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Individual participant data meta-analysis tips and tricks: troubleshooting commonly encountered issues of contacting trialists for individual participant data. 个体参与者数据荟萃分析提示和技巧:排除与个体参与者数据联系试验人员的常见问题。
IF 4.5 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2026-01-05 DOI: 10.11124/JBIES-24-00548
Madeline Flanagan, Lyle C Gurrin, Wentao Li, Malitha Patabendige, Daniel L Rolnik, Ben W Mol

Objective: We present a framework to guide researchers in contacting and retrieving trial data from trialists. This framework serves 2 purposes i) to provide a consistent and transparent approach for contacting authors, and ii) to describe how to record clearly all contact attempts and to identify trialists who have not responded to reasonable attempts at communication. This framework will help researchers identify trials that may require investigation for data integrity issues.

Background: Individual participant data meta-analysis (IPD-MA) is considered the gold standard for evaluating clinical interventions. The popularity of IPD-MA has increased due to the potential for advanced statistical analyses and the ability to test data veracity prior to analysis. Contacting trialists and requesting data is the most time-intensive step in an IPD-MA project. Often, many datasets are not retrieved, as authors are uncontactable or do not share data. This absence of IPD can bias meta-analysis and interpretation of results. Currently, there is no framework in place to guide researchers in contacting trialists and to define a reasonable point to cease communication attempts.

Proposed framework: The framework consists of 4 approaches: first, contacting the listed authors on the trial publication; second, contacting the trialists' associated institutions (hospitals and universities); third, contacting colleagues from similar regions within a particular country; And fourth, contacting the journal in search of trialists' contact details. If trialists do not respond to sustained communication attempts, their study should be classified as "non-responding." Depending on the trial context, non-responding trialists or those who respond with concerning reasons why data are unavailable may be subject to further review regarding trial quality and data integrity concerns.

Case study: This framework was applied in an IPD-MA comparing misoprostol with oxytocin for the prevention of postpartum hemorrhage, which included 79 randomized controlled trials. With the use of this framework, trialists from 10 trials responded to the IPD invitation and contributed data (6 of which were used in final analysis); 38 trialists responded but did not contribute data; and 31 trialists did not respond and trials were subsequently classified as non-responding.

Conclusions: The proposed framework provides a uniform structure for contacting authors and requesting data for IPD-MA, which may increase the likelihood that trialists will respond to IPD-MA invitations. This framework will also help to identify trialists who do not respond to reasonable attempts at communication.

目的:提出一个指导研究人员联系和检索试验数据的框架。该框架有两个目的:1)为联系作者提供一致和透明的方法;2)描述如何清楚地记录所有联系尝试,并识别对合理的沟通尝试没有回应的试用人员。该框架将帮助研究人员识别可能需要调查数据完整性问题的试验。背景:个体参与者数据荟萃分析(IPD-MA)被认为是评估临床干预措施的金标准。由于具有先进的统计分析潜力和在分析之前测试数据准确性的能力,IPD-MA的普及程度有所增加。在IPD-MA项目中,联系试验人员和请求数据是最耗时的步骤。通常,许多数据集无法检索,因为作者无法联系或不共享数据。IPD的缺失会对meta分析和结果解释产生偏差。目前,没有适当的框架来指导研究人员联系试验人员,并定义一个合理的点来停止沟通尝试。建议框架:该框架包括4种方法:第一,联系已列在试验出版物上的作者;第二,联系患者的相关机构(医院和大学);第三,联系特定国家内类似地区的同事;第四,联系期刊,寻找试验人员的联系方式。如果试验者对持续的沟通尝试没有反应,他们的研究应该被归类为“无反应”。根据试验背景,无反应的试验参与者或那些对数据不可用的原因作出反应的人可能需要进一步审查试验质量和数据完整性问题。案例研究:该框架应用于一项比较米索前列醇与催产素预防产后出血的IPD-MA,其中包括79项随机对照试验。通过使用该框架,来自10个试验的试验人员响应了IPD邀请并提供了数据(其中6个用于最终分析);38名受试者有回应,但未提供数据;31名受试者没有反应试验随后被归类为无反应。结论:提出的框架为IPD-MA联系作者和请求数据提供了统一的结构,这可能会增加试验人员响应IPD-MA邀请的可能性。这个框架还将有助于识别那些对合理的沟通尝试没有反应的试用者。
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引用次数: 0
Simulation-based education to support new graduate nurses during transition to practice in critical care: a mixed methods systematic review protocol. 以模拟为基础的教育,以支持新毕业护士在过渡到实践在重症监护:混合方法系统审查协议。
IF 4.5 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2026-01-05 DOI: 10.11124/JBIES-25-00039
Laura Freeman, Caroline Sabotig, Andria Phillips, Aleasha Naggyah, Brandi Vanderspank-Wright, Jane Tyerman

Objective: The objective of this systematic review is to explore how simulation-based education can be used to support new graduate nurses' learning during their transition to practice in critical care settings.

