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Allied health interventions for preterm infants with feeding aversion: a scoping review protocol. 联合健康干预早产儿喂养厌恶: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-24-00527
Ailish Harrison, Sarah Massey, Philip Powell, Samantha Armitage

Objective: The proposed scoping review will identify and map the literature on allied health interventions for preterm infants with feeding aversion.

Introduction: Infants born preterm can have aversive responses to food in the mouth (eg, avoidance, gagging), which can lead to refusal to eat, poor diet, poor weight gain, long-term tube feeding, and stress and anxiety during mealtimes. There is currently limited evidence on allied health professional interventions for infants with feeding aversion and their families. A comprehensive scoping review will identify allied health interventions to address this issue, as well as potential evidence gaps.

Eligibility criteria: Eligible studies will include infants born preterm (≤37 weeks' gestational age), aged ≤12 months (corrected age), with feeding aversion, and their parents/families. Studies will also be eligible if they report on allied health (speech and language therapy, occupational therapy, dietetic, psychology) interventions to improve infants' oral feeding.

Methods: The review will follow the JBI methodology for scoping reviews. MEDLINE (Ovid), AMED (Ovid), Embase (Ovid), Emcare (Ovid), PsycINFO (ProQuest), and CINAHL (EBSCOhost) databases will be searched from January 2014 onward. PubMed will be searched in its entirety for cited and similar articles. Hand-searches of gray literature, reference lists, and specific professional publications will also be conducted. No language restrictions will be applied. Data published in languages other than English will be translated using free online translation tools. Two reviewers will independently screen studies and extract data using a piloted data extraction form. Descriptive analysis will include narrative summaries, frequency counts, descriptive statistics, and/or basic descriptive qualitative coding and categorizing.

Review registration: Figshare https://figshare.com/articles/preprint/Allied_health_interventions_for_preterm_infants_with_feeding_aversion_Protocol_abstract/26954929.

目的:提出的范围审查将确定和绘制文献联合健康干预早产儿喂养厌恶。导读:早产婴儿可能对口中的食物产生厌恶反应(例如,回避、呕吐),这可能导致拒绝进食、饮食不良、体重增加不佳、长期管饲以及进餐时的压力和焦虑。目前有有限的证据联合卫生专业干预婴儿喂养厌恶和他们的家庭。全面的范围审查将确定解决这一问题的联合卫生干预措施,以及潜在的证据差距。入选标准:符合条件的研究将包括早产儿(≤37周胎龄)、年龄≤12个月(修正年龄)、厌恶喂养的婴儿及其父母/家庭。如果研究报告了改善婴儿口服喂养的联合健康(言语和语言治疗、职业治疗、饮食、心理学)干预措施,也将符合资格。方法:审查将遵循JBI方法进行范围审查。MEDLINE (Ovid)、AMED (Ovid)、Embase (Ovid)、Emcare (Ovid)、PsycINFO (ProQuest)和CINAHL (EBSCOhost)数据库将从2014年1月开始检索。PubMed将全文搜索被引用的和类似的文章。手工检索灰色文献、参考书目和特定的专业出版物也将进行。没有语言限制。以英语以外的语言发布的数据将使用免费的在线翻译工具进行翻译。两名审稿人将独立筛选研究并使用试点数据提取表格提取数据。描述性分析将包括叙述性总结、频率计数、描述性统计和/或基本描述性定性编码和分类。审核注册:Figshare https://figshare.com/articles/preprint/Allied_health_interventions_for_preterm_infants_with_feeding_aversion_Protocol_abstract/26954929?file=49048243。
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引用次数: 0
Effectiveness of telemedicine interventions for the management of tuberculosis in low- and middle-income countries: a systematic review protocol. 在低收入和中等收入国家(LMICs)管理结核病的远程医疗干预措施的有效性:系统审查方案。
IF 4.5 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2026-01-01 Epub Date: 2025-12-23 DOI: 10.11124/JBIES-25-00049
Diana Dalisay A Orolfo, Fredyrose Ivan L Pinar, Alely S Reyes

Objective: This systematic review will aim to evaluate the effectiveness of telemedicine interventions compared with traditional or in-person care in improving medication adherence and clinical outcomes among adult patients with tuberculosis in low- and middle-income countries.

Introduction: Tuberculosis remains a major public health challenge, particularly in low- and middle-income countries, where health care access is limited and treatment adherence is suboptimal. Telemedicine interventions, including video-observed therapy, text message reminders, and mobile health applications, offer innovative solutions to enhance tuberculosis management. However, evidence on their effectiveness remains fragmented, especially in low-resource settings, necessitating a comprehensive review to inform policy and practice.

Eligibility criteria: This review will include randomized controlled trials and quasi-experimental studies conducted in low- and middle-income countries involving adult patients with tuberculosis. Eligible studies will evaluate telemedicine interventions with a minimum duration of 30 days and report on at least 1 primary outcome (medication adherence or tuberculosis clinical outcomes) or secondary outcome (acceptability or patient satisfaction).

