International Journal of Nursing Studies最新文献

{"title":"The use of gamified interventions to enhance social interaction and communication among people with autism spectrum disorder: A systematic review and meta-analysis","authors":"Tingxuan Wang , Haixia Ma , Haoyan Ge , Yuying Sun , Tyrone Tai-On Kwok , Xianliang Liu , Yanping Wang , Way Kwok Wai Lau , Wen Zhang","doi":"10.1016/j.ijnurstu.2025.105037","DOIUrl":"10.1016/j.ijnurstu.2025.105037","url":null,"abstract":"<div><h3>Background</h3><div>Traditional gamified interventions and serious games have been widely employed by therapists and researchers working with people with autism spectrum disorder. Recent studies have also indicated a trend towards technology-based gamification for training behavioral and social skills in autistic people. Nevertheless, the effectiveness of these gamified interventions in enhancing social interaction and communication outcomes among autistic people remains unclear.</div></div><div><h3>Objective</h3><div>This systematic review and meta-analysis of existing gamified interventions focused on people with autism spectrum disorder aimed to provide an overview of commonly used gamification elements and features for enhancing their social interaction and communication outcomes.</div></div><div><h3>Methods</h3><div>A total of 11 bibliographic databases were systematically searched from inception to April 2024. Experimental studies, including but not limited to randomized controlled trials, quasi-experimental studies (e.g., non-randomized studies, pre-post studies), and pilot studies. Medical Subject Heading terms, keywords, and free words such as ‘ASD’, ‘gamification’, and ‘social interaction and communication’ were used for the search. The extracted data were subjected to a narrative synthesis, and the study outcomes were subjected to a meta-analysis. Gamified elements were classified based on the most widely adopted gamification elements for learning purposes.</div></div><div><h3>Results</h3><div>Twenty studies involving 349 participants were eligible. Of 297 participants included for descriptive synthesis, 246 (82.8 %) were male, with a mean age at study entry of 11.55 years. Children and adolescents with autism spectrum disorder were the most common target populations (k = 19, 95 %), followed by the general adult population (k = 1, 5 %). Two main themes related to the application of gamification interventions emerged from the included studies: the augmentation of engagement in the intervention and the amplification of the desired interventional outcomes. Commonly used gamification elements included feedback (k = 10, 50 %), rewards (k = 10, 50 %), custom learning (k = 9, 45 %), monitoring (k = 9, 45 %), and personalization (k = 8, 40 %). Four of the included studies applied 5–7 elements in their interventions. Five studies were included in the meta-analysis, showing a positive overall effect of gamified interventions on social interaction and communication (pooled standardized mean difference: 0.46; 95 % CI 0.08, 0.85; I<sup>2</sup> 0%).</div></div><div><h3>Conclusion</h3><div>This study offers a comprehensive review of gamification elements and gamified interventions currently used in social interaction and communication skills among people with autism spectrum disorder. The potential benefits of included studies targeting social interaction and communication skills highlight the need for further in-depth investigation in this ","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"165 ","pages":"Article 105037"},"PeriodicalIF":7.5,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143535007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effects of a salutogenic strength-based intervention on sense of coherence and health outcomes in newly diagnosed HIV-positive MSM: A randomized controlled trial","authors":"Jianhai Long , Qin Jiang , Fei Ye , Sushun Liu , Yamin Li , Mimi Zhai","doi":"10.1016/j.ijnurstu.2025.105036","DOIUrl":"10.1016/j.ijnurstu.2025.105036","url":null,"abstract":"<div><h3>Background</h3><div>Newly diagnosed HIV-positive men who have sex with men (MSM) often face significant psychological stress, resulting in a high prevalence of issues such as anxiety and depression. Sense of coherence, an internal strength factor, is known to offer protective effect against health challenges. However, interventions specifically designed to enhance sense of coherence in this population remain limited.