Introduction: Transition to practice is a period of challenge and change as new graduates address their knowledge-practice gaps. New graduate nurses are increasingly being hired into critical care settings. Critical care environments add an additional level of complexity to this transition, calling for strategies targeted to address the unique learning needs of new graduate nurses.

Eligibility criteria: Qualitative, quantitative, and mixed methods studies that include new graduate nurses within their first 12 months of practice will be eligible for inclusion, as will studies that contain any form of in-person or technology-based simulation to support new graduate nurses' learning in any critical care setting (eg, emergency departments or any type of intensive care unit for any patient population). Studies will be eligible for inclusion if they evaluate participant learning and/or reactions to the simulation.

Methods: The systematic review will use the JBI convergent integrated methodology for mixed methods systematic reviews. The full search strategy will include CINAHL (EBSCOhost), MEDLINE (Ovid), Embase (Ovid), Scopus, ERIC (Ovid), ProQuest Nursing and Allied Health Premium and Dissertations and Theses Global, Web of Science and a search of gray literature. Two reviewers will independently screen titles, abstracts, and full texts according to predetermined eligibility criteria, and conflicts will be resolved through discussion or with a third reviewer. The quality of studies will be assessed using JBI appraisal tools. Quantitative data will be qualitized and assembled alongside qualitative findings and repeatedly analyzed to produce overall integrated findings.

Review registration: PROSPERO CRD42024623090.

目的:本系统综述的目的是探讨如何使用基于模拟的教育来支持新毕业护士在过渡到重症监护环境实践期间的学习。引言:向实践过渡是一个充满挑战和变化的时期,因为新毕业生要解决他们的知识与实践之间的差距。新毕业的护士越来越多地被雇用到重症监护机构。重症监护环境为这一转变增加了额外的复杂性,需要有针对性的策略来解决新毕业护士的独特学习需求。资格标准:定性、定量和混合方法的研究,包括新毕业护士在前12个月的实践,以及包含任何形式的面对面或基于技术的模拟的研究,以支持新毕业护士在任何重症监护环境(例如,急诊科或任何类型的重症监护病房,针对任何患者群体)的学习,都有资格纳入。如果研究评估了参与者的学习和/或对模拟的反应,则有资格纳入研究。方法:系统评价将采用JBI收敛集成方法进行混合方法系统评价。完整的搜索策略将包括CINAHL (EBSCOhost)、MEDLINE (Ovid)、Embase (Ovid)、Scopus、ERIC (Ovid)、ProQuest Nursing and Allied Health Premium和Dissertations and Theses Global、Web of Science以及灰色文献的搜索。两名审稿人将根据预定的资格标准独立筛选标题、摘要和全文,冲突将通过讨论或与第三名审稿人解决。研究的质量将使用JBI评估工具进行评估。定量数据将与定性结果一起进行定性和组合,并反复分析以产生整体综合结果。审核注册:PROSPERO CRD42024623090。
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引用次数: 0
Effectiveness of play therapy versus non-play interventions in palliative care for children and adolescents with cancer: a systematic review protocol. 游戏治疗与非游戏干预在儿童和青少年癌症姑息治疗中的有效性:一项系统回顾协议。
IF 4.5 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2026-01-05 DOI: 10.11124/JBIES-25-00084
Nikka Karla R Santos, Jon Timothy M Rivero, Valentin C Dones, Romy Menghao Jia, Sonia Jane Hines

Objective: The objective of this review is to determine the effectiveness of play therapy versus non-play interventions in improving the quality of life, physical and psychosocial functioning, and activity participation of children and adolescents with cancer in palliative care settings.

Introduction: Integrating play interventions early in pediatric palliative care for children and adolescents with cancer, especially in low- to middle-income countries where survival rates are low, is essential for addressing the holistic needs of children or adolescents and their families; however, it remains underutilized.

Eligibility criteria: This review will include studies examining children and adolescents with cancer (≤18 years) receiving palliative care. Interventions of interest encompass play therapy, therapeutic play, or play-based activities. Studies will include a comparator group, which will consist of standard palliative care approaches that do not involve play therapy. The primary outcome is patient quality of life; the secondary outcomes encompass physical and psychosocial functions, and activity participation. Eligible study designs will include experimental and quasi-experimental designs, and analytical observational studies. Mixed methods studies that include quantitative data will also be considered.

Methods: This review will follow the JBI methodology for systematic reviews of effectiveness. A comprehensive search will be conducted across MEDLINE, CINAHL, Embase, Web of Science, PEDro, ProQuest, World Health Organization, and Google Scholar. Eligible studies will be critically appraised for methodological quality using JBI appraisal instruments. Where possible, statistical meta-analysis will be conducted using a random-effects model. The certainty of evidence will be evaluated using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach, and a Summary of Findings will be created.

