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Experiences of rehabilitation professionals in the provision of palliative care: a qualitative systematic review protocol. 康复专业人员在姑息治疗中的经验:一个定性的系统评价方案。
IF 4.5 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2025-10-01 Epub Date: 2025-10-07 DOI: 10.11124/JBIES-25-00025
Jon Timothy M Rivero, Nikka Karla R Santos, Valentin C Dones Iii

Objective: The objective of this review is to explore the experiences of rehabilitation professionals in the provision of palliative care.

Introduction: Despite the growing recognition of the importance of rehabilitation in palliative care, the integration of rehabilitation professionals into palliative care teams is not widespread.

Eligibility criteria: This review will explore the lived experiences of rehabilitation professionals in palliative care, particularly their perceptions, challenges, rewards, and role impact. It will include qualitative and mixed methods studies conducted across diverse palliative care settings.

Methods: This review will follow the JBI methodology for qualitative synthesis. The search strategy will include PubMed, CINAHL (EBSCOhost), Embase (Ovid), Web of Science, PEDro, as well as gray literature sources and citation searching. The search results and study selection process will be presented using a Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) flow diagram. Critical appraisal, data extraction, and meta-aggregation will be conducted by 2 reviewers independently. The synthesized findings and their ConQual scores will be used to inform the review's recommendations.

Review registration: PROSPERO CRD42025639926.

目的:本综述的目的是探讨康复专业人员在提供姑息治疗方面的经验。导读:尽管人们越来越认识到康复在姑息治疗中的重要性,但将康复专业人员纳入姑息治疗团队的情况并不普遍。资格标准:本综述将探讨姑息治疗康复专业人员的生活经历,特别是他们的认知、挑战、奖励和角色影响。它将包括在不同的姑息治疗环境中进行的定性和混合方法研究。方法:采用JBI方法进行定性综合。搜索策略将包括PubMed, CINAHL, Embase, Web of Science, PEDro,以及灰色文献来源和引文搜索。筛选结果将使用首选报告项目进行系统评价和荟萃分析(PRISMA)流程图。将进行批判性评估、数据提取和元聚合。综合结果及其征服分数将用于通知审查的建议。评审注册:PROSPERO CRD42025639926。
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引用次数: 0
Experiences of parents of children with cleft lip and/or cleft palate: a qualitative systematic review protocol. 唇裂和/或腭裂患儿父母的经验:一项定性系统评价方案。
IF 4.5 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2025-10-01 Epub Date: 2025-10-07 DOI: 10.11124/JBIES-24-00429
Shingo Ueki, Yuichi Nakayama, Yuta Koto

Objective: This review will assess and synthesize the available qualitative evidence on the experiences of parents of children with cleft lip, cleft palate, or cleft lip and palate.

Introduction: Parents of children with cleft lip and/or palate often experience emotional concerns such as shock or denial upon learning of their child's condition. The parents may also experience challenges related to physical issues such as feeding difficulties, surgical procedures, and speech articulation disorders. By understanding these experiences, we aim to suggest potential resources or enhancements of care for these parents.

Eligibility criteria: We will consider all primary studies reporting on the experiences of biological parents of children under 18 years with cleft lip and/or palate. We will focus on qualitative research as well as mixed methods studies that incorporate qualitative data. Experiences in any context will be included, regardless of the parents' age, sex/gender, or type of cleft lip and/or palate.

Methods: We will search for published and unpublished studies across 5 databases and 1 website: MEDLINE (Ovid), CINAHL (EBSCOhost), PsycINFO (EBSCOhost), DANS-Easy, and ProQuest Dissertations and Theses Global, and the American Cleft Palate Craniofacial Association. The reference lists of studies selected for critical appraisal will also be examined for additional relevant studies. There will be no restrictions on language or publication date. Two independent reviewers will screen studies for inclusion, assess methodological quality using the JBI critical appraisal checklist, extract data, and perform meta-aggregation. Confidence in the synthesized findings will be assessed according to the ConQual approach.

Review registration: PROSPERO CRD42024584995.