</div></div><div><h3>Objective</h3><div>To evaluate the effectiveness of the salutogenic strength-based intervention in enhancing sense of coherence as the primary outcome and improving related health outcomes as secondary outcomes, including stress, depression, and antiretroviral therapy adherence, CD4<sup>+</sup> <!-->T cell count and viral load, among newly diagnosed HIV-positive men who have sex with men.</div></div><div><h3>Design</h3><div>This randomized controlled trial involved random assignment of participants to either the intervention or control group in a 1:1 ratio.</div></div><div><h3>Setting</h3><div>Participants were recruited through Changsha First Hospital and Changsha Zhongda Sunshine Social Work Service Center.</div></div><div><h3>Participants</h3><div>A total of 70 participants were included in the study.</div></div><div><h3>Methods</h3><div>The intervention group participated in an 8-week “Towards the Sun” program delivered via the WeChat platform, while the control group received standard follow-up care. Outcomes were measured at baseline (T1), post-intervention (T2), and three months post-intervention (T3). Generalized Estimating Equations were used to analyze the intervention effects over time.</div></div><div><h3>Results</h3><div>The intervention group demonstrated a significant increase in sense of coherence scores from T1 to T3 (ME = 10.23, 95%CI 7.14–13.31, <em>p</em> < 0.001), whereas the control group showed a declining trend from T1 to T3 (ME = -7.35, 95%CI -10.39- -4.32, <em>p</em> < 0.001). Stress in the intervention group significantly decreased at T3 compared to T1 (ME = −<!--> <!-->3.66, 95%CI -5.56- -1.76, <em>p</em> < 0.001), while the control group experienced a significant increase (ME = 1.93, 95%CI 0.06–3.80, <em>p</em> = 0.043). Additionally, depression only increased in the control group (ME = 3.17, 95%CI 1.53–4.81, <em>p</em> < 0.001) and was significantly lower in the intervention group than that in the control group at T3 (ME = -3.21, 95%CI -5.76-0.65, <em>p</em> = 0.014). Antiretroviral therapy adherence remained stable in the intervention group but declined significantly in the control group (ME = -1.31, 95%CI -2.10- -0.52, <em>p</em> = 0.001). No significant differences were found between groups regarding CD4<sup>+</sup> T cell count or viral load.</div></div><div><h3>Conclusions</h3><div>The salutogenic strength-based intervention significantly enhanced sense of coherence, reduced stress and depression, and maintained antiretroviral therapy adherence among newly di","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"165 ","pages":"Article 105036"},"PeriodicalIF":7.5,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143578662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Energy conservation education intervention for people with end-stage kidney disease receiving haemodialysis (EVEREST): A two-arm parallel group study","authors":"Sita Sharma , Kimberly E. Alexander , Theresa Green , Min-Lin Wu (Winnie) , Ann Bonner","doi":"10.1016/j.ijnurstu.2025.105032","DOIUrl":"10.1016/j.ijnurstu.2025.105032","url":null,"abstract":"<div><h3>Background</h3><div>Fatigue is a common symptom in kidney failure and impacts on health-related quality of life. Educational interventions involving energy conservation strategies have effectively reduced fatigue in people with other chronic diseases.</div></div><div><h3>Objective</h3><div>To evaluate the effectiveness of an energy conservation education intervention for people with kidney failure receiving haemodialysis (EVEREST).</div></div><div><h3>Design</h3><div>A two-arm parallel group study with haemodialysis shift randomisation.</div></div><div><h3>Methods</h3><div>Recruitment commenced in April 2022 and included 126 participants receiving haemodialysis who met the eligibility criteria. They were randomised based on haemodialysis shifts. The intervention group received a structured energy conservation education program plus usual care over 12 weeks. The control group received the usual care. The energy conservation education program consisted of three individual face-to-face educational sessions, one booster session, and a booklet. Outcomes were fatigue, other chronic kidney disease (CKD) symptoms, occupational performance, and health-related quality of life. Data were collected at baseline, week 4, week 8, and week 12. Intention-to-treat analysis was used.</div></div><div><h3>Results</h3><div>Participants who received the energy conservation education program showed a significant reduction in fatigue severity (mean difference [MD] = −<!--> <!-->1.88, 95 % confidence intervals [CI] [−<!--> <!-->2.36 to −<!--> <!-->1.40], <em>p</em> < .001), fatigue interference (MD = -1.52, 95 % CI [−<!