Review registration: PROSPERO CRD420250655458.

目的:本综述的目的是确定游戏治疗与非游戏干预在改善姑息治疗环境中患有癌症的儿童和青少年的生活质量、身体和社会心理功能以及活动参与方面的有效性。引言:在儿童和青少年癌症姑息治疗早期,特别是在生存率较低的中低收入国家,将游戏干预措施纳入儿童和青少年癌症姑息治疗,对于解决儿童或青少年及其家庭的整体需求至关重要;然而,它仍未得到充分利用。入选标准:本综述将纳入接受姑息治疗的儿童和青少年癌症患者(≤18岁)的研究。感兴趣的干预包括游戏治疗、治疗性游戏或基于游戏的活动。研究将包括一个比较组,它将由不涉及游戏治疗的标准姑息治疗方法组成。主要结局是患者的生活质量;次要结果包括身体和社会心理功能以及活动参与。合格的研究设计将包括实验和准实验设计,以及分析性观察研究。还将考虑包括定量数据的混合方法研究。方法:本综述将遵循JBI方法对有效性进行系统评价。将在MEDLINE、CINAHL、Embase、Web of Science、PEDro、ProQuest、世界卫生组织和谷歌Scholar上进行全面的搜索。将使用JBI评估工具对合格研究的方法学质量进行严格评估。在可能的情况下,将使用随机效应模型进行统计元分析。证据的确定性将使用分级建议评估、发展和评估(GRADE)方法进行评估,并将创建一份调查结果摘要。审核注册:PROSPERO CRD420250655458。
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引用次数: 0
Hospital-based rehabilitation for proximal hip fragility fractures in older adults: a scoping review protocol. 老年人髋近端脆性骨折的医院康复:一项范围审查方案
IF 4.5 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2026-01-05 DOI: 10.11124/JBIES-25-00100
Hugo Fernandes, Inês Rodrigues, Elisabete Peixoto, Ricardo Salgado, Daniel Ferreira, Carmen Queirós

Objective: The objective of this scoping review will be to systematically organize and analyze the existing rehabilitation programs and exercises for inpatients, particularly older adults, with proximal hip fragility fractures, focusing on the characteristics and methods of exercise programs. This knowledge will provide a better understanding of the existing evidence base and inform about future research.

Introduction: Hip fractures are a leading cause of disability and long-term care needs among older adults, with rising incidence due to aging. Early and effective rehabilitation is essential, yet existing research often focuses on single interventions or specific aspects of rehabilitation. For inpatients who are 65 years or older, a comprehensive analysis of rehabilitation programs and exercise interventions is needed, in line with the FITT-VP framework and incorporating multidisciplinary involvement.

Eligibility criteria: This scoping will include studies involving inpatients aged 65 years or older who have undergone surgical treatment for a single proximal hip fragility fracture and received inpatient rehabilitation in the same hospital. Studies must describe rehabilitation programs or exercise interventions.

Methods: This review will follow the JBI methodology for scoping reviews. The databases to be searched will include PubMed, CINAHL Ultimate (EBSCOhost), Embase, Web of Science Core Collection, Cochrane Library, Scopus, JBI EBP Database (Ovid), PEDro, and Epistemonikos, and fragility fracture-related websites. The search will be conducted from January 2015 to February 2025, with no language or country restrictions. Two independent reviewers will screen and extract data, with disagreements resolved by a third reviewer. Data will be charted and presented using the FITT-VP framework, with results in tabular and narrative format to highlight characteristics and trends.

Review registration: OSF https://doi.org/10.17605/OSF.IO/CYSNG.