目的:对唇裂、腭裂或唇腭裂患儿父母的治疗经验进行评价和综合。简介:唇裂和/或腭裂儿童的父母在得知孩子的病情后,经常会经历诸如震惊或否认等情感上的担忧。父母也可能遇到与身体问题相关的挑战,如喂养困难、外科手术和语言表达障碍。通过了解这些经历,我们的目标是建议潜在的资源或加强对这些父母的照顾。入选标准:我们将考虑所有关于18岁以下唇裂和/或腭裂儿童亲生父母经历的初步研究。我们将着重于定性研究以及结合定性数据的混合方法研究。无论父母的年龄、性别或唇腭裂类型如何,任何情况下的经历都将包括在内。方法:我们将检索MEDLINE (Ovid)、CINAHL (EBSCOhost)、PsycINFO (EBSCOhost)、DANS-Easy和ProQuest Dissertations and Theses Global以及美国腭裂颅面协会5个数据库和1个网站中已发表和未发表的研究。还将审查为批判性评价选择的研究参考清单,以便进行更多的有关研究。没有语言和出版日期的限制。两名独立审稿人将筛选纳入研究,使用JBI关键评估清单评估方法学质量,提取数据,并进行meta汇总。综合结果的可信度将根据征服方法进行评估。评审注册:PROSPERO CRD42024584995。
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引用次数: 0
Effectiveness of conditional cash transfers for uptake and retention in HIV prevention of mother-to-child transmission services in low- and middle-income countries: a systematic review and meta-analysis. 低收入和中等收入国家采用和保留艾滋病毒母婴传播预防服务的有条件现金转移的有效性:系统回顾和荟萃分析。
IF 4.5 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2025-09-01 Epub Date: 2025-09-09 DOI: 10.11124/JBIES-24-00099
Mamuye Hadis, Tesfaye Dagne, Sabit Ababor, Dagmawit Solomon, Samson Mideksa, Zelalem Kebede, Yosef Gebreyohannes, Firmaye Bogale
<p><strong>Objective: </strong>The objective of this systematic review was to synthesize the best available evidence on the effectiveness of conditional cash transfers for the uptake and retention in prevention of mother-to-child transmission (PMTCT) services among pregnant and/or breastfeeding women with HIV in low- and middle-income countries (LMICs).</p><p><strong>Introduction: </strong>Regardless of the effectiveness of PMTCT services, uptake and retention in such services remains low in LMICs. Conditional cash transfers are considered an important strategy to improve the uptake of preventive services in pregnant women and children. This review evaluated the effectiveness of conditional cash transfers for improving uptake and retention in PMTCT services for pregnant and/or breastfeeding women with HIV infection.</p><p><strong>Eligibility criteria: </strong>Eligible studies that compared the impact of conditional cash transfers on uptake and retention in PMTCT services with standard care or with another intervention among pregnant and/or breastfeeding women with HIV. The primary outcomes were retention and uptake in PMTCT programs, reported as the percentage of pregnant and/or breastfeeding women with HIV enrolled in antiretroviral therapy and the number of facility-based deliveries. The secondary outcomes included the percentage of infants completing postexposure HIV testing at 4 to 6 weeks after birth or early infant diagnosis; the percentage of infants exposed to HIV who tested positive for HIV; and the percentage of infants exposed to HIV with health defects (eg, neural tube defects, heart defects, major limb malformations).</p><p><strong>Methods: </strong>This review was conducted in line with the JBI methodology for systematic reviews of effectiveness. Databases searched included the Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, Embase (Ovid), and CINAHL (EBSCOhost). Sources of unpublished studies/gray literature included ProQuest Dissertations and Theses, OpenGrey, WHO International Clinical Trials Registry Platform, and ClinicalTrials.gov. Studies published in English since 2000 were considered. The JBI Critical Appraisal Checklist for Randomized Controlled Trials was used to assess the methodological quality of the included studies. Data were extracted from the included studies and the studies were pooled in a statistical meta-analysis. Effect sizes were presented as odds ratios (ORs) and CIs (95%) were calculated. The standard χ 2 and I2 tests were used to assess heterogeneity statistically. Statistical analyses were conducted using fixed effects based on established guidance.</p><p><strong>Results: </strong>Two randomized controlled studies were included in this review with a total of 950 participants. Two outcomes were pooled and assessed for the effects of conditional cash transfers: facility-based delivery and early infant diagnosis of HIV. Conditional cash transfers have a significant positive effect on both
目的:本系统综述的目的是综合现有的最佳证据,以证明有条件现金转移在低收入和中等收入国家(LMIC)感染艾滋病毒的孕妇和/或哺乳妇女中预防母婴传播(PMTCT)服务的吸收和保留的有效性。导言:无论预防母婴传播服务的有效性如何,低收入和中等收入国家对此类服务的接受和保留仍然很差。有条件现金转移被认为是改善孕妇和儿童获得预防性服务的一项重要战略。本综述评估了有条件现金转移在改善艾滋病毒感染孕妇和/或哺乳期妇女预防母婴传播服务的接受和保留方面的有效性。纳入标准:考虑将有条件现金转移对艾滋病毒感染孕妇和/或哺乳期妇女采用标准护理或其他干预措施预防母婴服务的吸收和保留的影响进行比较的研究纳入研究。本综述的主要结局是感染艾滋病毒的孕妇在预防母婴传播项目中的保留和吸收,报告为感染艾滋病毒的孕妇和/或哺乳期妇女参加抗逆转录病毒治疗的百分比;以及基于设施的交付数量。次要结局包括婴儿在出生后4至6周完成暴露后艾滋病毒检测或婴儿早期诊断的百分比;接触艾滋病毒的婴儿艾滋病毒检测呈阳性的百分比;接触艾滋病毒的婴儿有健康缺陷(如神经管缺陷、心脏缺陷、重大肢体畸形)的百分比。方法:检索的数据库包括:Cochrane中央对照试验注册库(Central)、PubMed、Embase (Ovid)和CINAHL (EBSCOhost)。未发表的研究/灰色文献的来源包括ProQuest博士论文和论文、OpenGrey、WHO国际临床试验注册平台和Clinical-Trials.gov。自2000年以来用英语发表的研究被纳入考虑范围。JBI随机对照试验关键评价清单用于评估纳入研究的方法学质量。从纳入的研究中提取数据,并将研究汇总到统计荟萃分析中。效应量以比值比(OR)和CI(95%)表示。采用标准χ2和I2检验对异质性进行统计学评价。统计分析采用基于既定指导的固定效应。结果:本综述纳入了两项随机对照研究,共有950名受试者。对有条件现金转移的影响进行了两项结果汇总和评估:基于设施的分娩和婴儿早期诊断。与标准治疗相比,有条件现金转移对两种结果都有显著的积极影响。医院分娩的OR为1.53 (95% CI, 1.15-2.04;P=0.004),为1.89 (95% CI, 1.38 ~ 2.59;结论:本综述总结了有条件现金转移对低收入和中等收入国家预防母婴传播服务的吸收和保留的有效性的现有证据。有条件的现金转移可能会增加基于设施的分娩,并可能导致婴儿早期诊断的增加。
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引用次数: 0
Experiences of help-seeking among adolescents with depression: a qualitative systematic review protocol. 青少年抑郁症患者的求助经历:一项定性系统评价方案。
IF 4.5 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2025-09-01 Epub Date: 2025-09-09 DOI: 10.11124/JBIES-24-00433
Li Qin, Xiaobo Yu, Patraporn Bhatarosakoon