--> <!-->2.02 to −<!--> <!-->1.02], <em>p</em> < .001), number of fatigue days (MD = -1.12, 95 % CI [−<!--> <!-->1.60 to −<!--> <!-->0.64], <em>p</em> < .001), and percent of day fatigued (MD = -18.47, 95 % CI [−<!--> <!-->23.60 to −<!--> <!-->13.34], <em>p</em> < .001) at week 8 compared to the control group. At week 12, medium to large effect sizes for fatigue severity (effect size [ES] = 2.37, <em>p</em> < .001), fatigue interference (ES = 1.68, <em>p</em> < .001), number of fatigue days (ES = 0.74, <em>p</em> < .001), and percent of day fatigued (ES = 2.10, <em>p</em> < .001) were observed in the intervention group compared to the control group. Similarly, significant improvements were detected in the CKD symptom (ES = 1.49, <em>p</em> < .001), occupational performance (ES = 1.17, <em>p</em> < .001), and satisfaction with the performance (ES = 1.59, <em>p</em> < .001) in the intervention group compared to the control group. A significant effect was seen for health-related quality of life in the intervention group [physical health (ES = 2.14, <em>p</em> < .001) and mental health (ES = 2.06, <em>p</em> < .001)] at week 12 compared to the control group.</div></div><div><h3>Conclusions</h3><div>The energy conservation education program was successful in reducing fatigue in the haemodialysis population. This si","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"166 ","pages":"Article 105032"},"PeriodicalIF":7.5,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143632229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative effect of nonpharmacological interventions on emergence delirium prevention in children following sevoflurane general anesthesia: A systematic review and network meta-analysis of randomized controlled trials","authors":"Yi-Chen Chen , Jann Foster , Iftitakhur Rohmah , Virginia Schmied , Anne Marks , Man-Ling Wang , Hsiao-Yean Chiu","doi":"10.1016/j.ijnurstu.2025.105035","DOIUrl":"10.1016/j.ijnurstu.2025.105035","url":null,"abstract":"<div><h3>Background</h3><div>Children receiving general anesthesia while undergoing surgery have a significantly high incidence of emergence delirium (ED). Nonpharmacological interventions yield beneficial effects on preventing pediatric ED. However, the relative effects of nonpharmacological interventions on pediatric ED prevention based on various perioperative phases remain unknown.</div></div><div><h3>Objective</h3><div>To compare the effects of nonpharmacological interventions on pediatric ED prevention at different surgical phases.</div></div><div><h3>Design</h3><div>A systematic review and network meta-analysis.</div></div><div><h3>Data sources</h3><div>A comprehensive search of five electronic databases (PubMed, CINAHL via EBSCOhost, Embase via Elsevier, Cochrane Trials, and ProQuest Dissertations and theses) for identifying randomized control trials published from inception to October 15, 2023.</div></div><div><h3>Methods</h3><div>Two reviewers independently screened, assessed, and extracted data from the eligible studies. A random-effects network meta-analysis was used to determine the comparative effect of nonpharmacological interventions on preventing pediatric ED.</div></div><div><h3>Results</h3><div>A total of 19 studies involving 2522 children were included in this network meta-analysis. Thirteen studies reported on the prevention of pediatric ED in the preoperative phase, and six studies reported on the prevention of pediatric ED in the intraoperative phases. Multimedia devices (OR 0.39, 95 % CIs 0.20–0.74), a multicomponent program (OR 0.20, 95 % CI 0.14–0.28) significantly reduced the incidence of pediatric ED during the preoperative phase compared with usual care. During the intraoperative phase, listening to regular heartbeat sounds significantly reduced the risk of pediatric ED compared with usual care (OR 0.06, 95 % CI 0.02–0.22), placebo (OR 0.11, 95 % CI 0.03–0.36), acupuncture (OR 0.17, 95 % CI 0.03–0.88), acupuncture with electrical stimulus (OR 0.16, 95 % CI 0.04–0.68), and acupuncture with midazolam (OR 0.04, 95 % CI 0.00–0.41).</div></div><div><h3>Conclusions</h3><div>Our study results suggest that the multicomponent program and listening to heartbeat sounds are relatively effective nonpharmacological interventions for preventing pediatric ED during the perioperative phase. This study compared the effectiveness and ranking of various interventions, and the findings can serve as a guide to assist health professionals in choosing the optimal strategy for preventing ED.