/JBIES-24-00195","DOIUrl":"10.11124/JBIES-24-00195","url":null,"abstract":"<p><strong>Objective: </strong>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).</p><p><strong>Introduction: </strong>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.</p><p><strong>Inclusion criteria: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Review registration: </strong>PROSPERO CRD42024517476.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":"1246-1256"},"PeriodicalIF":1.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcomes associated with family presence at the bedside of critically ill children in the pediatric intensive care unit: a scoping review.","authors":"Nicole Fakhory, Kaleigh Lang, Molly Ryan, Laurie A Lee, Jamie A Seabrook, Martha Walls, Corey Slumkoski, Jennifer R Foster","doi":"10.11124/JBIES-23-00554","DOIUrl":"10.11124/JBIES-23-00554","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;The objective of this review is to identify the outcomes of family presence in pediatric intensive care units (PICUs) that have been studied and reported in the literature.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;PICU admission can be traumatic for children and their families. While family presence at the patient bedside is recommended to support family participation and engagement in care and is supported in recent family-centered care guidelines, it is not consistently optimized. To guide family presence research, a scoping review is needed to identify outcomes associated with family presence.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Inclusion criteria: &lt;/strong&gt;This review included quantitative, qualitative, and mixed methods studies published from 1960 to 2022 that reported outcomes of family presence at the bedside in the PICU for patients, their family members, and PICU health care professionals (HCPs).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Following JBI methodology for scoping reviews, we searched MEDLINE (Ovid), PsycINFO (EBSCOhost), CINAHL (EBSCOhost), Embase, as well as 16 sources of gray literature for studies that addressed outcomes of family presence at the bedside in the PICU as they relate to the key participants. Two independent reviewers screened titles and abstracts, followed by full texts of selected records according to the inclusion criteria. A priori, we identified categories of outcomes (biologic, psychologic, social, caring behavior) and key groups (HCPs, patients, families) to which the outcomes may apply. Data were extracted by 2 independent reviewers using a data extraction tool developed by the study team. Data were presented in tabular format to address findings related to the review objectives.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;We identified 12,411 records through database searches, backward reference chaining, and gray literature searching. We removed 3012 duplicates, excluded 9244 records at the title and abstract review, and excluded 92 reports after full-text review. We extracted data from 62 studies of which 12 were mixed methods, 25 were quantitative, and 25 were qualitative, spanning from 1982 to 2022.Of 46 unique outcomes, 40 studies addressed 28 outcomes for family members (13 psychologic, 8 social, 5 biologic, 2 caring behaviors; stress was the most common, reported in 11 studies). Twenty studies addressed 16 outcomes for patients (7 psychologic, 6 biologic, 2 caring behaviors, 1 other; out-of-bed mobilization was the most common, reported in 4 studies). Ten studies addressed 8 outcomes for HCPs (3 psychologic, 3 caring behaviors, 1 social, 1 \"other\"; procedural performance was the most common, reported in 3 studies). Overall, the most common biologic outcome reported was sleep (7 studies; 6 for family members and 1 for patients); the most common psychologic outcome reported was stress (13 studies; 11 for family members and 2 for HCPs); the most common social outcomes reported were role changes (4 studies; all 4 f","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":"1150-1190"},"PeriodicalIF":1.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors affecting decisions to use antibiotic-sparing treatment approaches in women with uncomplicated urinary tract infections: a scoping review protocol.","authors":"Stefania Di Gangi, Stefan Neuner-Jehle, Robin Baumann, Andreas Plate","doi":"10.11124/JBIES-24-00159","DOIUrl":"10.11124/JBIES-24-00159","url":null,"abstract":"<p><strong>Objective: </strong>This scoping review will explore the evidence on factors influencing the decision to use antibiotic-sparing treatments in women with uncomplicated urinary tract infections.</p><p><strong>Introduction: </strong>Overuse and misuse of antibiotics are the main drivers of antimicrobial resistance. Antibiotic-sparing treatments, such as symptomatic treatment with analgesics and delayed prescriptions, have considerable potential to reduce antibiotic consumption, but the majority of patients still receive antibiotics without delay. The reasons for the poor implementation of these alternative approaches are unknown. A better understanding of the factors influencing treatment decisions is needed.</p><p><strong>Inclusion criteria: </strong>This review will consider the experiences and attitudes of health care professionals and women in outpatient settings in high-income countries, regarding the use of antibiotic-sparing treatments for the diagnosis or suspected diagnosis of uncomplicated urinary tract infections (ie, healthy women aged 18-64 years who are not pregnant, immunosuppressed, and have no functional or structural urinary tract abnormalities).