JBI evidence synthesis最新文献

Objective: This scoping review will identify multilevel language interventions that target spoken language production in aphasia following stroke and describe their characteristics, the theoretical predictions of the approaches, and what tools are used to measure outcomes.

Introduction: Multilevel aphasia interventions target more than one linguistic level in a sequential and/or simultaneous way. Recent research has shown that treating multiple levels of language processing in the same intervention can broaden treatment effectiveness. It can also provide greater evidence of therapy gains, transferring to untreated language skills and impacting broader participation and quality of life, than focusing on language levels in isolation. Currently, there is no synthesis or analysis of multilevel aphasia interventions in the literature that might help understand the components that may contribute to these potential benefits. Conducting a scoping review will allow us to systematically explore the nature of these multilevel interventions, their proposed outcomes, and highlight directions for clinical practice and future research.

Eligibility criteria: This review will consider aphasia intervention studies that aim to improve spoken production through involving more than one linguistic level in the intervention. Studies will include adults 18 years and older with post-stroke aphasia irrespective of aphasia type, severity, or time post-onset. All settings will be eligible for inclusion.

Methods: This review will be conducted in accordance with JBI methodology for scoping reviews. CINAHL, MEDLINE, PsycINFO, and Scopus will be searched for published articles. 2 reviewers will independently screen articles for relevance against the inclusion criteria. Data will be presented in tables, accompanied by a narrative summary.

Review registration: OSF https://osf.io/4y7me.

Objectives: This scoping review will aim to map the clinical pathways for patients undergoing adult hip, knee, or shoulder arthroplasties. The review will also map the indicators and measurement tools used to evaluate the effectiveness of these pathways.

Introduction: Clinical pathways are structured, multidisciplinary care plans designed to standardize and optimize patient care. Clinical pathways reduce clinical heterogeneity, decrease malpractice risk, ensure high-quality care, and lower costs. The evidence characterizing these pathways and their evaluation indicators remains fragmented.

Eligibility criteria: This review will consider studies of any type on hip, knee, and shoulder arthroplasty; performed on adults; that describe clinical pathways, including their components, implementation, and evaluation.

Methods: This review will follow the JBI methodology for scoping reviews. A 3-step search strategy will be used to identify published and unpublished studies across multiple databases: PubMed, CINAHL (EBSCOhost), Scopus, Web of Science Core Collection, and the Cochrane Library. Gray literature will also be searched for. Studies published in English, Portuguese, and Spanish will be included, with no date limitations on the searches. Two independent reviewers will screen study titles, abstracts, and full texts, and extract data using a predefined extraction form. Data will be presented in tabular format and synthesized narratively.

Review registration: OSF https://osf.io/ysrw8.

Objective: This scoping review aims to identify, summarize, and describe the content and format of structured evidence summaries designed to inform clinical or policy decisions.

Introduction: There is a need to develop a more efficient strategy to ensure that the results of the Living Evidence approach reach end users in a timely manner, thereby enhancing their role in the decision-making process.

Eligibility criteria: Any article assessing the development or validation process of generating a structured evidence summary aimed at informing health decision-makers will be considered for inclusion in the review. Additionally, we will include summaries that have been published as part of the updated reports of living systematic reviews of any health-related question.

Methods: This scoping review will be conducted in accordance with the JBI guidance for scoping reviews and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews (PRISMA-ScR). The initial search will be conducted in PubMed, Embase, and Cochrane, as well as websites and databases specializing in health decision-making and health technology assessment, including Health Systems Evidence, Epistemonikos, NICE Evidence Search, and websites of major European health technology assessment agencies, such as the European Network for Health Technology Assessment (EUnetHTA) and the National Institute for Health and Care Excellence (NICE). Finally, broader searches will be conducted in Google Scholar and the JBI Evidence-Based Practice Database to identify hard-to-find articles. Two researchers will independently screen, select, and extract documents, with findings presented both narratively and in tabular format.

Review registration: OSF https://osf.io/69chn.

Objective: This review aims to synthesize women's experiences of perinatal depression screening.