</div></div><div><h3>Registration</h3><div>The study protocol was registered at PROSPERO (CRD42023459541).</div><div><strong>Tweetable abstract:</strong> Nonpharmacological interventions can reduce the high incidence of pediatric emergence delirium after surgery. Our systematic review highlights the efficacy of multicomponent programs and listening to heartbeat sounds intraoperatively in reducing ED risk. The findings aid health professionals in selecting ","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"165 ","pages":"Article 105035"},"PeriodicalIF":7.5,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143578663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of a low-intensity nurse-led lifestyle intervention on glycaemic control in individuals with prediabetes: The PREDIPHONE randomized controlled clinical trial","authors":"María Arias-Fernández , Aina Huguet-Torres , Manuela Abbate , Sergio Fresneda , Marina Torres-Carballo , Ana Carvalho-Azevedo , Aina M. Yañez , Miquel Bennasar-Veny","doi":"10.1016/j.ijnurstu.2025.105034","DOIUrl":"10.1016/j.ijnurstu.2025.105034","url":null,"abstract":"<div><h3>Background</h3><div>Lifestyle changes can effectively prevent diabetes onset in individuals with prediabetes. Although nurse-led interventions have proven to be cost-effective and feasible in the management of diabetes and hypertension in primary care, low-intensity lifestyle interventions for people with prediabetes led by nurses remain poorly evaluated.</div></div><div><h3>Objective</h3><div>To assess whether a low-intensity nurse-led telephone lifestyle intervention is effective in reducing fasting plasma glucose levels in individuals with prediabetes.</div></div><div><h3>Design</h3><div>A two-arm, parallel, randomized controlled clinical.</div></div><div><h3>Settings</h3><div>Five Primary Care Centres in the Balearic Islands, Spain.</div></div><div><h3>Participants</h3><div>A total of 206 participants were enrolled, 103 in each group.</div></div><div><h3>Methods</h3><div>Consenting participants aged 25–75 years, with fasting plasma glucose levels of 100–125 mg/dL, and body mass index ≥<!--> <!-->27 and < 40 kg/m2 were randomly assigned (1:1) to either a 9-month nurse-led telephone lifestyle intervention (intervention) or short text messages with general lifestyle advice (control). Research staff and the statistician were masked to group allocation. The primary outcome was fasting plasma glucose at 9-month follow-up, analyzed per protocol and by intention-to-treat.</div></div><div><h3>Results</h3><div>Among the 206 participants (103 in each group), 189 (91·8 %; n = 91 in the intervention group, n = 98 in the control group) completed the 4-month follow-up and 181 (87·9 %; n = 87 in the intervention group, n = 94 in the control group) completed the 9-month follow-up. Among the 206 randomized participants, 52.9 % were women, 73.8 % were obese, and 69.4 % were of Spanish nationality. Differences in fasting plasma glucose between groups at 9-months were not statistically significant (Intervention group n = 85 mean 103·4 mg/dL [SD 9·6] vs Control group n = 91 mean 104·8 mg/dL [SD 9·7]; adjusted mean difference 1·1 mg/dL [95 % CI -1·6 to 3·8]; p-value = 0·43). Difference in waist circumference at 9 months were statistically significant (Intervention group n = 85 mean 100.6 cm [SD 10.2] vs Control group n = 91 mean 104.0 cm [SD 10.2]; adjusted mean difference 1.9 cm [95 % CI 0.6 to 3.3]; p-value <<!--> <!-->0.01). At 9-month follow-up, diet quality improved in the intervention group (intervention group n = 86 mean 8.4 points [SD 2.0] vs control group n = 93 mean 7.5 points [SD 2.1], adjusted mean difference − 1.3 points [95 CI -1.7 to −<!--> <!-->0.7]; p-value <<!--> <!-->0.01). Likewise, sedentary behavior presented statistically significant differences at 9-month follow-up (intervention group n = 86 mean 5.4 H/d [SD 1.8] vs control group n = 93 mean 6.3 H/d [SD 1.9], adjusted mean difference 1.0 H/d [95 CI 0.5 to 1.4]; p-value <<!--> <!-->0.01).</div></div><div><h3>Conclusions</h3><div>These results do not support the effectiven","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"165 ","pages":"Article 105034"},"PeriodicalIF":7.5,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143578661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of acoustic stimulation on painful procedures in preterm and full-term infants: A systematic review and network meta-analysis","authors":"Shenglan Ding ,&nbsp;Qingxia Wang ,&nbsp;Xiujuan Fu ,&nbsp;Xiuhua Huang ,&nbsp;Luxi Liao ,&nbsp;Yilan Zhang","doi":"10.1016/j.ijnurstu.2025.105031","DOIUrl":"10.1016/j.ijnurstu.2025.105031","url":null,"abstract":"<div><h3>Aim</h3><div>This study aims to compare and rank the effects of acoustic stimulation on painful procedures in both preterm and full-term infants.