目的:本综述的目的是系统地整理和分析现有的髋近端脆性骨折住院患者,特别是老年人的康复方案和运动,重点是运动方案的特点和方法。这些知识将有助于更好地理解现有的证据基础,并为未来的研究提供信息。髋部骨折是老年人残疾和长期护理需求的主要原因,随着年龄的增长,发病率不断上升。早期和有效的康复是必不可少的,但现有的研究往往侧重于单一干预或康复的具体方面。对于65岁或以上的住院患者,需要对康复计划和运动干预进行综合分析,符合FITT-VP框架并结合多学科参与。入选标准:纳入年龄在65岁及以上,因单髋近端脆性骨折接受手术治疗并在同一家医院接受住院康复治疗的住院患者。研究必须描述康复计划或运动干预。方法:本综述将遵循JBI方法进行范围综述。检索的数据库包括PubMed、CINAHL Ultimate (EBSCOhost)、Embase、Web of Science Core Collection、Cochrane Library、Scopus、JBI EBP Database (Ovid)、PEDro和Epistemonikos,以及脆性骨折相关网站。搜索将从2015年1月持续到2025年2月,没有语言和国家限制。两名独立审稿人将筛选和提取数据,分歧由第三名审稿人解决。将使用FITT-VP框架将数据绘制成图表,并以表格和叙述形式呈现结果,以突出特征和趋势。评审注册:OSF https://doi.org/10.17605/OSF.IO/CYSNG。
{"title":"Hospital-based rehabilitation for proximal hip fragility fractures in older adults: a scoping review protocol.","authors":"Hugo Fernandes, Inês Rodrigues, Elisabete Peixoto, Ricardo Salgado, Daniel Ferreira, Carmen Queirós","doi":"10.11124/JBIES-25-00100","DOIUrl":"https://doi.org/10.11124/JBIES-25-00100","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this scoping review will be to systematically organize and analyze the existing rehabilitation programs and exercises for inpatients, particularly older adults, with proximal hip fragility fractures, focusing on the characteristics and methods of exercise programs. This knowledge will provide a better understanding of the existing evidence base and inform about future research.</p><p><strong>Introduction: </strong>Hip fractures are a leading cause of disability and long-term care needs among older adults, with rising incidence due to aging. Early and effective rehabilitation is essential, yet existing research often focuses on single interventions or specific aspects of rehabilitation. For inpatients who are 65 years or older, a comprehensive analysis of rehabilitation programs and exercise interventions is needed, in line with the FITT-VP framework and incorporating multidisciplinary involvement.</p><p><strong>Eligibility criteria: </strong>This scoping will include studies involving inpatients aged 65 years or older who have undergone surgical treatment for a single proximal hip fragility fracture and received inpatient rehabilitation in the same hospital. Studies must describe rehabilitation programs or exercise interventions.</p><p><strong>Methods: </strong>This review will follow the JBI methodology for scoping reviews. The databases to be searched will include PubMed, CINAHL Ultimate (EBSCOhost), Embase, Web of Science Core Collection, Cochrane Library, Scopus, JBI EBP Database (Ovid), PEDro, and Epistemonikos, and fragility fracture-related websites. The search will be conducted from January 2015 to February 2025, with no language or country restrictions. Two independent reviewers will screen and extract data, with disagreements resolved by a third reviewer. Data will be charted and presented using the FITT-VP framework, with results in tabular and narrative format to highlight characteristics and trends.</p><p><strong>Review registration: </strong>OSF https://doi.org/10.17605/OSF.IO/CYSNG.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145901219","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}
引用次数: 0
Physical activity and endogenous pain modulation in older people: a scoping review. 老年人的身体活动和内源性疼痛调节:范围综述。
IF 4.5 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2026-01-05 DOI: 10.11124/JBIES-24-00447
Debora Verbelen, Natalya Korogod, Emmanuelle Opsommer
<p><strong>Objective: </strong>This scoping review aimed to explore and summarize studies investigating the relationship between physical activity and endogenous pain modulation in older people, using conditioned pain modulation as an assessment tool.</p><p><strong>Introduction: </strong>Pain is a common problem in older adults and significantly affects their quality of life. While physical activity is widely recommended as a non-pharmacological strategy to mitigate pain, the mechanisms underlying its potential analgesic benefits are not completely understood. One possible mechanism may be related to the influence of physical activity on endogenous pain modulation. This review focused on (i) the different types of physical activity in relation to endogenous pain modulation in older adults; (ii) the protocols applied to assess this relationship, particularly those using conditioned pain modulation; and (iii) existing knowledge gaps requiring further research or interventions adapted for older people with pain.</p><p><strong>Eligibility criteria: </strong>Studies were included if they examined people aged 60 years or older, investigating physical activity as an intervention and its relationship with pain modulation, and used conditioned pain modulation as an outcome measure. Studies that did not use this outcome, or studies that included younger populations without subgroup analysis, were excluded.</p><p><strong>Methods: </strong>The review followed the JBI methodology for scoping reviews. A comprehensive search was conducted across MEDLINE (Ovid), CINAHL (EBSCOhost), Embase (Embase.com), Cochrane Database of Systematic Reviews, Web of Science, the JBI EBP Database (Ovid), PsycINFO (Ovid), and PEDro. Gray literature was also searched (ProQuest, OpenGrey, DART-Europe E-theses Portal, WHO International Clinical Trials Registry Platform, ClinicalTrials.gov, BASE). The searches covered studies published from 2000 to 2024 with no language or geographic restrictions. Two reviewers independently conducted eligibility screening and data extraction. The results were organized narratively and presented using summary tables and figures.</p><p><strong>Results: </strong>A total of 1717 articles was identified through database searches, and an additional 131 from gray literature sources. After screening titles and abstracts, and assessing full texts against the eligibility criteria, 6 studies were included in the review. Participants were older adults, generally between 60-75 years of age, and 4 of the studies focused specifically on people with knee osteoarthritis. The studies described a range of physical activity formats, including acute isometric or aerobic exercise protocols, longer-term exercise programs, and habitual physical activity measured through accelerometry. Conditioned pain modulation was investigated using varied methodological approaches, including different test and conditioning stimuli, anatomical application sites, sequences, and calculation
目的:本综述旨在探讨和总结以条件疼痛调节为评估工具的老年人体力活动与内源性疼痛调节之间关系的研究。疼痛是老年人的常见问题,严重影响他们的生活质量。虽然体育活动被广泛推荐为减轻疼痛的非药物策略,但其潜在镇痛作用的机制尚不完全清楚。一种可能的机制可能与身体活动对内源性疼痛调节的影响有关。这篇综述的重点是:(i)不同类型的身体活动与老年人内源性疼痛调节的关系;(ii)用于评估这种关系的方案,特别是那些使用条件疼痛调节的方案;(三)现有的知识差距,需要进一步研究或针对老年疼痛患者的干预措施。入选标准:如果研究对象年龄在60岁或以上,调查体育活动作为干预措施及其与疼痛调节的关系,并使用条件疼痛调节作为结果衡量标准,则纳入研究。未使用该结果的研究,或纳入年轻人群但未进行亚组分析的研究被排除在外。方法:采用JBI方法进行范围评价。通过MEDLINE (Ovid)、CINAHL (EBSCOhost)、Embase (Embase.com)、Cochrane系统评价数据库、Web of Science、JBI EBP数据库(Ovid)、PsycINFO (Ovid)和PEDro进行了全面的检索。灰色文献也被检索(ProQuest, OpenGrey, DART-Europe E-theses Portal, WHO国际临床试验注册平台,ClinicalTrials.gov, BASE)。这些搜索涵盖了2000年至2024年间发表的研究,没有语言或地理限制。两名审稿人独立进行了资格筛选和数据提取。结果以叙述的方式组织起来,并使用汇总表和图表来呈现。结果:通过数据库检索共鉴定出1717篇文章,另外131篇来自灰色文献来源。在筛选标题和摘要,并根据合格标准评估全文后,6项研究被纳入本综述。参与者是年龄较大的成年人,一般在60-75岁之间,其中4项研究专门针对患有膝关节骨关节炎的人。这些研究描述了一系列的体育活动形式,包括急性等长或有氧运动方案,长期运动计划,以及通过加速度计测量的习惯性体育活动。条件疼痛调节的研究采用多种方法,包括不同的测试和条件刺激、解剖应用部位、序列和计算策略。在纳入的文献中,身体活动和内源性疼痛调节的概念化存在很大差异,干预特征的报道也是如此。通常报道的局限性包括样本量小,方法异质性,研究人群有限,以及关于身体活动干预如何适应老年参与者的细节有限。结论:研究方法的可变性强调了在将疼痛调节方案更广泛地应用于老年人之前,有必要对其进行标准化,因为老年人具有更多的复杂性和年龄相关因素,这对结果的解释提出了挑战。未来的研究应旨在通过开发适合老年人的体育活动干预措施来完善建议,特别关注老年人的可行性和依从性。评审注册:OSF https://osf.io/e7ndy/。
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引用次数: 0
Virtual care for chronic wounds in residential aged care settings: a scoping review protocol. 虚拟护理慢性伤口在住宅老年护理设置:范围审查协议。
IF 4.5 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2026-01-01 Epub Date: 2025-12-23 DOI: 10.11124/JBIES-24-00528
Heather Russell, Georgina Luscombe, Meredith Makeham, Annie Banbury, Michelle Barakat-Johnson