Methods: The review will adhere to the JBI methodology for systematic reviews of effectiveness. A 3-step search strategy will be followed to identify published and unpublished studies and gray literature. Databases to be searched will include PubMed, CINAHL (EBSCOhost), Embase (Ovid), Global Health (Ovid), and ScienceDirect. There will be no date or language restrictions. Two reviewers will independently screen and select studies, critically appraise studies, and extract data. If feasible, a meta-analysis will be conducted; otherwise, the synthesis without meta-analysis (SWiM) approach to data synthesis will be used. The GRADE approach will assess evidence certainty, and the findings will be summarized accordingly.

Review registration: PROSPERO CRD42025644658.

目的:本系统综述旨在评估远程医疗干预在改善中低收入国家(LMICs)成年结核病患者服药依从性和临床结果方面与传统或面对面护理相比的有效性。前言:结核病仍然是一个重大的公共卫生挑战,特别是在卫生保健机会有限且治疗依从性欠佳的中低收入国家。远程医疗干预措施,包括视频观察治疗、短信提醒和移动卫生应用程序,为加强结核病管理提供了创新解决方案。然而,关于其有效性的证据仍然不完整,特别是在资源匮乏的环境中,因此需要进行全面审查,以便为政策和实践提供信息。入选标准:本综述将包括在中低收入国家进行的涉及成年结核病患者的随机对照试验和准实验研究。符合条件的研究将评估至少持续30天的远程医疗干预措施,并报告至少1个主要结果(药物依从性或结核病临床结果)或次要结果(可接受性或患者满意度)。方法:评价将遵循JBI方法对有效性进行系统评价。将遵循三步搜索策略来识别已发表和未发表的研究以及灰色文献。检索的数据库包括PubMed、CINAHL (EBSCOhost)、Embase (Ovid)、Global Health (Ovid)、ScienceDirect。没有日期和语言限制。两名独立审稿人将对研究进行筛选和批判性评估,并提取数据。如果可行,将进行meta分析;否则,将使用SWiM方法进行数据合成。GRADE方法将评估证据的确定性,并对结果进行相应的总结。审核注册:PROSPERO CRD42025644658。
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引用次数: 0
Experiences of adolescents with type 1 diabetes, their parents, and health care providers during the transition to adult health care settings: a qualitative systematic review. 1型糖尿病青少年、其父母和卫生保健提供者在向成人卫生保健机构过渡期间的经历:一项定性系统回顾
IF 4.5 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2026-01-01 Epub Date: 2025-12-23 DOI: 10.11124/JBIES-24-00507
Mariam G Ahmed, Emma Wilson, Heather Buchanan, Fatin Pakururazi, James Law, Jo Leonardi-Bee
<p><strong>Objective: </strong>The objective of this qualitative review was to identify and synthesize the evidence related to the experiences and perspectives of adolescents with type 1 diabetes (T1D), their parents, and health care providers (HCPs) on the transition from pediatric to adult health care settings.</p><p><strong>Introduction: </strong>Transition to adult health care is one of the challenges facing adolescents with T1D, and unsuccessful transitions can lead to negative health outcomes. Understanding the perspectives of adolescents and young adults, their parents, and health care professionals on the transition is essential to develop effective transition interventions.</p><p><strong>Eligibility criteria: </strong>Studies were considered for inclusion if they explored the experiences and perspectives of adolescents with T1D, their parents, and HCPs on the transition from pediatric to adult health care settings. This review included studies that focused on qualitative data, including designs such as phenomenology, grounded theory, ethnography, and qualitative descriptive.</p><p><strong>Methods: </strong>MEDLINE (Ovid), Embase (Ovid), PsycINFO (Ovid), CINAHL (EBSCOhost), Cochrane Library, and PubMed were searched to identify published studies from inception to May 2024. There was no restriction on the date or language of the publication. The conduct of the review adhered to the JBI methodology for qualitative systematic reviews. The JBI process of meta-aggregation was used to identify categories and synthesize findings.