Objective: The objective of this systematic review is to explore the experiences of help-seeking among adolescents with depression, with a specific focus on understanding the experiences and exploring the facilitators and barriers to seeking help for depression.

Introduction: Depression is recognized as a serious mental health problem among adolescents, characterized by its high prevalence and significant burden. Help-seeking plays a crucial role in managing depression, yet little is known about the experiences of adolescents seeking help for depression.

Eligibility criteria: This review will include studies on adolescents aged 10 to 19 years, as well as studies with a mean participant age within this range, who are experiencing or have experienced depression. Studies that include experiences of help-seeking for depression, including barriers and facilitators, will be considered. Studies may be conducted in diverse settings, including hospitals, health care centers, schools, and participants' homes.

Methods: PubMed, Embase (Ovid), CINAHL (EBSCOhost), Cochrane Library (CENTRAL), PsycINFO, Web of Science, Scopus, CNKI (a Chinese medical literature database), Wanfang, and WEIPU databases will be systematically searched for relevant articles. Two reviewers will independently select studies, extract data, and critically assess the methodological quality. Meta-aggregation will be conducted to synthesize the data, and the ConQual approach will be applied to establish confidence in the synthesized findings.

Review registration: PROSPERO CRD42024573138.

目的:本研究旨在了解青少年抑郁症患者的求助经历,并探讨抑郁症求助的促进因素和障碍因素。抑郁症被认为是青少年中一种严重的心理健康问题,其特点是发病率高,负担重。寻求帮助在控制抑郁症中起着至关重要的作用,然而,人们对青少年寻求抑郁症帮助的经历知之甚少。纳入标准:本综述将包括针对10至19岁青少年的研究,以及那些平均年龄在此范围内正在经历或曾经经历过抑郁症的研究。将考虑在不同环境(包括医院、保健中心、学校和参与者的家中)进行的包括寻求抑郁症帮助的经历的研究,包括障碍和促进者。方法:系统检索PubMed、Embase (Ovid)、CINAHL (EBSCOhost)、Cochrane Library (CENTRAL)、PsycINFO、Web of Science、Scopus、中国医学文献数据库中国知网(CNKI)、万方、卫普等数据库中与参与者相关的文章。两名独立研究人员将选择研究,提取数据,并严格评估方法质量。Meta-aggregation将用于综合数据,并应用congal方法来建立对综合结果的置信度。审核注册:PROSPERO CRD42024573138。
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引用次数: 0
Exploring the evidence on housing and health among Indigenous peoples in high-income countries: a scoping review protocol. 探索高收入国家土著人民住房和健康方面的证据:范围审查议定书。
IF 4.5 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2025-09-01 Epub Date: 2025-09-09 DOI: 10.11124/JBIES-24-00461
Ivana Stankov, Eldine Likouresis, Cheyanne Noble, Tony Blakely, Rebecca Bentley, Alex Brown, Natasha J Howard, Kim Morey

Objective: The objective of this scoping review is to understand the nature of the published evidence on housing suitability, affordability, insecurity, and homelessness in relation to physical and mental health, domestic violence, and health service use among Indigenous people in high-income countries.