Objective: This scoping review will identify and map the available literature on virtual care for chronic wound management in residential aged care settings.

Introduction: Chronic wounds are an underacknowledged public health issue with substantial health and economic costs. These wounds, which do not heal in a timely manner, are common in residential aged care settings. While evidence-based wound care is essential for better outcomes, access is challenging in residential aged care settings. Emerging virtual care interventions have improved access to evidence-based wound care; however, little is known about the current use of such interventions in residential aged care settings.

Eligibility criteria: This review will include adults with chronic wounds living in residential aged care across diverse geographic locations. The review will consider virtual care for chronic wounds, with a particular focus on intervention type and frequency, as well as barriers and enablers of use.

Methods: The proposed review will be conducted in accordance with the JBI methodology for scoping reviews and reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). MEDLINE (Ovid), CINAHL (EBSCOhost), Embase (Ovid), AgeLine, IEEE Xplore, and ACM digital library will be searched for relevant literature, with no limitations on language or date of publication. The World Health Organization's International Clinical Trials Registry Platform (WHO ICTRP) and the US National Institutes of Health Ongoing Trials Register will be searched for gray literature. Title, abstract, and full-text screening will be conducted by 2 reviewers independently. Data will be extracted using a reviewer-developed tool, and a narrative summary will accompany the tabulated results.

Review registration: OSF https://osf.io/j97bt.