</div></div><div><h3>Methods</h3><div>Six databases including Medline, Web of Science, the Cochrane Central Register of Controlled Trials, Cumulative Index to Nursing and Allied Health Literature, Embase, and SinoMed, were searched from inception to July, 2023. A Bayesian network meta-analysis with random effects models was performed using R software and Stata 15.0. The quality of included studies was assessed using the Cochrane Collaboration's tool. The study protocol was registered at PROSPERO (Registration number: CRD42023451102).</div></div><div><h3>Results</h3><div>A total of 28 studies involving 2624 preterm and full-term infants were included and 8 acoustic stimulation interventions were identified. Regarding pain levels during procedures, maternal voice, maternal voice plus, music therapy and maternal voice plus, music therapy plus, other pharmaceutical interventions, vocal music therapy, white noise, and white noise plus were significantly more effective than control group [standardized mean differences (SMD) ranged from −<!--> <!-->2.6 to −<!--> <!-->0.87]. White noise plus was the most effective intervention for reducing pain levels during procedures (90.6 %). Regarding pain levels after procedures (no specific time mentioned), maternal voice, maternal voice plus, music therapy and maternal voice plus, music therapy plus, other pharmaceutical interventions, other non-pharmaceutical interventions, routine care, vocal music therapy, and white noise plus were significantly more effective than control group (SMD ranged from −<!--> <!-->4.7 to −<!--> <!-->1.6). Music therapy and maternal voice plus was the most effective intervention for reducing pain levels after procedures, without specific time mentioned (95.29 %). Regarding pain levels 1 min after procedures, only music therapy plus and other pharmaceutical interventions were effective (SMD ranged from −<!--> <!-->4.5 to −<!--> <!-->4.9) and music therapy plus was the most effective intervention (93.41 %). No interventions had significant effects on pain levels 3, 5, and 10 min after procedures. Regarding heart rate, only white noise plus could provide a lower increase during procedures. For oxygen saturation, only vocal music therapy could provide a lower decrease after painful procedures (no specific time mentioned). No interventions had significant effects on stabilizing respiratory rate.</div></div><div><h3>Conclusion</h3><div>This review suggests that multiple acoustic stimulation interventions are effective for pain relief in both preterm and full-term infants undergoing painful procedures. More high quality studies with larger sample size are required to generate evidence regarding the short- and long-term effectiveness and safety of acoustic stimulation interventions on painful procedures.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"165 ","pages":"Article 105031"},"PeriodicalIF":7.5,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143548502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of zero-time exercise on physically inactive adults with insomnia disorder: A randomized controlled trial","authors":"Wing-Fai Yeung ,&nbsp;Agnes Yuen-Kwan Lai ,&nbsp;Branda Yee-Man Yu ,&nbsp;Fiona Yan-Yee Ho ,&nbsp;Ka-Fai Chung ,&nbsp;Janice Yuen-Shan Ho ,&nbsp;Lorna Kwai-Ping Suen ,&nbsp;Lai-Ming Ho ,&nbsp;Tai-Hing Lam","doi":"10.1016/j.ijnurstu.2025.105033","DOIUrl":"10.1016/j.ijnurstu.2025.105033","url":null,"abstract":"<div><h3>Background</h3><div>Whether simple lifestyle-integrated exercise training can improve insomnia remains unclear. In this study, we examined whether zero-time exercise, a simple exercise incorporated into daily routines without extra time, can improve sleep in physically inactive adults with insomnia.</div></div><div><h3>Methods</h3><div>This was a single-blinded, parallel-group, randomized controlled trial. A total of 140 physically inactive adults (mean [SD] age, 46.7 [14.0] years; 115 [82.1 %] women; mean [SD] insomnia duration, 4.9 [6.7] years) with insomnia disorders were randomly allocated (1:1) to the zero-time exercise intervention group or the sleep hygiene education control group. They received two 2-h zero-time exercise training sessions or sleep hygiene education lessons within 2 weeks and two phone call reminders per week for 8 weeks to follow their respective programs. The outcomes were assessed at 8, 16, and 24 weeks. The primary outcome was the Insomnia Severity Index score at week 24.