</p><p><strong>Results: </strong>Of 6303 records identified, 25 studies met the eligibility criteria and were included in the review. The included studies represented the perspectives of 486 adolescents and young adults receiving care in either pediatric or adult health care settings, 86 parents, and 81 HCPs working in either pediatric or adult health care settings. In most studies, interviews were used as the method for data collection. A total of 159 findings were extracted and aggregated into 12 categories, based on the similarity of meaning. Five synthesized findings were generated, all with moderate confidence: i) Adolescents and young adults with T1D may be anxious and feel unprepared due to being unaware of the process and a lack of preparation; however, others may be confident and ready for their transition to adult services; ii) Adolescents with T1D face many barriers as they transition from pediatric to adult care, mainly due to challenges of navigating changes in health systems or the burden of living with T1D; iii) A successful transition to adult care for adolescents and young adults with T1D depends on activities to support feeling prepared for the transition, having support networks with a stronger emphasis on peer support, and a structured and coordinated transition between pediatric and adult health care; iv) Parents can struggle with their child's transition where the parents' roles and responsibilities
目的:本定性回顾的目的是识别和综合与1型糖尿病青少年(T1D)、其父母和卫生保健提供者(HCPs)从儿科向成人卫生保健机构过渡的经历和观点相关的证据。向成人医疗保健的过渡是T1D青少年面临的挑战之一,不成功的过渡可能导致负面的健康结果。了解青少年和年轻人、他们的父母和卫生保健专业人员对过渡的看法对于制定有效的过渡干预措施至关重要。入选标准:如果研究探讨了患有T1D的青少年、他们的父母和医疗服务提供者从儿科医疗机构过渡到成人医疗机构的经历和观点,则考虑纳入研究。本综述包括专注于定性数据的研究,包括但不限于现象学、扎根理论、民族志和定性描述等设计。方法:检索MEDLINE (Ovid)、Embase (Ovid)、PsycINFO (Ovid)、CINAHL (EBSCOhost)、Cochrane Library和PubMed,以确定从成立到2024年5月已发表的研究。对出版物的日期或语言没有限制。评价的实施遵循JBI的定性系统评价指南。使用元聚合的JBI过程来识别类别和综合结果。结果:在确定的6303份记录中,有25项研究符合入选标准,纳入本综述。纳入的研究代表了486名在儿科或成人卫生保健机构接受护理的青少年和年轻人、86名父母和81名在儿科或成人卫生保健机构工作的医护人员的观点。在大多数研究中,访谈是数据收集的方法。总共有160项调查结果被提取出来,并根据意义的相似性将其汇总为12类。五项综合发现(均具有中等置信度):i)青少年和年轻的T1D患者可能会因为不知道这个过程和缺乏准备而感到焦虑和没有准备;然而,其他人可能有信心并准备好过渡到成人服务。ii)患有T1D的青少年在从儿科护理过渡到成人护理时面临许多障碍,主要是由于应对卫生系统变化的挑战或患有T1D的生活负担。iii)为患有T1D的青少年和年轻人成功过渡到成人护理取决于支持为过渡做好准备的活动;拥有更强调同伴支持的支持网络;在儿童和成人医疗保健之间进行结构化和协调的过渡。4)父母在孩子的转变过程中可能会遇到困难,当孩子接近成年时,父母的角色和责任会被孩子完善,父母可能需要支持来处理他们在转变过程中的新角色。(五)卫生保健专业人员可能不确定最佳过渡战略,并倾向于提出许多改善过渡的活动,主要侧重于儿科和成人卫生保健之间的协调。结论:这一定性回顾的发现为T1D青少年、父母和卫生保健提供者从儿科到成人卫生保健机构的转变提供了见解。研究结果强调,需要更有条理的过渡过程,赋予年轻人自主权和自我管理技能,并得到父母和医护人员的持续支持。审核注册:PROSPERO CRD42024557117。
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引用次数: 0
Leadership factors affecting health care professionals as second victims in the hospital context: a scoping review protocol. 领导因素影响医疗保健专业人员作为医院背景下的第二受害者: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-24-00526
Maristela Santini Martins, Letícia Tuany de Carvalho Nogueira Manganotti, Ighor Rodrigues Senger Nascimento, Andresa Gomes de Paula, Ellen Regina Sevilla Quadrado, Chennyfer Dobbins Abi Rached, Helena de Rezende