目的:这一范围审查将确定和绘制现有文献的虚拟护理慢性伤口管理在住宅老年护理设置。慢性伤口是一个未被充分认识的公共卫生问题,具有巨大的健康和经济成本。这些伤口不能及时愈合,在老年护理机构中很常见。虽然以证据为基础的伤口护理对于取得更好的结果至关重要,但在住院老年护理机构中,获得护理是具有挑战性的。新兴的虚拟护理干预措施改善了循证伤口护理的可及性;然而,目前对这种干预措施在住宅老年护理机构的使用知之甚少。入选标准:本综述将包括居住在不同地理位置的老年护理机构的慢性伤口患者。审查将考虑慢性伤口的虚拟护理,特别侧重于干预类型和频率,以及使用的障碍和促进因素。方法:拟议的评价将按照JBI范围评价方法学进行,并使用范围评价系统评价和元分析扩展首选报告项目(PRISMA-ScR)进行报告。检索MEDLINE (Ovid)、CINAHL (EBSCOhost)、Embase (Ovid)、AgeLine、IEEE Xplore、ACM数字图书馆等相关文献,不受语言和出版日期限制。将检索世界卫生组织的国际临床试验注册平台(WHO ICTRP)和美国国立卫生研究院正在进行的试验注册表,以查找灰色文献。题目、摘要和全文将由2名独立审稿人进行筛选。数据将使用审稿人开发的工具提取,并将随表格结果进行叙述摘要。评审注册:OSF https://osf.io/j97bt。
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引用次数: 0
Strengthening the evidence base: 12 months of progress. 加强证据基础:12个月的进展。
IF 4.5 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2026-01-01 Epub Date: 2025-12-23 DOI: 10.11124/JBIES-25-00567
Mara Lambert, Melanie Dankel
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引用次数: 0
Experiences of breastfeeding among mothers of preterm infants during their infant's hospital stay: a qualitative systematic review and meta-aggregation. 早产儿母亲在其婴儿住院期间的母乳喂养经验:一项定性系统回顾和荟萃汇总。
IF 4.5 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2026-01-01 Epub Date: 2025-12-23 DOI: 10.11124/JBIES-25-00194
Tippawan Srichalerm, Donruedee Kamkhoad, Ratchanok Phonyiam
<p><strong>Objective: </strong>The objective of this review was to explore the breastfeeding experiences and the management of mother's own milk among mothers of preterm infants during their infant's hospitalization.</p><p><strong>Introduction: </strong>Mothers of preterm infants often face distinct breastfeeding challenges that differ considerably from those experienced by mothers of term infants. The qualitative synthesis of evidence regarding the breastfeeding experiences of mothers with preterm infants in hospital settings is a valuable area of research that remains underexplored.</p><p><strong>Eligibility criteria: </strong>This systematic review included qualitative studies, as well as the qualitative components of mixed methods studies, that involved mothers of preterm infants, regardless of maternal age or social background. The review specifically focused on studies that explored maternal experiences with breastfeeding and mother's own milk management during the hospitalization of their preterm infants.</p><p><strong>Methods: </strong>This review was conducted following JBI methodology for qualitative research, with the aim of examining relevant evidence from both published and unpublished studies up to July 2024. The initial search was conducted using PubMed, followed by an extensive search across PubMed, CINAHL (EBSCOhost), Embase (EBSCOhost), and Scopus. Unpublished studies and gray literature were searched through the Mahidol Library Catalogs and the Open Access Theses and Dissertations database. Retrieved records from academic databases, unpublished studies, gray literature, and reference lists of the retrieved records were screened. Studies published in English or Thai were eligible for inclusion. Two reviewers independently screened studies for eligibility and conducted critical appraisals. Data were then extracted and synthesized using meta-aggregation independently by 2 reviewers. All reviewers reached a consensus on the categories and finalized the synthesized findings.</p><p><strong>Results: </strong>This review included 53 studies conducted across 20 countries spanning 6 continents, involving approximately 1212 mothers. A total of 225 findings were identified and organized into 11 categories based on thematic similarities, resulting in 4 synthesized findings: i) Mothers are central to the breastfeeding process, playing a key role in making decisions regarding the provision of breast milk for their preterm infants; ii) Mothers of preterm infants often encounter unique personal challenges in providing breast milk to their infants; iii) External systems serve as both facilitators and barriers to breastfeeding and mother's own milk management; and iv) Comprehensive support systems enhance breastfeeding practices and outcomes.</p><p><strong>Conclusions: </strong>This review provides a systematic synthesis of the experiences of breastfeeding and mother's own milk management among mothers of preterm infants in hospital settings. It
目的:本综述的目的是探讨早产儿母亲在其婴儿住院期间的母乳喂养经验和母乳的管理。前言:早产婴儿的母亲经常面临明显的母乳喂养挑战,这与足月婴儿的母亲所经历的挑战有很大不同。关于医院环境中早产儿母亲母乳喂养经验的定性综合证据是一个仍未充分探索的有价值的研究领域。资格标准:本系统综述包括定性研究,以及混合方法研究的定性成分,涉及早产儿母亲,无论母亲年龄或社会背景如何。这篇综述特别侧重于探讨母亲在早产婴儿住院期间的母乳喂养经历和母乳管理的研究。方法:本综述采用JBI方法进行定性研究,目的是检查截至2024年7月已发表和未发表的研究的相关证据。最初使用PubMed进行搜索,随后在PubMed、CINAHL (EBSCOhost)、Embase (EBSCOhost)和Scopus中进行广泛搜索。未发表的研究和灰色文献通过玛希隆图书馆目录和开放获取论文数据库进行检索。筛选来自学术数据库的检索记录、未发表的研究、灰色文献和检索记录的参考文献列表。以英语或泰语发表的研究符合纳入条件。两名审稿人独立筛选研究的合格性并进行关键评估。然后由2位审稿人独立使用元聚合法提取和合成数据。所有审稿人就分类达成共识,并最终确定了综合发现。结果:本综述包括在6大洲20个国家进行的53项研究,涉及约1212名母亲。共确定了225项调查结果,并根据主题相似性将其分为11类,从而得出4项综合调查结果:1)母亲是母乳喂养过程的核心,在决定为早产儿提供母乳方面发挥着关键作用;ii)早产婴儿的母亲在为婴儿提供母乳时经常遇到独特的个人挑战;外部系统对母乳喂养和母亲自己的乳汁管理既起促进作用,也起阻碍作用;四)综合支持系统可加强母乳喂养做法和成果。结论:本综述提供了一个系统的综合经验母乳喂养和母亲自己的母乳管理的早产儿母亲在医院设置。报告强调,由于婴儿的健康问题,这些母亲在母乳喂养方面面临重大困难,强调需要全面支持以克服这些障碍。本综述的局限性包括纳入研究质量的可变性和潜在的语言偏倚。对未来研究的建议包括进一步探索不同背景下早产儿母亲的母乳喂养经历,包括家庭和社区环境。此外,应根据综合调查结果,研究全面的母乳喂养支持策略,以加强这些母亲的母乳喂养做法和结果。评审注册:PROSPERO CRD42024501454。
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引用次数: 0
Effectiveness of artificial intelligence-enhanced cognitive behavioral therapy compared to alternative non-pharmacological therapies for treating depression or anxiety among adults: a systematic review protocol. 人工智能增强认知行为疗法与替代非药物疗法在治疗成人抑郁症或焦虑症方面的有效性:一项系统评价方案。
IF 4.5 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2026-01-01 Epub Date: 2025-12-23 DOI: 10.11124/JBIES-24-00533
Nivetha K, Vineetha Karuveettil, Anagha S Pillai, Mamatha Jayachandran, Princy Louis Pallaty