</p><p><strong>Methods: </strong>This review will follow the JBI methodology for scoping reviews. MEDLINE (Ovid), Embase, and the Cochrane Library will be searched to identify peer-reviewed articles: original research (quantitative or qualitative studies, experimental, or observational), reviews, case reports, and case series. Gray literature will also be searched for. Sources in any language from 2000 to 2024 will be included. Three reviewers will screen the sources and extract data using a tool developed by the reviewers. The analysis will use counts and descriptive qualitative content analysis. The results will be presented in visual, tabular, and narrative formats.</p><p><strong>Review registration: </strong>Open Science Framework osf.io/t8y5e/.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":"1266-1273"},"PeriodicalIF":1.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of combined physical and psychological interventions for anxiety and depression symptoms in adult patients with chronic obstructive pulmonary disease: a systematic review protocol.","authors":"Sílvia Ramos, Aramid Gomes, Ana Rosinhas, Rosa Silva, Margarida Goes, Francisco Sampaio","doi":"10.11124/JBIES-24-00335","DOIUrl":"10.11124/JBIES-24-00335","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this review is to evaluate the effectiveness of combined physical and psychological interventions for anxiety and depression symptoms in adult patients with chronic obstructive pulmonary disease (COPD).</p><p><strong>Introduction: </strong>By 2030, COPD is expected to be the third-leading cause of death and the seventh-leading cause of health problems in terms of overall health impact, measured in disability-adjusted life years. As with other comorbidities, anxiety and depressive disorders influence the prognosis. Combined physical and psychological interventions may have better results than isolated interventions for symptoms of anxiety and depression in patients with COPD.</p><p><strong>Inclusion criteria: </strong>Studies of adult patients with COPD and anxiety and depression symptoms who have undergone combined physical and psychological interventions will be considered for inclusion. This review will primarily include randomized controlled trials.</p><p><strong>Methods: </strong>Articles will be searched in CINAHL (via EBSCOhost), Cochrane Central Register of Controlled Trials, Academic Search Complete, Psychology and Behavioral Sciences Collection (via EBSCOhost), APA PsycINFO, PubMed, Web of Science Core Collection, and Scopus. Two independent reviewers will select the studies and apply the JBI tools for critical appraisal and data extraction. Studies will be pooled in a meta-analysis whenever possible. The χ 2 test and I 2 statistics will be the standard tools for assessing heterogeneity. Statistical analyses will be carried out using the random-effects model. The fixed-effects model will be applied if there is low heterogeneity between included studies ( I 2  < 50, or P ≥ 0.5). The Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) approach will be used to grade the certainty of the evidence, and a Summary of Findings will be presented.</p><p><strong>Review registration: </strong>PROSPERO CRD42024550523.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":"1228-1235"},"PeriodicalIF":1.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Simulated clinical placements in health care education: a scoping review and evidence and gap map protocol.","authors":"Danielle Pollock, Charles Marley, Grace McBride, Mafalda Dias, Raju Kanukula, Sabira Hasanoff, Carrie Price, Matthew Tieu, Adam Montagu, Zachary Munn, Ellen Davies","doi":"10.11124/JBIES-24-00298","DOIUrl":"10.11124/JBIES-24-00298","url":null,"abstract":"<p><strong>Objective: </strong>This protocol details the methods for a scoping review that will examine the evidence on the design, implementation, delivery, and evaluation of simulated clinical placements.</p><p><strong>Introduction: </strong>Clinical placements allow health professions students to apply theoretical knowledge in clinical settings. For various economical, practical, and preferential reasons, some programs and institutions have trialed and established simulated clinical placements.</p><p><strong>Inclusion criteria: </strong>The review will include sources that have examined the design, implementation, delivery, and evaluation of simulated clinical placements in tertiary undergraduate and postgraduate education programs for health professions. Primary research studies, evidence syntheses, discussion articles, and commentaries will be included.</p><p><strong>Methods: </strong>The review will be conducted according to the JBI guidance for scoping reviews and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). The following electronic databases will be searched: PubMed (NCBI), Embase (Elsevier), CINAHL Plus with Full Text (EBSCOhost), and PsycINFO (EBSCOhost). Forward and backward citation searching of the included evidence sources will be conducted. At least 2 reviewers will assess sources for eligibility at title and abstract, and full-text screening stage, and extract data from included sources. Data will be analyzed using qualitative content analysis and frequencies and will be presented as a narrative summary. Data will also be presented in an evidence and gap map, and as tables and other visual summaries.</p><p><strong>Review registration: </strong>Open Science Framework https://osf.io/dy4g6.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":"1207-1220"},"PeriodicalIF":1.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143493902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}