Introduction: The historical injustices of colonization, dispossession, and racism have created unique housing challenges influencing the health gap for Indigenous people in high-income countries. Understanding the breadth and nature of research in the area of housing and Indigenous health is key for establishing a research agenda that fills knowledge gaps and informs culturally appropriate housing initiatives.

Eligibility criteria: This review will consider quantitative studies, or the quantitative components of mixed methods studies, set in high-income countries investigating housing suitability, affordability, insecurity, and/or homelessness for Indigenous people in relation to physical and mental health, domestic violence, and health service use. Studies employing qualitative methodologies will not be considered.

Methods: Informed by Indigenous perspectives, the review will follow the JBI methodology for scoping reviews, along with enhancements for Indigenous research outlined by Brodie et al. Databases to be searched include MEDLINE (Ovid), Embase (Ovid), Emcare (Ovid), Scopus, CINAHL (EBSCOhost), PsycINFO (Ovid), and Informit Indigenous Collection. Studies will be limited to those published in English since the year 2000. Two or more reviewers will screen studies and extract data. Information on study characteristics, populations, settings, methods, concepts, outcome measures, and alignment with Indigenous research principles will be synthesized and presented in tabular and graphical formats, with an accompanying narrative summary.

Review registration: OSF https://osf.io/8d92m.

目的:本范围审查的目的是了解已发表的关于高收入国家土著人的住房适宜性、可负担性、不安全感和无家可归与身心健康、家庭暴力和卫生服务使用有关的证据的性质。引言:殖民、剥夺和种族主义的历史不公正造成了独特的住房挑战,影响了高收入国家土著人民的健康差距。了解住房和土著居民健康领域研究的广度和性质,是制定一项研究议程的关键,该议程可填补知识空白,并为文化上适宜的住房倡议提供信息。纳入标准:本综述将考虑在高收入国家开展的定量研究,或混合方法研究的定量组成部分,调查土著居民在身心健康、家庭暴力和卫生服务使用方面的住房适宜性、可负担性、不安全感和/或无家可归情况。采用定性方法的研究将不予考虑。方法:根据土著观点,本综述将遵循JBI方法进行范围评估,以及Brodie等人(2023)概述的土著研究的改进。要检索的数据库包括MEDLINE (Ovid)、Embase (Ovid)、Emcare (Ovid)、Scopus、CINAHL (EBSCOhost)、PsycINFO (Ovid)和Informit Indigenous Collection。研究将限于自2000年以来以英文发表的研究。两个或两个以上的审稿人将筛选研究并提取数据。关于研究特征、人口、环境、方法、概念、结果测量以及与土著研究原则的一致性的信息将被综合并以表格和图形格式呈现,并附有叙述性摘要。评审注册:Open Science Framework https://osf.io/8d92m。
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引用次数: 0
Cost-effectiveness of clopidogrel in patients with acute coronary syndrome undergoing percutaneous coronary intervention: a systematic review protocol. 经皮冠状动脉介入治疗急性冠脉综合征患者氯吡格雷的成本-效果:一项系统评价方案。
IF 4.5 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2025-09-01 Epub Date: 2025-09-09 DOI: 10.11124/JBIES-24-00390
Saba Abidi, Anoop Kumar, Shridhar Dwivedi, Vinod Sharma, Sushama Talegaonkar, Denny John

Objective: This systematic review will assess the cost-effectiveness of clopidogrel in patients with acute coronary syndrome (ACS) undergoing percutaneous coronary intervention (PCI).

Introduction: Antiplatelet drugs, including clopidogrel, ticagrelor, prasugrel, and aspirin, are crucial in managing ACS, preventing ischemia, and, ultimately, death in PCI patients. Clopidogrel is the main treatment for those who have undergone PCI, used either alone or with aspirin. The incidence of ACS is rising globally, and is a major cause of premature death for millions. ACS management involves continuous medical therapy and costly procedures such as PCI, significantly straining health care resources.

Eligibility criteria: Studies will be eligible for inclusion if they report on the cost-effectiveness of clopidogrel in patients with ACS compared with other antiplatelet drugs.