Objective: The aim of this review is to map the leadership factors affecting health care professionals as second victims in the hospital context.

Introduction: The term second victim refers to health care professionals who have been adversely affected by unanticipated patient events, unintentional medical errors, or patient injuries, thereby experiencing significant emotional and psychological impacts. Support from peers and leadership is crucial for recovery and fostering empathy and a culture of safety. Effective leadership promotes open communication and a culture of continuous learning, thereby enhancing staff well-being and patient safety.

Eligibility criteria: We will include documents that discuss leadership factors affecting health care professionals as second victims in hospital settings.

Methods: This review will follow JBI's scoping review methodology. The following databases will be searched: PubMed, CINAHL (EBSCOhost), Scopus, ScienceDirect, and Embase (Ovid), alongside gray literature platforms such as Google Scholar, ProQuest Dissertations and Theses Global (ProQuest), the CAPES Catalog of Theses and Dissertations, and LILACS. Additionally, 15 websites of prominent health care institutions will be consulted. Data extraction will be performed in pairs with consensus rounds. Documents published in any language will be included, provided they were published from the year 2000 onward, as the term second victim was first introduced in the literature in that year. A descriptive analysis will be conducted to present the findings.

Review registration: OSF https://osf.io/th5vp/.

术语第二受害者是指卫生保健专业人员谁已经不利影响的意外患者事件,无意的医疗错误,或患者受伤,从而经历重大的情感和心理影响。同伴和领导的支持对于恢复和培养同理心和安全文化至关重要。有效的领导促进开放的沟通和持续学习的文化,从而提高员工的福祉和患者的安全。目的:本综述的目的是绘制在医院背景下影响卫生保健专业人员作为第二受害者的领导因素。资格标准:我们将包括讨论影响医疗保健专业人员作为医院设置的第二受害者的领导因素的文件。方法:本综述将遵循JBI的范围综述方法。将检索以下数据库:PubMed, CINAHL (EBSCOhost), Scopus, ScienceDirect和Embase (Ovid),以及谷歌Scholar, ProQuest disserts and Theses Global (ProQuest), CAPES论文目录和LILACS等灰色文献平台。此外,还将咨询15家知名医疗机构的网站。数据提取将按共识轮成对进行。以任何语文出版的文件,只要是2000年以后出版的,都将列入其中,因为第二受害者一词是在2000年首次在文献中提出的。将进行描述性分析,以介绍调查结果。评审注册:OSF https://osf.io/th5vp/。
{"title":"Leadership factors affecting health care professionals as second victims in the hospital context: a scoping review protocol.","authors":"Maristela Santini Martins, Letícia Tuany de Carvalho Nogueira Manganotti, Ighor Rodrigues Senger Nascimento, Andresa Gomes de Paula, Ellen Regina Sevilla Quadrado, Chennyfer Dobbins Abi Rached, Helena de Rezende","doi":"10.11124/JBIES-24-00526","DOIUrl":"10.11124/JBIES-24-00526","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this review is to map the leadership factors affecting health care professionals as second victims in the hospital context.</p><p><strong>Introduction: </strong>The term second victim refers to health care professionals who have been adversely affected by unanticipated patient events, unintentional medical errors, or patient injuries, thereby experiencing significant emotional and psychological impacts. Support from peers and leadership is crucial for recovery and fostering empathy and a culture of safety. Effective leadership promotes open communication and a culture of continuous learning, thereby enhancing staff well-being and patient safety.</p><p><strong>Eligibility criteria: </strong>We will include documents that discuss leadership factors affecting health care professionals as second victims in hospital settings.</p><p><strong>Methods: </strong>This review will follow JBI's scoping review methodology. The following databases will be searched: PubMed, CINAHL (EBSCOhost), Scopus, ScienceDirect, and Embase (Ovid), alongside gray literature platforms such as Google Scholar, ProQuest Dissertations and Theses Global (ProQuest), the CAPES Catalog of Theses and Dissertations, and LILACS. Additionally, 15 websites of prominent health care institutions will be consulted. Data extraction will be performed in pairs with consensus rounds. Documents published in any language will be included, provided they were published from the year 2000 onward, as the term second victim was first introduced in the literature in that year. A descriptive analysis will be conducted to present the findings.</p><p><strong>Review registration: </strong>OSF https://osf.io/th5vp/.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":"142-149"},"PeriodicalIF":4.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145356248","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
Effectiveness of bilayered dermal substitutes for wound healing in adults: a systematic review protocol. 成人伤口愈合的双层真皮替代品的有效性: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-24-00464
Lauren Middleton, Elias Awwad, Elizabeth Concannon, Edoardo Aromataris

Objective: The objective of this systematic review will be to evaluate the effectiveness of the bilayered dermal substitute, Biodegradable Temporising Matrix (BTM), compared with other wound management options in improving clinical outcomes for adults with wounds requiring surgical intervention.

Introduction: Dermal substitutes provide physiological wound cover for major burns, traumatic wounds, necrotizing fasciitis, diabetes, oncological resections, and previously non-graftable wound beds. Bilayered dermal substitutes such as BTM are designed to provide immediate coverage to an area of skin loss, with subsequent skin grafting to restore structure and function.

Eligibility criteria: This review will consider studies on adult patients (18 years or older) with wounds of any etiology or severity requiring surgical intervention. Studies will be considered if they evaluate surgical treatment for wounds using BTM, with or without negative pressure wound therapy, compared with any other surgical technique.

Methods: This review will adhere to the JBI methodology for systematic reviews of effectiveness. The following databases will be searched for published studies: PubMed, Embase (Ovid), and CINAHL Ultimate (EBSCOhost). Unpublished studies, gray literature, conference presentations, and posters will also be considered. The searches will be conducted from database inception till the present, with no language limitations. Two reviewers will independently screen titles and abstracts against the eligibility criteria, followed by full-text screening. Eligible studies will be critically appraised at the outcome/result level for methodological quality using JBI's standardized critical appraisal instruments. Data will be extracted and pooled in statistical meta-analysis. The results will be reported in tables, visual format, and narrative format.

Review registration: PROSPERO CRD42024595778.