</div></div><div><h3>Results</h3><div>The intervention group showed a significantly greater decrease in the Insomnia Severity Index scores than those in the control group at weeks 16 (−<!--> <!-->1.59 points, 95 % CI -3.09 to −<!--> <!-->0.08; P = 0.039) and 24 (−<!--> <!-->2.59 points, 95 % CI -4.17 to −<!--> <!-->1.01; P = 0.001); however, the difference at week 8 was not significant (−<!--> <!-->1.23 points, 95 % CI -2.54 to 0.07; P = 0.065). No serious adverse events were observed.</div></div><div><h3>Conclusions</h3><div>Zero-time exercise effectively reduces insomnia severity in physically inactive adults and can be easily incorporated into daily routines to improve insomnia symptoms and daytime impairment.</div></div><div><h3>Trial registration</h3><div><span><span>ClinicalTrials.gov</span><svg><path></path></svg></span>, <span><span>NCT04227587</span><svg><path></path></svg></span> (Registration date: January 13, 2020; The first participant was recruited on September 1, 2020). Word count: 240.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"165 ","pages":"Article 105033"},"PeriodicalIF":7.5,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143479703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative accuracy of osteoporosis risk assessment tools in postmenopausal women: A systematic review and network meta-analysis","authors":"Shu-Tong Wang ,&nbsp;Han-Yang Gu ,&nbsp;Zi-Chen Huang ,&nbsp;Chen Li ,&nbsp;Wen-Na Liu ,&nbsp;Rong Li","doi":"10.1016/j.ijnurstu.2025.105029","DOIUrl":"10.1016/j.ijnurstu.2025.105029","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;The Fracture Risk Assessment Tool (FRAX, threshold ≥&lt;!--&gt; &lt;!--&gt;9.3 %), Osteoporosis Risk Assessment Instrument (ORAI, ≥&lt;!--&gt; &lt;!--&gt;9), Osteoporosis Index of Risk (OSIRIS, &lt;&lt;!--&gt; &lt;!--&gt;1), Osteoporosis Self-Assessment Tool (OST, &lt;&lt;!--&gt; &lt;!--&gt;2), and Simple Calculated Osteoporosis Risk Estimation (SCORE, ≥&lt;!--&gt; &lt;!--&gt;6) have been endorsed by the US Preventive Services Task Force for evaluating the need for bone mineral density measurement by dual-energy X-ray absorptiometry in postmenopausal women.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To systematically compare the sensitivity and specificity of the five osteoporosis risk assessment tools for detecting bone mineral density-defined osteoporosis.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A systematic search was conducted across the Cochrane Library, Embase, PubMed and Web of Science databases up to January 29, 2024, to identify observational studies that evaluated comparative accuracy of these tools in postmenopausal women. The Quality Assessment of Diagnostic Accuracy Studies-2 and its comparative extension were utilized to evaluate the risk of bias and applicability. Pooled odds ratios (ORs) and 95 % confidence intervals (CIs) for relative sensitivity and specificity were calculated using a multivariate random-effects model, with tool rankings determined by Surface Under the Cumulative Ranking (SUCRA).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;17 studies were included, involving 9669 postmenopausal women with bone mineral density-defined osteoporosis and 34,143 without the condition. The SCORE (OR = 12.11, 95 % CI [4.46–32.86]) exhibited significantly higher sensitivity than FRAX, followed by ORAI (OR = 7.01, 95 % CI [2.84–17.31]) and OST (OR = 6.90, 95 % CI [3.07–15.52]). Compared to OSIRIS, higher sensitivity was observed for SCORE (OR = 4.92, 95 % CI [2.41–10.05]), ORAI (OR = 2.85, 95 % CI [1.63–4.99]), and OST (OR = 2.80, 95 % CI [1.58–4.97]). However, specificity was lower for SCORE (OR = 0.16, 95 % CI [0.08–0.33]), ORAI (OR = 0.26, 95 % CI [0.13–0.51]), and OST (OR = 0.28, 95 % CI [0.15–0.53]) compared to FRAX. Similarly, SCORE (OR = 0.25, 95 % CI [0.15–0.41]), ORAI (OR = 0.40, 95 % CI [0.26–0.62]), and OST (OR = 0.44, 95 % CI [0.27–0.69]) showed significantly lower specificity than OSIRIS. Based on SUCRA values, SCORE (98.2 %) ranked as the most sensitive tool, followed by ORAI (64.2 %) and OST (62.6 %), whereas FRAX (96.7 %) was the most specific, followed by OSIRIS (78.3 %).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;The risk assessment tools for identifying postmenopausal women with bone mineral density-defined osteoporosis, endorsed by the US Preventive Services Task Force, can be categorized into two groups. SCORE (≥&lt;!--&gt; &lt;!--&gt;6), ORAI (≥&lt;!--&gt; &lt;!--&gt;9), and OST (&lt;&lt;!--&gt; &lt;!