Methods: This systematic review will adhere to the JBI methodology for systematic reviews of economic evaluation evidence. A preliminary search was conducted of MEDLINE (PubMed) using MeSH terms. Two independent reviewers will screen records at the title/abstract level, followed by full-text screening. Two reviewers will then assess methodological quality and extract data as per JBI guidelines. The JBI Dominance Ranking Matrix for economic evaluations will be used to summarize and compare the included studies. The cost-effectiveness measures will be incremental cost, incremental cost per quality-adjusted life year gained, or incremental cost per disability-adjusted life year averted. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach will be used to appraise the certainty of economic evidence, such as using resources and expenditure, for incorporating the results into the decision-making process.

Review registration: PROSPERO CRD42024504614.

目的:本系统综述将评估氯吡格雷在急性冠脉综合征(ACS)患者行经皮冠状动脉介入治疗(PCI)的成本-效果。简介:抗血小板药物,包括氯吡格雷、替格瑞、普拉格雷和阿司匹林,在控制ACS、预防缺血和最终预防PCI患者死亡方面至关重要。氯吡格雷是接受PCI治疗的患者的主要治疗方法,可单独使用或与阿司匹林合用。ACS的发病率在全球范围内呈上升趋势,是数百万人过早死亡的主要原因。ACS的管理涉及持续的药物治疗和昂贵的手术,如PCI,严重紧张的卫生保健资源。纳入标准:如果研究报告氯吡格雷与其他抗血小板药物相比在ACS患者中的成本-效果,则符合纳入标准。方法:本系统评价将遵循JBI方法指南对经济评价证据进行系统评价。使用MeSH词对MEDLINE (PubMed)进行初步检索。两位独立审稿人将在标题/摘要级别对记录进行筛选,然后进行全文筛选。然后,两名审稿人将根据JBI指南评估方法质量并提取数据。经济评价的JBI优势排名矩阵将用于总结和比较纳入的研究。成本效益措施将是增量成本,每获得质量调整生命年的增量成本,或每避免残疾调整生命年的增量成本。将使用建议分级、评估、发展和评价(GRADE)方法来评价经济证据的确定性,例如利用资源和支出,以便将结果纳入决策过程。系统评价注册:PROSPERO CRD42024504614。
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引用次数: 0
Implementation of digital health in rural populations with chronic musculoskeletal conditions: a scoping review. 农村慢性肌肉骨骼疾病人群的数字健康实施:范围审查。
IF 4.5 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2025-09-01 Epub Date: 2025-09-09 DOI: 10.11124/JBIES-24-00396
Lara Campos, Alexandre Moniz, Helena Donato, Baltazar Nunes, Eduardo B Cruz
<p><strong>Objective: </strong>This scoping review aimed to comprehensively map the evidence regarding the implementation of digital health interventions in rural populations with chronic musculoskeletal conditions.</p><p><strong>Introduction: </strong>Chronic musculoskeletal conditions are a significant global health concern, associated with high levels of disability and substantial impacts on health care systems. Rural populations, due to social determinants such as low education and limited health care access, bear an even greater burden of these conditions. Digital health technologies offer the potential to improve clinical outcomes for chronic musculoskeletal conditions and may help mitigate these determinants. Rural populations face unique barriers that can hinder the successful implementation of digital health technologies; therefore, it is crucial to explore the use of these technologies within the specific context of rural populations, focusing not only on clinical effectiveness but also on sustainable implementation and scalability in real-world settings.</p><p><strong>Eligibility criteria: </strong>Studies from 2000 onward, in any language, reporting the use of digital health interventions in rural areas for adults with chronic musculoskeletal conditions were considered for inclusion.</p><p><strong>Methods: </strong>This review followed the Arksey and O'Malley framework and JBI guidance for scoping reviews. Searches were conducted across PubMed, Embase.com, Web of Science Core Collection, Scopus, and gray literature sources. Two reviewers independently performed the screening process and data charting. Expert Recommendations for Implementing Change (ERIC) and Proctor's framework guided the charting and synthesis of implementation strategies and implementation outcomes, respectively. Content analysis was applied to interpret the qualitative data and align the findings with these frameworks.</p><p><strong>Results: </strong>Seventeen studies met the eligibility criteria, showcasing diverse digital programs and mapping a wide range of clinical outcomes. Concerning the implementation processes, 5 studies evaluated barriers and facilitators, but only 1 conducted the assessment before the implementation. A total of 22 discrete implementation strategies were described, and 8 studies evaluated implementation outcomes.</p><p><strong>Conclusions: </strong>This scoping review highlights that digital health interventions for individuals with chronic musculoskeletal conditions in rural settings are increasingly being implemented and clinically evaluated; however, theory-informed implementation is lacking. Despite increasing importance in ensuring sustainable adoption and deployment of evidence-based interventions in real-world settings, implementation science principles are still poorly represented in the field of rural digital health for chronic musculoskeletal conditions.</p><p><strong>Review registration: </strong>OSF https://osf.io/cwsqj.</p><p>