Introduction: Perinatal depression is common for women during the perinatal period. The rate of untreated perinatal depression is high, and the consequences are serious. Targeted depression screening for perinatal women offers the potential to identify and treat undiagnosed patients and help prevent perinatal depression's detrimental consequences.

Eligibility criteria: Articles from all settings will be considered. This review will include qualitative data from qualitative research and mixed methods articles that explore women's experiences of perinatal depression screening. Participants are women who accept perinatal depression screening, regardless of age.

Methods: The search strategy will include CINAHL (EBSCOhost), Clinical Key, China National Knowledge Infrastructure (CNKI), Embase, PubMed, and Scopus. Two independent reviewers will cross-check the search outcomes and eligible articles and verify additional articles that are suitable for analysis. Google Scholar and ProQuest Dissertations and Theses (ProQuest) will be used to identify gray literature. The JBI approach will be used for literature selection, critical appraisal, data extraction, and data synthesis.

Review registration: PROSPERO CRD42024606518.

Objective: 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.

Introduction: 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 in other regions, with limited knowledge of how these interventions are applied in sub-Saharan African countries.

Eligibility criteria: 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 or date of publication.

Methods: 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.

Review registration: OSF https://osf.io/gz65k.

Objective: The objective of this scoping review is to understand the extent and type of evidence in relation to measures of shared decision-making applicable to consultations between older people living with multiple long-term conditions and health care practitioners in primary care.

Introduction: The number of people living with multiple long-term conditions is expected to rise worldwide, putting pressure on primary care systems and practitioners. Patient involvement in shared decision-making is key to the provision of high-quality, patient-centered care and can enable self-management, efficiency, and effective care; however, there is a lack of pragmatic guidance. To evaluate shared decision-making in context and inform best practice, measures must be applicable for use in this population and setting.

Eligibility criteria: Studies reporting any measure of shared decision-making designed and developed for use in consultations between older patients (aged ≥ 65 years) and practitioners to map the breadth of domains and content of these measures will be considered for inclusion. Studies will be limited to Westernized health care systems.

Methods: This scoping review will follow JBI methodology. A comprehensive search will be conducted in PubMed, Embase, CINAHL (EBSCOhost), the Cochrane Database of Systematic Reviews, Cochrane CENTRAL, PROSPERO, ClinicalTrials.gov, and other gray literature sources. The search strategy will include keywords related to shared decision-making and measures/instruments, and will not be restricted by date or language. Data extraction and narrative analysis will be guided by the JBI framework.

Review registration: OSF https://osf.io/wfg4s.

Objective: The aim of this systematic review will be to evaluate the effectiveness of palliative care for treating adults with end-stage liver disease (ESLD), focusing on outcomes such as quality of life, quality of care, symptom burden, and patient satisfaction.

Introduction: ESLD is a critical health issue, characterized by various devitalizing symptoms that negatively affect quality of life for patients. Palliative care, which is a specialty used to alleviate pain and control other manifestations of the disease, has been suggested across various studies for the management of quality of life and symptom burden in patients with ESLD.

Eligibility criteria: This review will include studies focusing on the use of palliative care for adults (≥18 years) with ESLD. Papers that compare palliative care with usual care or placebo will also be included.

Methods: The review will follow the JBI methodology for systematic reviews of effectiveness. PubMed, Embase (Ovid), Cochrane Central Register of Controlled Trials (CENTRAL), CINAHL (EBSCOhost), Scopus, and Web of Science will be searched for published studies. Sources to be searched for unpublished literature will include Google Scholar, ProQuest Dissertations and Theses Global, Shodhganga, MedNar, OpenGrey, and the WHO International Clinical Trials Registry Platform. Two independent reviewers will assess titles, abstracts, and full-text papers against the inclusion criteria. A third reviewer will resolve any discrepancies. Standardized JBI appraisal tools will be used to critically appraise eligible studies. Two independent reviewers will extract data. Meta-analysis will be conducted for outcomes, where feasible. If a meta-analysis cannot be conducted, the findings will be reported in a narrative format, adhering to the Synthesis Without Meta-analysis guidelines. Certainty of evidence will be reported using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach.

Review registration: PROSPERO CRD42024586855.