目的:本系统综述的目的是评估双层真皮替代物生物降解临时基质(BTM)的有效性,并将其与其他伤口处理方案进行比较,以改善需要手术干预的成人伤口的临床结果。皮肤替代品为重大烧伤、创伤性伤口、坏死性筋膜炎、糖尿病、肿瘤切除和以前不可移植的伤口床提供生理伤口覆盖。双层真皮替代品(如BTM)的设计目的是立即覆盖皮肤损失区域,随后进行皮肤移植以恢复结构和功能。入选标准:本综述将考虑任何病因或严重程度需要手术干预的成年患者(18岁或以上)的研究。与任何其他手术技术相比,如果他们评估使用BTM进行伤口手术治疗,无论是否使用负压伤口治疗,都将被考虑研究。方法:本综述将遵循JBI方法对有效性进行系统评价。将在以下数据库中搜索已发表的研究:PubMed, Embase (Ovid)和CINAHL Ultimate (EBSCOhost)。未发表的研究、灰色文献、会议报告和海报也将被考虑。搜索将从数据库建立到现在进行,没有语言限制。两位独立审稿人将根据资格标准筛选标题和摘要,然后进行全文筛选。将使用JBI的标准化关键评估工具在结果/结果水平上对合格的研究进行方法学质量的严格评估。数据将在统计荟萃分析中提取和汇总。结果将以表格、视觉格式和叙述格式报告。审核注册:PROSPERO CRD42024595778。
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引用次数: 0
Technology-assisted methods to assess the quality of the therapeutic alliance between health care providers and patients: a scoping review. 评估医疗保健提供者和患者之间治疗联盟质量的技术辅助方法:范围审查。
IF 4.5 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2025-12-24 DOI: 10.11124/JBIES-24-00478
Plaiphon Vaidyanuvatti, Maxwell Geiger, Emily Nelson, Vineet Sadarangani, Megan DeArmond, Sherli Koshy-Chenthittayil, Cheryl E Hightower
<p><strong>Objective: </strong>The goal of this review was to identify and summarize technology-assisted methods that assess nonverbal behaviors known to influence the quality of the therapeutic alliance between health care providers and patients in clinical, research, and/or educational settings.</p><p><strong>Introduction: </strong>Strong therapeutic alliances in health care provider-patient relationships contribute to positive patient outcomes. Previous studies have shown that nonverbal behaviors from providers, such as tone of voice, facial expression, eye contact, and physical positioning, help build strong therapeutic relationships. Technological advances have created opportunities to automate detection and feedback about nonverbal behaviors in clinical interactions without the intervention of highly trained instructors. Automated detection and feedback will increase opportunities to develop better nonverbal communication, which is expected to improve the quality of the therapeutic alliance.</p><p><strong>Eligibility criteria: </strong>Participants were current or aspiring health care providers who routinely would be expected to have patient encounters in clinical, educational, or research settings. Interactions could include actual patient interactions, model patients, virtual patients, or simulated patients. Included studies involved technology-assisted methods to collect and/or analyze at least 1 nonverbal behavior. This review included qualitative and quantitative studies and review articles.</p><p><strong>Methods: </strong>PubMed, Embase, CINAHL, ERIC, Scopus, and Google Scholar were searched for published and unpublished literature in English between 2010 and 2023. Two reviewers independently completed title and abstract screening, full-text review, and data extraction. Any conflicts that arose were resolved by a third reviewer. Extraction was completed by 2 reviewers.</p><p><strong>Results: </strong>Twenty-five sources were included. The most frequently measured behaviors included gaze frequency or duration on the patient's face (52% of studies) and facial expression (48%), with 24% of studies measuring social touch or speech patterns, 20% measuring posture and gestures, 12% measuring proximity to patient, 8% measuring synchrony, and 4% measuring voice. Technologies for data collection included audio or video recordings and other technologies such as eye-tracking glasses or multi-functional headsets, used alone or integrated into augmented reality or virtual reality systems. Challenges associated with analyzing data included recognition of patients' and providers' voices, facial features, and body parts, and classifying body posture and movement as well as facial expression and movements. Studies used commercial, open source, or customized software to meet each challenge. Many incorporated machine learning or algorithms associated with artificial intelligence, which required significant training data. Technology-assisted methods for
目的:本综述的目的是识别和总结评估非语言行为的技术辅助方法,这些方法已知会影响临床、研究和/或教育环境中卫生保健提供者和患者之间治疗联盟的质量。在医疗保健提供者-患者关系中强有力的治疗联盟有助于积极的患者结果。先前的研究表明,提供者的非语言行为,如语调、面部表情、眼神交流和身体定位,有助于建立牢固的治疗关系。技术的进步创造了在临床互动中自动检测和反馈非语言行为的机会,而无需训练有素的教师的干预。自动化检测和反馈将增加发展更好的非语言交流的机会,这有望提高治疗联盟的质量。资格标准:参与者是目前或有抱负的卫生保健提供者,他们通常会在临床、教育或研究环境中遇到患者。交互可以包括实际患者交互、模型患者交互、虚拟患者交互或模拟患者交互。纳入的研究涉及技术辅助方法来收集和/或分析至少一种非语言行为。本综述包括定性和定量研究以及综述文章。方法:检索PubMed、Embase、CINAHL、ERIC、Scopus、谷歌Scholar 2010 - 2023年已发表和未发表的英文文献。两名审稿人独立完成标题和摘要筛选、全文审稿和数据提取。出现的任何冲突都由第三位审稿人解决。提取由2位审稿人完成。结果:纳入25个来源。最常测量的行为包括凝视患者面部的频率或持续时间(52%的研究)和面部表情(48%),24%的研究测量社交接触或语言模式,20%测量姿势和手势,12%测量与患者的接近度,8%测量同步性,4%测量声音。数据收集技术包括音频或视频记录和其他技术,如眼球追踪眼镜或多功能耳机,单独使用或集成到增强现实或虚拟现实系统中。与分析数据相关的挑战包括识别患者和提供者的声音、面部特征和身体部位,以及对身体姿势和运动以及面部表情和运动进行分类。研究使用商业、开放源码或定制软件来应对每个挑战。许多公司将机器学习或与人工智能相关的算法纳入其中,这需要大量的训练数据。分析语音和社交触摸的技术辅助方法是有限的,而有几种可用的分析技术来分析同步,手势,姿势和接近患者。结论:利用技术收集和分析医患互动,以提高非语言行为和沟通技巧正在迅速发展,非语言行为的收集和分析有多种选择。未来的努力应该集中在分析语音和社交接触的技术辅助方法上,并应该透明地报告机器学习模型或人工智能相关算法的影响因素和训练数据。系统的开发将需要大量的测试,以确保目标受众的可访问性和广泛准确和有意义的非语言行为。评审注册:OSF (https://osf.io/kedmf)。
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引用次数: 0
Real-world evaluation of inter-consensus agreement on the Murad tool for appraising the methodological quality of case reports and case series. 对评估病例报告和病例系列的方法学质量的Murad工具达成的共识进行实际评估。
IF 4.5 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2025-12-19 DOI: 10.11124/JBIES-25-00225
Moustafa Hegazi, Samer Saadi, Adel Kabbara Allababidi, Magdoleen H Farah, Mohamed Abusalih, Ayla Shamsi Basha, Bashar Hasan, Tamim Rajjo, Zhen Wang, M Hassan Murad