目的:本综述旨在全面绘制关于农村慢性肌肉骨骼疾病人群实施数字健康干预的证据。慢性肌肉骨骼疾病是一个重大的全球卫生问题,与高水平的残疾和对卫生保健系统的重大影响有关。由于受教育程度低和获得保健机会有限等社会决定因素,农村人口承受的这些条件负担更大。数字卫生技术有可能改善慢性肌肉骨骼疾病的临床结果,并可能有助于减轻这些决定因素。农村人口面临独特的障碍,可能阻碍数字卫生技术的成功实施;因此,在农村人口的特定背景下探索这些技术的使用至关重要,不仅要关注临床有效性,还要关注现实环境中的可持续实施和可扩展性。入选标准:自2000年以来,以任何语言进行的报告农村地区慢性肌肉骨骼疾病成年人使用数字健康干预措施的研究均被纳入考虑。方法:本综述遵循Arksey和O'Malley框架和JBI指南进行范围综述。检索通过PubMed, Embase.com, Web of Science Core Collection, Scopus和灰色文献来源进行。两名审稿人独立执行筛选过程和数据图表。实施变革的专家建议(ERIC)和Proctor的框架分别指导了实施战略和实施结果的制图和综合。应用内容分析来解释定性数据,并使研究结果与这些框架保持一致。结果:17项研究符合资格标准,展示了不同的数字程序并绘制了广泛的临床结果。在实施过程方面,有5项研究评估了障碍和促进因素,但只有1项研究在实施前进行了评估。共描述了22种独立的实施策略,8项研究评估了实施结果。结论:该范围审查强调,农村地区慢性肌肉骨骼疾病患者的数字健康干预措施正在越来越多地实施和临床评估;然而,缺乏基于理论的实施。尽管在确保在现实环境中可持续采用和部署基于证据的干预措施方面越来越重要,但在农村慢性肌肉骨骼疾病数字卫生领域,实施科学原则仍然很少得到体现。审查注册:OSF https://osf.io/cwsqj.Supplemental数字内容:本审查摘要的葡萄牙语版本可在http://links.lww.com/SRX/A111获得。
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引用次数: 0
Barriers to and facilitators of engagement with support services by pregnant women at risk of child removal: a mixed methods systematic review. 面临被遗弃儿童风险的孕妇参与支持服务的障碍和促进因素:一项混合方法系统评价。
IF 4.5 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2025-09-01 Epub Date: 2025-09-09 DOI: 10.11124/JBIES-24-00365
Isabelle Hermes, Mikaela Cibich, Sonia Hines, Lydia Woodyatt
<p><strong>Objective: </strong>The objective of this review was to synthesize existing qualitative, quantitative, and mixed methods evidence to identify and examine the barriers to and facilitators of pregnant people at risk of child removal engaging with preventive support services.</p><p><strong>Introduction: </strong>Despite a stated shift towards early intervention, prevention, and support, the rate in which children are entering statutory child protection systems remains high. Of particular concern is the number of infants being removed at or close to birth. Engaging pregnant people with support during the prenatal period is an important component in reducing rates of child harm and removal; however, many pregnant people either do not receive this support or struggle to engage with it. The barriers and facilitators of pregnant people engaging with support must be identified and addressed for prevention and support efforts to be successful in reducing child harm and removal.</p><p><strong>Eligibility criteria: </strong>This mixed methods systematic review included qualitative, quantitative, and mixed methods studies of pregnant people at risk of child removal. Studies were included if they reported on barriers to or facilitators of engagement with support services that address risk factors for child removal.</p><p><strong>Methods: </strong>The systematic review was conducted in accordance with JBI methodology for mixed methods systematic reviews. A range of databases were searched, including MEDLINE (Ovid), ProQuest Central and Social Sciences Premium (ProQuest), PsycINFO (Ovid), and Scopus. Critical appraisal and data extraction for studies meeting the inclusion criteria were performed by 2 reviewers using standardized JBI tools. Data synthesis followed the convergent integrated approach to mixed methods systematic reviews.</p><p><strong>Results: </strong>A total of 10,061 studies were screened for inclusion, of which 23 were included for review. The included studies represented 5013 participants. Most participants were pregnant women, while some were clinicians and prenatal health care staff. The included studies were observational, quasi-experimental, randomized controlled trials, and qualitative studies. Mixed methods studies contributed quantitative and qualitative components to the review. Methodological quality of the studies was varied. Barriers were reported at the individual and service level, and most related to perceived consequences of engaging with services or the lack of availability and accessibility of services. In addition to more commonly reported issues in help-seeking research, such as stigma and judgment, were those specific to pregnant women at risk of child removal, such as fear of child removal and fear of criminal prosecution. Services were often inaccessible due to unavailability and cost, and inaccessibility was exacerbated by social disadvantage. Trust, safety, encouragement, an absence of stigma and discriminatio
目的:本综述的目的是综合现有的定性、定量和混合方法的证据,以确定和检查面临儿童移除风险的孕妇参与预防性支持服务的障碍和促进因素。导言:尽管已声明转向早期干预、预防和支持,但儿童进入法定儿童保护系统的比例仍然很高。特别令人关切的是,在出生时或即将出生时被带走的婴儿人数。使孕妇在产前获得支持是降低儿童伤害和杀害率的一个重要组成部分;然而,许多孕妇要么没有得到这种支持,要么很难接受这种支持。必须确定和解决孕妇参与支持的障碍和促进因素,以使预防和支持工作成功地减少和消除儿童伤害。纳入标准:这一混合方法系统评价包括定性、定量和混合方法研究的孕妇在儿童切除的风险。如果研究报告了参与解决儿童被带走风险因素的支持服务的障碍或促进因素,则将其纳入。方法:采用JBI方法进行混合方法系统评价。检索了一系列数据库,包括MEDLINE (Ovid)、ProQuest Central and Social Sciences Premium、PsycINFO (Ovid)和Scopus。2名审稿人使用标准化的JBI工具对符合纳入标准的研究进行关键评价和数据提取。数据综合采用融合综合方法进行混合方法系统评价。结果:共筛选10061项研究纳入,其中23项纳入综述。纳入的研究共有5013名参与者。大多数参与者是孕妇,而一些是临床医生和产前保健人员。纳入的研究包括观察性、准实验性、随机对照试验和定性研究。混合方法研究为综述贡献了定量和定性成分。这些研究的方法学质量各不相同。据报告,障碍存在于个人和服务层面,大多数与参与服务或服务缺乏可用性和可及性的感知后果有关。除了在寻求帮助的研究中更普遍报告的问题,如污名化和评判外,还有面临儿童被带走风险的孕妇特有的问题,如害怕儿童被带走和害怕刑事起诉。由于无法获得服务和费用高昂,往往无法获得服务,而社会不利又加剧了无法获得服务的情况。信任、安全、鼓励、没有污名和歧视,以及针对处境不利的孕妇的特殊需求量身定制的支持是促进服务层面参与的因素,而内在的需求感和社会支持是促进个人层面参与的因素。结论:对于面临孩子被移除风险的孕妇来说,参与支持服务存在重大障碍。在努力增加孕妇参与支持服务的同时,应重新考虑阻碍她们参与支持的政策和做法。需要做更多的工作,以增加获得支助服务的机会,并减少面临儿童被带走风险的孕妇的社会劣势。审核注册:PROSPERO CRD42021254794。
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引用次数: 0
Parenting experiences of informal caregivers of preterm infants during the first 2 years of life at corrected age: a qualitative systematic review protocol. 早产儿矫正年龄前2年非正式照护者的养育经验:一项定性系统评价方案。
IF 4.5 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2025-09-01 Epub Date: 2025-09-09 DOI: 10.11124/JBIES-24-00513
Tippawan Srichalerm, Sukanya Kankaew, Donruedee Kamkhoad, Sutasinee Saehoong

