scholarly journals Multifaceted interventions for supporting community participation among adults with disabilities: A systematic review

2020 ◽  
Vol 16 (2) ◽  
Author(s):  
Judith M. S. Gross ◽  
Amalia Monroe‐Gulick ◽  
Chad Nye ◽  
Debbie Davidson‐Gibbs ◽  
Devin Dedrick
Keyword(s):  
Systematic Review ◽  
Community Participation ◽  
Adults With Disabilities ◽  
Multifaceted Interventions

scholarly journals The preventable proportion of healthcare-associated infections 2005–2016: Systematic review and meta-analysis

2018 ◽  
Vol 39 (11) ◽  
pp. 1277-1295 ◽  
Author(s):  
Peter W. Schreiber ◽  
Hugo Sax ◽  
Aline Wolfensberger ◽  
Lauren Clack ◽  
Stefan P. Kuster ◽  
...  
Keyword(s):  
Systematic Review ◽  
Risk Ratio ◽  
Meta Analysis ◽  
Cochrane Library ◽  
Healthcare Associated Infections ◽  
Term Care ◽  
Multifaceted Interventions ◽  
Rate Ratios ◽  
Tract Infections ◽  
Healthcare Associated

AbstractObjectiveThe preventable proportion of healthcare-associated infections (HAIs) may decrease over time as standards of care improve. We aimed to assess the proportion of HAIs prevented by multifaceted infection control interventions in different economic settings.MethodsIn this systematic review and meta-analysis, we searched OVID Medline, EMBASE, CINAHL, PubMed, and The Cochrane Library for studies published between 2005 and 2016 assessing multifaceted interventions to reduce catheter-associated urinary tract infections (CAUTIs), central-line–associated bloodstream infections (CLABSIs), surgical site infections (SSIs), ventilator-associated pneumonia (VAP), and hospital-acquired pneumonia not associated with mechanical ventilation (HAP) in acute-care or long-term care settings. For studies reporting raw rates, we extracted data and calculated the natural log of the risk ratio and variance to obtain pooled risk ratio estimates.ResultsOf the 5,226 articles identified by our search, 144 studies were included in the final analysis. Pooled incidence rate ratios associated with multifaceted interventions were 0.543 (95% confidence interval [CI], 0.445–0.662) for CAUTI, 0.459 (95% CI, 0.381–0.554) for CLABSI, and 0.553 (95% CI, 0.465–0.657) for VAP. The pooled rate ratio was 0.461 (95% CI, 0.389–0.546) for interventions aiming at SSI reduction, and for VAP reduction initiatives, the pooled rate ratios were 0.611 (95% CI, 0.414–0.900) for before-and-after studies and 0.509 (95% CI, 0.277–0.937) for randomized controlled trials. Reductions in infection rates were independent of the economic status of the study country. The risk of bias was high in 143 of 144 studies (99.3%).ConclusionsPublished evidence suggests a sustained potential for the significant reduction of HAI rates in the range of 35%–55% associated with multifaceted interventions irrespective of a country’s income level.

scholarly journals Examination of Community Participation of Adults With Disabilities: Comparing Age and Disability Onset

2019 ◽  
Vol 31 (10_suppl) ◽  
pp. 169S-194S ◽  
Author(s):  
Jessica Dashner ◽  
Sandra Martina Espin-Tello ◽  
Makenna Snyder ◽  
Holly Hollingsworth ◽  
Marian Keglovits ◽  
...  
Keyword(s):  
Community Participation ◽  
Community Dwelling ◽  
Grocery Stores ◽  
Convenience Sample ◽  
Adults With Disabilities ◽  
Gas Stations ◽  
Beauty Salons ◽  
Exercise Facilities ◽  
Onset Group ◽  
Environmental Supports

Objective: Explore community participation between adults with disabilities ⩽50 and >50 years and between early-(⩽40) and late-(>40) onset disability. Method: A survey examining participation was conducted with a national convenience sample of 692 community-dwelling adults with disabilities. Results: Participants ⩽50 reported presence of more ( p < .05) environmental supports for work/volunteer/education and use of transportation. Participants >50 had higher ( p < .01) visits to pharmacies; higher ( p < .05) evaluative quality of participation (EQOP) at gas stations, exercise facilities, beauty salons/barbers, and use of transportation ( p < .01); and more difficulty participating without assistance at grocery stores ( p < .05) and gas stations ( p < .01). The early-onset group reported higher ( p < .05) EQOP at work/volunteer/education and homes of family/friends. The late-onset group reported higher ( p < .01) EQOP at exercise facilities; more ( p < .05) environmental supports at pharmacies, restaurants, grocery stores ( p < .01), doctors’ offices ( p ⩽ .01), and beauty salons/barbers ( p < .01); greater ( p < .01) influence of pain/fatigue; and more difficulty without assistance at grocery stores ( p < .05) and gas stations ( p < .01). Discussion: Understanding these differences can improve interventions to support community participation of individuals aging with disabilities.

scholarly journals The effectiveness of guideline implementation strategies in the dental setting: a systematic review

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Amy R. Villarosa ◽  
Della Maneze ◽  
Lucie M. Ramjan ◽  
Ravi Srinivas ◽  
Michelle Camilleri ◽  
...  
Keyword(s):  
Systematic Review ◽  
Guideline Adherence ◽  
Pay For Performance ◽  
Guideline Implementation ◽  
Implementation Strategies ◽  
Audit And Feedback ◽  
Dental Practice ◽  
Practice Setting ◽  
Dental Setting ◽  
Multifaceted Interventions

Abstract Background Guideline implementation has been an ongoing challenge in the dental practice setting. Despite this, there are no reviews summarising the existing evidence regarding effective guideline implementation strategies in this setting. In order to address this, this systematic review examines the effectiveness of guideline implementation strategies in the dental practice setting. Methods A systematic search was undertaken according to the PRISMA statement across nine electronic databases, targeting randomised controlled trials and quasi-experimental studies which evaluated the effectiveness of guideline implementation strategies in improving guideline adherence in the dental setting. All records were independently examined for relevance and appraised for study quality by two authors, with consensus achieved by a third author. Data were extracted from included studies using a standardised data extraction pro forma. Results A total of 15 records were eligible for inclusion in this review, which focused on the effects of audit and feedback, reminders, education, patient-mediated interventions, pay for performance and multifaceted interventions. Although there were some conflicting evidence, studies within each category of implementation strategy indicated a positive effect on guideline adherence. Conclusions This study has identified education, reminders and multifaceted interventions as effective implementation strategies for the dental practice setting. Although this is similar to research findings from other health sectors, there is some evidence to suggest patient-mediated interventions may be less effective and pay for performance may be more effective in the dental setting. These findings can inform policy makers, professional associations, colleges and organisations in the future adoption of clinical guidelines in the dental practice setting. Trial registration This systematic review was registered with the International Prospective Register of Systematic Reviews (PROSPERO), registration ID CRD42018093023.

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