Objective: The objective of this systematic review is to evaluate the effectiveness of artificial intelligence-enhanced cognitive behavioral therapy (AI-enhanced CBT) compared to traditional CBT or alternative non-pharmacological therapies in treating depression and anxiety among adults.

Introduction: Mental health disorders, particularly anxiety and depression, affect millions of individuals worldwide. The World Health Organization estimated that in 2021, approximately 359 million people experienced anxiety and 332 million experienced depression, with global prevalence rates of 4.4% and 4.0%, respectively. CBT has long been an effective treatment for these conditions, with structured interventions for symptom reduction. However, AI-enhanced CBT introduces a new dimension by personalizing treatment through adaptive algorithms and automated feedback. While traditional therapies such as psychotherapy, medication, or mindfulness have shown varying degrees of success, the integration of AI with CBT holds potential for scalable, accessible, and individualized care.

Eligibility criteria: This review will include studies that evaluate AI-enhanced CBT for treating adults with depression and/or anxiety. Comparators may include traditional CBT or alternative non-pharmacological interventions. Eligible studies must report clinical outcomes such as symptom reduction, patient engagement, or treatment feasibility.

Methods: The review will follow the JBI methodology for systematic reviews of effectiveness. Comprehensive searches will be conducted in MEDLINE (Ovid), Scopus, Cochrane CENTRAL, CINAHL (Ovid), Embase (Ovid), and Epistemonikos. We will also search relevant gray literature sources, including ProQuest Dissertations and Theses Global (EBSCOhost), OAIster, and Google Scholar. Two reviewers will independently screen studies, appraise quality using the JBI checklist for randomized controlled trials, and extract data using a standardized form. The review will follow PRISMA reporting guidelines, and, if data permit, meta-analysis will be undertaken.

Review registration: PROSPERO CRD42024580549.