Objective: The objective of this investigation was to evaluate the agreement rate on judgments made using the Murad tool by different systematic review teams.

Introduction: Evaluating the methodological quality of case reports and case series is challenging but some tools do exist for this purpose. We leveraged the presence of studies that have been evaluated by different systematic review teams to assess the inter-consensus agreement among different teams on Murad tool domains.

Methods: Using a back-citation method, we identified systematic reviews that used the Murad tool and retrieved all the included primary studies. We selected studies that were assessed by more than 1 systematic review team. We calculated observed agreement and Gwet's agreement coefficient on judgments made about each signaling question.

Results: We identified 982 systematic reviews that cited the Murad tool and collectively cited 59,080 references. The final data comprised of 81 duplicated case reports and series assessed by more than 1 systematic review team. Overall, the signaling questions had very high observed agreement with 5 of the 8 questions having agreement over 75%. The signaling questions with the highest agreement addressed the adequacy of the ascertainment of the exposure (coefficient 0.959), ascertainment of the outcome (coefficient 0.829), presence of a dose-response gradient (perfect agreement) and clarity of reporting (coefficient 0.755).

Conclusion: The current study demonstrates overall high agreement among different systematic review teams that used the Murad tool for appraisal of the same case series and case reports. Leveraging duplicated studies across systematic reviews is a feasible way to retrospectively assess the reliability of tool.

目的:本研究的目的是评估不同系统评价小组对使用Murad工具作出的判断的一致性。引言:评估病例报告和病例系列的方法学质量具有挑战性,但确实存在一些工具用于此目的。我们利用已经被不同的系统审查团队评估的研究的存在来评估不同团队之间在Murad工具领域的共识。方法:使用反向引用方法,我们确定了使用Murad工具的系统综述,并检索了所有纳入的主要研究。我们选择了由1个以上的系统评价小组评估的研究。我们计算了观察到的一致性和Gwet对每个信号问题判断的一致性系数。结果:我们发现982篇系统综述引用了Murad工具,共引用了59080篇文献。最终数据包括81份重复病例报告和由1个以上系统审查小组评估的系列。总的来说,信号问题有很高的一致性,8个问题中有5个问题的一致性超过75%。一致性最高的信号问题涉及暴露确定的充分性(系数0.959)、结果确定(系数0.829)、剂量-反应梯度的存在(完全一致)和报告的清晰度(系数0.755)。结论:目前的研究表明,使用Murad工具评估相同病例系列和病例报告的不同系统审查小组之间总体上高度一致。在系统评价中利用重复研究是回顾性评估工具可靠性的可行方法。
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引用次数: 0
User experience and adoption of automation and AI for evidence synthesis: a scoping review protocol. 用于证据合成的自动化和人工智能的用户体验和采用:范围审查协议。
IF 4.5 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2025-12-19 DOI: 10.11124/JBIES-25-00236
Chelsea Valenzuela, Cindy Stern, Edoardo Aromataris

Objective: The objective of this scoping review will be to chart the available evidence on user experience and adoption of automation and artificial intelligence (AI) technologies for evidence synthesis.

Introduction: Evidence syntheses are crucial for informing health care practice and policy; however, they are constrained by the ever-increasing volume of research and labor-intensive methods. With reviews often taking over a year to complete, automation and AI offer promising solutions by streamlining evidence synthesis workflows. However, while these technologies may offer significant time savings, their adoption depends on usability, trustworthiness, and workflow integration-elements which are currently poorly understood.

Eligibility criteria: This review will include primary research articles, all types of reviews, expert opinions, and gray literature that discuss user experience and/or adoption of automation and AI technologies for evidence synthesis across all disciplines.

Methods: Following JBI scoping review methodology, the search strategy will identify published and unpublished evidence sources using a 3-step process. An initial exploratory search of PubMed was conducted to identify relevant keywords and terms. This will be followed by searches of PubMed, Web of Science Core Collection, Scopus, ProQuest Central, and ACM Digital Library databases, as well as online gray literature sources to identify eligible studies. A date limit of October 2015 will be applied to the searches, with no language limitations. Three reviewers will independently screen, select, and extract data from relevant evidence sources. Data extraction and analysis will be charted and mapped through the lenses of 4 distinct frameworks: Unified Theory of Acceptance and Use of Technology (UTAUT), RE-AIM, Human-AI Interaction (HAI), and user experience (UX) principles.