--&gt;2) offer higher sensitivity, identifying more osteoporosis patients, whereas FRAX (≥&lt;!--&gt; &lt;!--&gt;9.3 %) and OSIRIS (&lt;&lt;!--&gt; &lt;!--&gt;1) provide higher specificity, identifying those without the cond","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"165 ","pages":"Article 105029"},"PeriodicalIF":7.5,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143529300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on Raya-Benítez et al. (2025) ‘Effectiveness of non-instrumental early mobilization to reduce the incidence of deep vein thrombosis in hospitalized patients’","authors":"Fangshi Xu ,&nbsp;Hongxin Ni ,&nbsp;Liwei Zhang,&nbsp;Jiancang Ma","doi":"10.1016/j.ijnurstu.2025.105030","DOIUrl":"10.1016/j.ijnurstu.2025.105030","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"165 ","pages":"Article 105030"},"PeriodicalIF":7.5,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143463774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What makes a local accreditation programme successful and how? A rapid realist review and in-depth consultation with senior nursing leaders","authors":"Ruth Harris,&nbsp;Sarah Sims,&nbsp;Mary Leamy","doi":"10.1016/j.ijnurstu.2025.105016","DOIUrl":"10.1016/j.ijnurstu.2025.105016","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Locally driven ward and unit accreditation programmes provide a comprehensive tool to assess the quality of care delivered to patients, bringing together several measures in a single overarching framework. Reported outcomes of locally driven ward accreditation include reduced variation in care delivery, increased assurance of care quality and improved staff motivation. However, there is little empirical research that clarifies the underlying assumptions about what causes outcomes or the theoretical basis to explain how ward accreditation programmes work.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;A rapid realist review methodology with in-depth stakeholder consultation was adopted to explore the question “What are the key principles and processes of successfully implemented local ward accreditation programmes?”&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting(s)&lt;/h3&gt;&lt;div&gt;Six study sites (NHS Trusts) across England participated in this review.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;Sixteen senior nurse leaders at six study sites participated in focus groups lasting 90–120 min to elicit detailed reflections on how their accreditation programmes had been designed and implemented, to test out initial programme theories identified in the literature. These theories were then further scrutinised through a consultation group of key stakeholders.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Ten databases were searched, after screening 186 papers for relevance, 43 remained. An additional 11 papers were identified via a Google Scholar search. The 54 papers were then appraised for ‘fitness for purpose’, and thematically analysed for context, mechanisms and outcomes. A rapid realist review approach was adopted to develop and iteratively refine programme theories of locally driven ward accreditation programmes through evidence review, expert focus groups, and in-depth stakeholder consultation.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Seven initial programme theories were identified from the literature: 1) Performance assessment; 2) Public disclosure and/as incentivisation; 3) Strengthening the Nursing voice; 4) Standardisation, consistency, accountability and shared governance; 5) Cultures of improvement; 6) Leadership development and 7) Teamwork and communication. These were discussed in focus groups with senior nursing teams and through a consultation group of key stakeholders. There was evidence for all seven initial programme theories, although some had more resonance with the senior nursing teams and stakeholders than others. No new theories were identified, demonstrating that the review comprehensively captured the reasons why locally driven ward accreditation programmes are thought to generate actions that lead to the outcomes the programmes are designed to produce.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;This review provides an important and newly developed conceptual framework to underpin future empirical work and evaluate the effectiveness of locally driven","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"165 ","pages":"Article 105016"},"PeriodicalIF":7.5,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143453477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}