scholarly journals Effectiveness of Educational Interventions to Increase Primary Care Follow-up for Adults Seen in the Emergency Department for Acute Asthma: A Systematic Review and Meta-analysis

2015 ◽  
Vol 23 (1) ◽  
pp. 5-13 ◽  
Author(s):  
Cristina Villa-Roel ◽  
Taylor Nikel ◽  
Maria Ospina ◽  
Britt Voaklander ◽  
Sandra Campbell ◽  
...  
Keyword(s):  
Systematic Review ◽  
Primary Care ◽  
Emergency Department ◽  
Acute Asthma ◽  
Meta Analysis ◽  
Educational Interventions

scholarly journals Can nurses improve self-management among pediatric patients? A systematic review and meta-analysis

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Mele ◽  
A Nardi ◽  
G P Prencipe ◽  
G Migliara ◽  
A Massimi ◽  
...  
Keyword(s):  
Systematic Review ◽  
Educational Intervention ◽  
Pediatric Patients ◽  
Meta Analysis ◽  
Educational Interventions ◽  
Risk Of Bias ◽  
Ed Visits ◽  
Meta Analyses ◽  
Almost All

Abstract Background Few studies report educational interventions for pediatric patients with asthma or diabetes type 1 as a fundamental instrument to engage them and improve their health. The aim of this systematic review and meta-analysis was to synthesize evidence about behavioral changes in life style, disease management and clinical outcome in pediatric patients after a structured educational intervention delivered by nurses. Methods A systematic review of the literature was carried out in MEDLINE, Scopus and CINHAL including only RCTs. Methodological quality of the studies was assessed using Cochrane tool. Meta-analyses on HbA1c reduction for diabetes and hospitalization, emergency department (ED) visits and medication for asthma were carried-out. Results Of the 3559 papers initially retrieved, 5 regarding diabetes and 19 asthma met the inclusion criteria for the systematic review and 14 for the meta-analyses. Included studies were highly heterogeneous in terms of type of intervention and follow-up duration. Almost all the studies showed an improvement but only few were statistically significant. All studies regarding diabetes showed a low risk of bias (only one RCTs had a high risk of bias in one domain), while almost all RCTs on asthma showed a high risk of bias. The pooled mean differences in favor of the experimental groups were: HBA1c -0.02 (IC95%: -0.26 - 0.22), Hospitalization 0.58 (IC95%: 0.19 - 1.78), Medication -0.10 (IC95%: -0.43 - 0.23), ED Visits 0.82 (IC95%: 0.44 - 1.54). Conclusions There is a general agreement about the central role of educational intervention delivered by nurses to pediatric patients and the assessment of the behavioral changes after educational interventions is strongly recommended in pediatric population. However, more efforts are requested in designing studies on patients with asthma and to program more appropriate follow-up and periodic recall in order to engage pediatric patients in the management of their own chronic disease. Key messages educational intervention delivered by nurses to pediatric patients with asthma or diabetes type 1 as a fundamental instrument to engage them. more efforts are requested in designing studies on patients with asthma and to program more appropriate follow-up and periodic recall in order to engage pediatric patients.

scholarly journals Diagnostic accuracy of follow‐up tests for detecting colorectal cancer recurrences in primary care: A systematic review and meta‐analysis

2021 ◽  
Author(s):  
Geertje B. Liemburg ◽  
Daan Brandenbarg ◽  
Marjolein Y. Berger ◽  
Saskia F.A. Duijts ◽  
Gea A. Holtman ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Systematic Review ◽  
Primary Care ◽  
Diagnostic Accuracy ◽  
Meta Analysis

Formoterol for acute asthma in the emergency department: a systematic review with meta-analysis

2010 ◽  
Vol 104 (3) ◽  
pp. 247-252 ◽  
Author(s):  
Gustavo J. Rodrigo ◽  
Hugo Neffen ◽  
Federico D. Colodenco ◽  
José A. Castro-Rodriguez
Keyword(s):  
Systematic Review ◽  
Emergency Department ◽  
Acute Asthma ◽  
Meta Analysis

scholarly journals Effectiveness of Psychological and Educational Interventions to Prevent Depression in Primary Care: A Systematic Review and Meta-Analysis

