Pub Date : 2026-01-01Epub Date: 2025-12-23DOI: 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.
{"title":"Allied health interventions for preterm infants with feeding aversion: a scoping review protocol.","authors":"Ailish Harrison, Sarah Massey, Philip Powell, Samantha Armitage","doi":"10.11124/JBIES-24-00527","DOIUrl":"10.11124/JBIES-24-00527","url":null,"abstract":"<p><strong>Objective: </strong>The proposed scoping review will identify and map the literature on allied health interventions for preterm infants with feeding aversion.</p><p><strong>Introduction: </strong>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.</p><p><strong>Eligibility criteria: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Review registration: </strong>Figshare https://figshare.com/articles/preprint/Allied_health_interventions_for_preterm_infants_with_feeding_aversion_Protocol_abstract/26954929.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":"158-165"},"PeriodicalIF":4.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145726108","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}
Pub Date : 2026-01-01Epub Date: 2025-12-23DOI: 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。
{"title":"Effectiveness of telemedicine interventions for the management of tuberculosis in low- and middle-income countries: a systematic review protocol.","authors":"Diana Dalisay A Orolfo, Fredyrose Ivan L Pinar, Alely S Reyes","doi":"10.11124/JBIES-25-00049","DOIUrl":"10.11124/JBIES-25-00049","url":null,"abstract":"<p><strong>Objective: </strong>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.</p><p><strong>Introduction: </strong>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.</p><p><strong>Eligibility criteria: </strong>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).</p><p><strong>Methods: </strong>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.</p><p><strong>Review registration: </strong>PROSPERO CRD42025644658.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":"166-175"},"PeriodicalIF":4.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145439406","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}
Pub Date : 2026-01-01Epub Date: 2025-12-23DOI: 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
{"title":"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.","authors":"Mariam G Ahmed, Emma Wilson, Heather Buchanan, Fatin Pakururazi, James Law, Jo Leonardi-Bee","doi":"10.11124/JBIES-24-00507","DOIUrl":"10.11124/JBIES-24-00507","url":null,"abstract":"<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","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":"77-141"},"PeriodicalIF":4.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12727065/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145349006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-01Epub Date: 2025-12-23DOI: 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}
Pub Date : 2026-01-01Epub Date: 2025-12-23DOI: 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.
{"title":"Effectiveness of bilayered dermal substitutes for wound healing in adults: a systematic review protocol.","authors":"Lauren Middleton, Elias Awwad, Elizabeth Concannon, Edoardo Aromataris","doi":"10.11124/JBIES-24-00464","DOIUrl":"10.11124/JBIES-24-00464","url":null,"abstract":"<p><strong>Objective: </strong>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.</p><p><strong>Introduction: </strong>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.</p><p><strong>Eligibility criteria: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Review registration: </strong>PROSPERO CRD42024595778.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":"150-157"},"PeriodicalIF":4.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145551425","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}
<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
{"title":"Technology-assisted methods to assess the quality of the therapeutic alliance between health care providers and patients: a scoping review.","authors":"Plaiphon Vaidyanuvatti, Maxwell Geiger, Emily Nelson, Vineet Sadarangani, Megan DeArmond, Sherli Koshy-Chenthittayil, Cheryl E Hightower","doi":"10.11124/JBIES-24-00478","DOIUrl":"10.11124/JBIES-24-00478","url":null,"abstract":"<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 ","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145821353","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}
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.
{"title":"Real-world evaluation of inter-consensus agreement on the Murad tool for appraising the methodological quality of case reports and case series.","authors":"Moustafa Hegazi, Samer Saadi, Adel Kabbara Allababidi, Magdoleen H Farah, Mohamed Abusalih, Ayla Shamsi Basha, Bashar Hasan, Tamim Rajjo, Zhen Wang, M Hassan Murad","doi":"10.11124/JBIES-25-00225","DOIUrl":"10.11124/JBIES-25-00225","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this investigation was to evaluate the agreement rate on judgments made using the Murad tool by different systematic review teams.</p><p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2025-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145782815","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}
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.
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。
{"title":"User experience and adoption of automation and AI for evidence synthesis: a scoping review protocol.","authors":"Chelsea Valenzuela, Cindy Stern, Edoardo Aromataris","doi":"10.11124/JBIES-25-00236","DOIUrl":"10.11124/JBIES-25-00236","url":null,"abstract":"<p><strong>Objective: </strong>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.</p><p><strong>Introduction: </strong>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.</p><p><strong>Eligibility criteria: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Review registration: </strong>OSF https://doi.org/10.17605/OSF.IO/AYQJC.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2025-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145782790","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}
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/。
{"title":"Pelvic floor dysfunctions among people who are LGBTQIA2S+: a scoping review protocol.","authors":"Valérie Boulanger, Kadija Perreault, Mélanie Morin, Gabrielle Monis, Stéphanie Bernard","doi":"10.11124/JBIES-24-00453","DOIUrl":"https://doi.org/10.11124/JBIES-24-00453","url":null,"abstract":"<p><strong>Objective: </strong>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).</p><p><strong>Introduction: </strong>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.</p><p><strong>Inclusion criteria: </strong>Articles investigating any type of pelvic floor dysfunction among people who are LGBTQIA2S+, regardless of study design, will be included.</p><p><strong>Methods: </strong>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.</p><p><strong>Review registration: </strong>OSF https://osf.io/6bsmz/.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145776124","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}
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
{"title":"Health net-outcome objectives and approaches for spatial planning and development: a scoping review.","authors":"James Stewart-Evans, Emma Wilson, Tessa Langley, Angela Hands, Karen Exley, Jo Leonardi-Bee","doi":"10.11124/JBIES-25-00058","DOIUrl":"10.11124/JBIES-25-00058","url":null,"abstract":"<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","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2025-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12888908/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145726349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}