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

目的:本次范围审查的目的是绘制关于用户体验和采用自动化和人工智能(AI)技术进行证据合成的现有证据。引言:证据综合对卫生保健实践和政策的通报至关重要;然而,它们受到不断增加的研究数量和劳动密集型方法的限制。由于审查通常需要一年多的时间才能完成,自动化和人工智能通过简化证据合成工作流程提供了有前途的解决方案。然而,虽然这些技术可以节省大量的时间,但它们的采用取决于可用性、可靠性和工作流集成——这些元素目前还没有得到很好的理解。资格标准:本次审查将包括主要研究文章、所有类型的审查、专家意见和灰色文献,讨论用户体验和/或采用自动化和人工智能技术进行所有学科的证据综合。方法:遵循JBI范围审查方法,搜索策略将使用三步流程识别已发表和未发表的证据来源。对PubMed进行了初步的探索性搜索,以确定相关的关键词和术语。随后将检索PubMed、Web of Science核心合集、Scopus、ProQuest Central和ACM数字图书馆数据库,以及在线灰色文献来源,以确定符合条件的研究。搜索的日期限制为2015年10月,没有语言限制。三名审稿人将独立筛选、选择和提取相关证据来源的数据。数据提取和分析将通过4个不同框架的镜头进行绘制和映射:技术接受和使用统一理论(UTAUT), RE-AIM,人机交互(HAI)和用户体验(UX)原则。评审注册:OSF https://doi.org/10.17605/OSF.IO/AYQJC。
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引用次数: 0
Pelvic floor dysfunctions among people who are LGBTQIA2S+: a scoping review protocol. LGBTQIA2S+人群盆底功能障碍:一项范围审查方案
IF 4.5 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2025-12-18 DOI: 10.11124/JBIES-24-00453
Valérie Boulanger, Kadija Perreault, Mélanie Morin, Gabrielle Monis, Stéphanie Bernard

Objective: The objective of this scoping review is to present the current evidence in relation to pelvic floor dysfunctions among people who are LGBTQIA2S+ (lesbian, gay, bisexual, transgender, queer, intersex, asexual, 2-spirit, and additional sexual and gender minorities).

Introduction: A significant proportion of people experience pelvic floor dysfunctions, including urinary and fecal incontinence, chronic pelvic pain, or pelvic organ prolapse. Although these conditions can affect the entire population, studies from various health fields suggest that people who are LGBTQIA2S+ are at greater risk of developing some of these problems. Hence, this review will help identify research gaps and provide recommendations for future studies.

Inclusion criteria: Articles investigating any type of pelvic floor dysfunction among people who are LGBTQIA2S+, regardless of study design, will be included.

Methods: This review will be conducted in accordance with the JBI methodology for scoping reviews. Database searches will include PubMed (NIH), CINAHL (EBSCOhost), the Cochrane Library, PsycINFO (Ovid), Web of Science Core Collection, and Google Scholar. Two reviewers will independently screen titles and abstracts based on the selection criteria, and in cases of discrepancies, a third reviewer will be consulted to reach a consensus. This process will also be followed for the full-text review of selected articles. A data extraction tool was developed by the research team using MS Excel. Finally, the results will be presented in tables along with a narrative description to summarize findings and highlight research gaps related to pelvic floor dysfunctions among the LGBTQIA2S+ population.

Review registration: OSF https://osf.io/6bsmz/.