Objective: The objective of this review is to synthesize qualitative evidence on the parenting experiences of informal caregivers of preterm infants during their corrected age of 2 years.

Introduction: Preterm infants, born before 37 weeks' gestation, are at high risk of growth and neurodevelopmental delays. The parenting journey for these infants presents unique challenges from birth to the transition home, particularly during the infants' corrected age of 2 years. Understanding informal caregivers' experiences during this critical time enables health care providers to deliver timely and appropriate interventions for both caregivers and infants; however, qualitative evidence synthesizing this area of research remains limited.

Eligibility criteria: This review will examine qualitative data on the parenting experiences (ie, challenges) of informal caregivers of preterm infants from birth to a corrected age of 2 years. Informal caregivers may include parents, grandparents, and other relatives (biological or non-biological) who have a personal relationship with the infant. All informal caregivers will be included, regardless of age, gender, or social or marital status. Caregivers of infants with congenital anomalies or chromosomal abnormalities will be excluded from the review.

Methods: This review will adhere to the JBI approach for qualitative systematic reviews. The search strategy aims to identify both published and unpublished studies, with no restrictions on publication year. Studies published in English or Thai will be sourced from PubMed, CINAHL (EBSCOhost), and Embase (EBSCOhost). Additionally, sources of unpublished studies and gray literature will be explored, including the Mahidol University Library Catalog (OPAC), Open Access Theses and Dissertations (OATD), and ThaiJo (Thai Journals Online). Two reviewers will independently assess the methodological validity of the selected qualitative papers prior to their inclusion in the review. Data synthesis will employ the meta-aggregation approach, and the synthesized findings will be evaluated using the ConQual approach.