目的:本系统综述的目的是评估人工智能增强认知行为疗法(AI-enhanced CBT)与传统CBT或替代非药物疗法在治疗成人抑郁和焦虑方面的有效性。精神健康障碍,特别是焦虑和抑郁,影响着全世界数百万人。2015年,世界卫生组织估计有2.64亿人患有焦虑症,3.22亿人患有抑郁症,患病率分别为3.6%和4.4%。长期以来,CBT一直是治疗这些疾病的有效方法,通过结构化的干预来减轻症状。然而,人工智能增强的CBT通过自适应算法和自动反馈引入了个性化治疗的新维度。虽然心理治疗、药物治疗或正念等传统疗法取得了不同程度的成功,但人工智能与CBT的结合具有可扩展、可获取和个性化护理的潜力。入选标准:本综述将包括诊断为抑郁症和/或焦虑症的成人研究,以评估人工智能增强的CBT。比较物可能包括传统的CBT或替代的非药物干预。符合条件的研究必须报告临床结果,如症状减轻、患者参与或治疗可行性。方法:本综述将遵循JBI方法对有效性进行系统评价。综合检索将在MEDLINE (Ovid)、Scopus、Cochrane CENTRAL、CINAHL (Ovid)、Embase (Ovid)和Epistemonikos中进行。我们还将检索相关的灰色文献来源,包括ProQuest disserthesis and Theses Global (EBSCOhost)、OAIster和谷歌Scholar。两名审稿人将独立筛选研究,使用JBI随机对照试验检查表评估质量,并使用标准化表格提取数据。审查将遵循PRISMA报告指南,如果数据允许,将进行荟萃分析。系统评价注册号:PROSPERO CRD42024580549。
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引用次数: 0
Challenges in the implementation of mass drug administration programs with ivermectin for the control and elimination of onchocerciasis: a scoping review protocol. 为控制和消除盘尾丝虫病而使用伊维菌素实施大规模给药规划的挑战:范围审查方案
IF 4.5 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2026-01-01 Epub Date: 2025-12-23 DOI: 10.11124/JBIES-24-00543
Kenny Geomor, Kathrin Bogensberger, Antje van der Zee-Neuen

Objective: The aim of the scoping review is to elucidate challenges in mass drug administration programs with ivermectin to control or eliminate onchocerciasis in endemic countries.

Introduction: The filarial nematode Onchocerca volvulus causes onchocerciasis, a neglected tropical disease that can lead to blindness. Although ivermectin, a potent antifilarial drug, was introduced in 1991 and has been used successfully in mass drug administration programs, complex challenges have prevented the elimination of onchocerciasis, a goal set by the World Health Organization in 2009. A comprehensive understanding of these challenges could help program managers and policymakers better target their efforts to control and eliminate onchocerciasis.

Eligibility criteria: This review will consider literature that includes individuals affected by onchocerciasis who are living in endemic countries. Literature describing the challenges of implementing mass drug administration programs with ivermectin to control or eliminate onchocerciasis will be considered.

Methods: The review will be conducted according to the JBI methodology for scoping reviews and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). MEDLINE (Ovid), Web of Science Core Collection, CINAHL (EBSCOhost), Cochrane Central Register of Controlled Trials (CENTRAL), Emcare (Ovid), Embase (Ovid), Scopus, and SciELO will be searched. Primary and gray literature in any language from January 1991 onward will be included. Additional studies will be identified by screening the reference lists of included articles. Study selection and data extraction will be done independently by 2 reviewers. Data will be analyzed descriptively and presented in tables, graphs, and narrative format.

Review registration: OSF https://osf.io/e2q49.

目的:本综述的目的是阐明在流行国家使用伊维菌素控制或消除盘尾丝虫病的大规模药物管理计划所面临的挑战。盘尾丝虫病是一种被忽视的可导致失明的热带疾病,盘尾丝虫病是由盘尾丝虫病引起的。伊维菌素是一种强效抗丝虫病药物,于1991年推出,并已成功地用于大规模药物管理规划,但复杂的挑战阻碍了消除盘尾丝虫病,而这是世界卫生组织在2009年设定的目标。全面了解这些挑战可以帮助项目管理者和决策者更好地有针对性地控制和消除盘尾丝虫病。入选标准:本综述将纳入居住在盘尾丝虫病流行国家中受盘尾丝虫病影响的个体的文献。文献描述的挑战,实施伊维菌素大规模给药方案,以控制或消除盘尾丝虫病将被考虑。方法:根据JBI范围评价方法学进行评价,并根据系统评价和荟萃分析范围评价扩展首选报告项目(PRISMA-ScR)进行报告。将检索MEDLINE (Ovid)、Web of Science Core Collection、CINAHL (EBSCOhost)、Cochrane Central Register of Controlled Trials (Central)、Emcare (Ovid)、Embase (Ovid)、Scopus和SciELO。将包括1991年1月以后任何语文的原始文献和灰色文献。将通过筛选纳入文章的参考文献来确定其他研究。研究选择和数据提取将由2名审稿人独立完成。将对数据进行描述性分析,并以表格、图表和叙述格式呈现。评审注册:OSF https://osf.io/e2q49。
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引用次数: 0
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