目的:本综述的目的是提供LGBTQIA2S+人群(女同性恋、男同性恋、双性恋、变性人、酷儿、双性人、无性恋者、双性恋者和其他性少数群体)盆底功能障碍的最新证据。很大一部分人经历盆底功能障碍,包括尿失禁和大便失禁、慢性盆腔疼痛或盆腔器官脱垂。尽管这些情况会影响整个人群,但来自各个健康领域的研究表明,LGBTQIA2S+人群患这些问题的风险更大。因此,本综述将有助于确定研究空白,并为今后的研究提供建议。纳入标准:研究LGBTQIA2S+人群中任何类型盆底功能障碍的文章,无论研究设计如何,都将被纳入。方法:本综述将按照JBI范围综述方法学进行。数据库搜索将包括PubMed (NIH), CINAHL (EBSCOhost), Cochrane图书馆,PsycINFO (Ovid), Web of Science Core Collection和谷歌Scholar。两位审稿人将根据选择标准独立筛选标题和摘要,如有差异,将咨询第三位审稿人以达成共识。选定文章的全文审查也将遵循这一程序。研究小组利用MS Excel开发了数据提取工具。最后,结果将以表格形式呈现,并附有叙述性描述,以总结研究结果,并突出与LGBTQIA2S+人群盆底功能障碍相关的研究空白。评审注册:OSF https://osf.io/6bsmz/。
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引用次数: 0
Health net-outcome objectives and approaches for spatial planning and development: a scoping review. 空间规划和发展的卫生净成果目标和方法:范围审查。
IF 4.5 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2025-12-11 DOI: 10.11124/JBIES-25-00058
James Stewart-Evans, Emma Wilson, Tessa Langley, Angela Hands, Karen Exley, Jo Leonardi-Bee
<p><strong>Objective: </strong>The objective of this scoping review was to map the body of knowledge on net gain and no-net-loss (net-outcome) objectives and approaches applicable to health in spatial planning and development policies and practice.</p><p><strong>Introduction: </strong>There is an established body of academic and gray literature addressing environmental net-outcome objectives, such as biodiversity net gain, in spatial planning policies and practice. While a health net gain objective has been proposed as a driver for health protection and the realization of health, such an objective and approach are yet to be scoped and defined.</p><p><strong>Eligibility criteria: </strong>This review considered scientific and gray literature sources that described health net-outcome objectives and approaches that can be implemented in spatial planning and development policies and practice. Source contexts were not limited to specific countries, geographical areas, or settings. All types of evidence were considered.</p><p><strong>Methods: </strong>This review followed the JBI methodology for scoping reviews. Searches of 19 information sources were conducted in August 2023 and updated in July 2024. Key databases included Scopus, MEDLINE, and Embase. Sources of gray literature were included and citation searching was conducted. No language or date restrictions were applied. Following a high level of agreement during piloting, titles and abstracts were screened by 1 reviewer, and 50% of full texts were screened by 2 reviewers. One reviewer extracted data describing the characteristics of evidence sources and the net-outcome objectives and approaches described within them. Data analysis included categorization, frequency counts, and a SWOT (strengths, weaknesses, opportunities, threats) analysis.</p><p><strong>Results: </strong>From 8290 unique records identified, 474 evidence sources were assessed for eligibility, resulting in 112 sources being included alongside 7 others identified from citation searching. Included evidence sources dated from 1974 to 2024, with an increasing frequency of publication from 2008. Social objectives were found from the 1990s, and conservation policies engendered well-being objectives from 2018. Frequently encountered perspectives related to regenerative and sustainable design and development, biodiversity, and conservation. Almost all sources originated from developed Western economies. Broad objectives relevant to health (90/119) outnumbered distinct health objectives (29/119). Most sources addressed development projects, among other scales. Sources frequently described the reconceived use of development to protect and improve health and well-being, overcome sustainability challenges, and strengthen socioecological systems. Implementation often featured participatory approaches, mitigation hierarchies, and assessment, though some sources advocated positive opportunities for health creation rather than the use of conteste
目的:本次范围审查的目的是绘制空间规划和发展政策与实践中适用于健康的净收益和无净损失(净结果)目标和方法的知识体系。引言:在空间规划政策和实践中,已经有大量的学术和灰色文献讨论环境净结果目标,如生物多样性净收益。虽然提出了健康净收益目标,作为保护健康和实现健康的驱动因素,但这一目标和方法尚未确定范围和定义。资格标准:本综述考虑了描述可在空间规划和发展政策及实践中实施的健康净结果目标和方法的科学文献和灰色文献来源。来源背景并不局限于特定的国家、地理区域或环境。考虑了所有类型的证据。方法:本综述采用JBI方法进行范围综述。2023年8月对19个信息源进行了搜索,并于2024年7月进行了更新。关键数据库包括Scopus、MEDLINE和Embase。纳入灰色文献来源并进行引文检索。没有语言或日期限制。在试点期间,在高度一致的情况下,标题和摘要由1名审稿人筛选,50%的全文由2名审稿人筛选。一位审稿人提取了描述证据来源特征以及其中描述的净结果目标和方法的数据。数据分析包括分类、频率计数和SWOT(优势、劣势、机会、威胁)分析。结果:从确定的8290条独特记录中,评估了474个证据来源的合格性,结果包括112个来源以及从引文检索中确定的其他7个来源。包括1974年至2024年的证据来源,2008年以来出版频率增加。社会目标从20世纪90年代开始出现,保护政策从2018年开始产生福祉目标。经常遇到与再生和可持续设计和发展,生物多样性和保护有关的观点。几乎所有的资源都来自发达的西方经济体。与保健有关的广泛目标(90/119)多于具体的保健目标(29/119)。在其他规模中,大多数资源涉及开发项目。资料来源经常描述了重新设想的利用发展来保护和改善健康和福祉,克服可持续性挑战,并加强社会生态系统。实施工作往往以参与性方法、缓解等级制度和评估为特色,尽管一些消息来源主张为创造健康创造积极机会,而不是使用有争议的定量会计框架。挑战和机遇主要与客观规范和评估有关。潜在的价值冲突在一定程度上与不同的人类中心和生物中心方法以及对量化和商品化的反对有关。结论:本综述发现许多与健康和紧急健康目标相关的社会环境净结果目标不成熟且较少报道。这些建议提出了不同的范围、重点和实施方案,与决策者对未来目标的具体说明有关。规范需要价值判断,公平考虑很重要。需要解决的知识差距包括国家、政策领域和学科之间的可转移性;多层次评价;并将空间规划系统与当前影响评估理论与实践相结合。评审注册:OSF https://osf.io/4dbcm。
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引用次数: 0
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