Review registration: PROSPERO CRD42024606504.

目的:本综述的目的是综合定性证据的非正规看护者的养育经验的早产儿在其矫正年龄2岁。前言:在妊娠37周之前出生的早产儿,生长和神经发育迟缓的风险很高。这些婴儿的养育之旅呈现出独特的挑战,从出生到过渡家庭,特别是在婴儿的两岁矫正年龄。了解非正式护理人员在这一关键时期的经历,使卫生保健提供者能够为护理人员和婴儿提供及时和适当的干预措施;然而,综合这一研究领域的定性证据仍然有限。纳入标准:本综述检查了从出生到两岁矫正年龄的早产儿的非正式照顾者的养育经验的定性数据,无论其年龄、性别或社会地位如何。有先天性异常和染色体异常婴儿的照料者将被排除在研究之外。方法:本综述将坚持JBI方法进行定性系统评价。搜索策略旨在识别已发表和未发表的研究,对发表年份没有限制。以英语和泰语发表的研究将来自PubMed, CINAHL (EBSCOhost)和Embase (EBSCOhost)。两名独立审稿人将评估入选的定性论文的方法学有效性,然后将其纳入审评。数据综合将采用元聚合方法,综合结果将使用征服方法进行评估。评审注册号:PROSPERO CRD42024606504。
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引用次数: 0
Incidence of congenital syphilis, adverse events, and deaths in children under 2 years: systematic review protocol. 2岁以下儿童先天性梅毒的发病率、不良事件和死亡:系统评价方案
IF 4.5 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2025-09-01 Epub Date: 2025-09-09 DOI: 10.11124/JBIES-24-00425
Eliziani Gonçalves da Silva, Fabiane Verônica da Silva, Janessa Carolina Dalla Côrt, Juliana Akie Takahashi, Diná de Almeida Lopes Monteiro da Cruz, Silvana Margarida Benevides Ferreira

Objective: The objective of the review is to estimate the global incidence of congenital syphilis, adverse events, and death in children under 2 years of age born to mothers with syphilis.

Introduction: Untreated or inadequately treated maternal syphilis leads to adverse birth outcomes that are often severe, including stillbirth, neonatal death, prematurity, low birth weight, congenital malformations, and congenital syphilis in infants.

Eligibility criteria: This review includes studies involving fetuses and children under 2 years of age diagnosed with Treponema pallidum (syphilis) infection via microscopy or serology and whose mothers were diagnosed with syphilis, irrespective of maternal treatment status.

Methods: This systematic review will follow the methodology outlined by the Prevalence Estimates Reviews - Systematic Review Methodology Group (PERSyst). The search strategy will be conducted across databases including PubMed, CINAHL (EBSCOhost), Web of Science, ScienceDirect, Embase, Scopus, Latin American and Caribbean Health Sciences Literature (BVS), CUIDEN (Fundación Index), Networked Digital Library of Theses and Dissertations, Brazilian Digital Library of Theses and Dissertations, CAPES Theses and Dissertations, and ProQuest Dissertations and Theses. The studies will be critically appraised by 2 reviewers independently. If sufficient data are available, a meta-analysis will be performed; otherwise, findings will be presented narratively, including tables and figures to support data presentation, where appropriate.

Review registration: PROSPERO CRD42024581281.

目的:本综述的目的是估计梅毒母亲所生2岁以下儿童先天性梅毒的全球发病率、不良事件和死亡。未经治疗或治疗不当的孕产妇梅毒会导致严重的不良分娩结果,包括死胎、新生儿死亡、早产、低出生体重、先天性畸形和婴儿先天性梅毒。入选标准:本综述包括通过显微镜或血清学诊断为梅毒螺旋体(梅毒)感染的胎儿和2岁以下儿童,其母亲被诊断为梅毒,无论母亲的治疗状况如何。方法:本系统综述将遵循患病率估计综述-系统综述方法学小组(PERSyst)概述的方法学。搜索策略将在PubMed、CINAHL (EBSCOhost)、Web of Science、Science Direct(爱思唯尔)、Embase(爱思唯尔)、Scopus、拉丁美洲和加勒比健康科学文献(BVS)、CUIDEN (Fundación索引)、论文和学位论文网络数字图书馆、巴西论文和学位论文数字图书馆、CAPES论文和学位论文以及ProQuest论文和学位论文等数据库中进行。这些研究将由2名独立评审员进行批判性评估。如果有足够的数据,将进行荟萃分析;否则,调查结果将以叙述方式提出,包括适当的表格和数字,以支持数据的提出。审核注册号:PROSPERO CRD42024581281。
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引用次数: 0
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