2017 ◽  
Vol 15 (3) ◽  
pp. 262-271 ◽  
Author(s):  
Sonia Conejo-Cerón ◽  
Patricia Moreno-Peral ◽  
Alberto Rodríguez-Morejón ◽  
Emma Motrico ◽  
Desirée Navas-Campaña ◽  
...  
Keyword(s):  
Systematic Review ◽  
Primary Care ◽  
Meta Analysis ◽  
Educational Interventions

scholarly journals Promoting physical activity in primary care: a systematic review and meta-analysis

2021 ◽  
pp. BJGP.2020.0817
Author(s):  
Veronika van der Wardt ◽  
Claudio di Lorito ◽  
Annika Viniol
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Primary Care ◽  
Meta Analysis ◽  
Physical Activity Behaviour ◽  
External Support ◽  
Phone Calls ◽  
Activity Promotion ◽  
Wide Range

BackgroundPromoting physical activity is an important part of patient care in primary care and has been investigated in many studies with a wide range of intervention characteristics, often including external support. It is unclear, however, if promoting physical activity is effective.AimTo investigate the effectiveness of behaviour change interventions to promote physical activity in primary care.Design and settingThis is a systematic review and meta-analysis to evaluate physical activity promotion in a primary care setting.MethodEMBASE, MEDLINE, PsycInfo, and the Joanna Briggs Institute Database were searched for ‘physical activity’, ‘interview’, ‘motivation’, ‘primary care’, and equivalent words to identify randomised controlled trials with physical activity as the outcome at patient level.ResultsThe review identified 24 eligible studies. The quality appraisal showed that most studies reported insufficient details regarding randomisation, group allocation, blinding, and fidelity of intervention delivery. The included studies reported a wide range of interventions with varying numbers of follow-up visits or phone calls. The overall effect size for interventions with a 6-month follow-up interval was 0.04 (95% confidence interval [CI] = −0.06 to 0.14), and for interventions with a 12-month follow-up interval it was 0.20 (95% CI = 0.04 to 0.36). Only one intervention based on three motivational interviewing sessions achieved a moderate effect.ConclusionCounselling to promote physical activity in primary care has a limited effect on patients’ behaviour and it might not, on its own, be enough to change physical activity behaviour.

scholarly journals Effect of Educational Interventions to Reduce Readmissions due to Heart Failure Decompensation in Adults: a Systematic Review and Meta-analysis

2021 ◽  
Vol 39 (2) ◽  
Author(s):  
Wilson Cañon-Montañez ◽  
Tatiana Duque-Cartagena ◽  
Alba Luz Rodríguez-Acelas
Keyword(s):  
Heart Failure ◽  
Systematic Review ◽  
Hospital Stay ◽  
Meta Analysis ◽  
Educational Interventions ◽  
Effect Measure ◽  
Prisma Statement ◽  
Heart Failure Decompensation ◽  
Dichotomous Outcomes

Objective. To estimate the combined effect of educational interventions (EI) on decreased readmissions and time of hospital stay in adults with heart failure, compared with usual care. Methods. Systematic review (SR) and meta-analysis (MA) of randomized controlled trials that followed the recommendations of the PRISMA statement. The protocol was registered on PROSPERO (CRD42019139321). Searches were made from inception until July 2019 in the databases of PubMed/Medline, Embase, Cochrane CENTRAL, Lilacs, Web of Science, and Scopus. The MA was conducted through the random effects model. The effect measure used for the dichotomous outcomes was relative risk (RR) and for continuous outcomes the mean difference (MD) was used, with 95% confidence intervals (CI). Heterogeneity was evaluated through the inconsistency statistic (I2). Results. Of 2369 studies identified, 45 were included in the SR and 43 in the MA. The MA of studies with follow-up at six months showed a decrease in readmissions of 30% (RR: 0.70; 95% CI: 0.58 to 0.84; I2: 0%) and the 12-month follow-up evidenced a reduction of 33% (RR: 0.67; 95% CI: 0.58 to 0.76; I2: 52%); both analyses in favor of the EI group. Regarding the time of hospital stay, a reduction was found of approximately two days in patients who received the EI (MD: -1.98; 95% CI: -3.27 to -0.69; I2: 7%). Conclusion. The findings support the benefits of EI to reduce readmissions and days of hospital stay in adult patients with heart failure.

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