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Yun H, Park M, Lee H, Choi EK. Healthcare Interventions for Children Using Nonimmersive Virtual Reality: A Mixed Methods Systematic Review. J Pediatr Health Care 2024:S0891-5245(24)00025-7. [PMID: 38466243 DOI: 10.1016/j.pedhc.2024.01.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/30/2023] [Revised: 01/18/2024] [Accepted: 01/28/2024] [Indexed: 03/12/2024]
Abstract
INTRODUCTION Nonimmersive virtual reality (NIVR), a computer-generated virtual reality experience wherein users are not fully immersed, has been increasingly used in pediatric healthcare. This study aimed to identify the effects of NIVR-based interventions for children. METHOD A mixed methods systematic review of relevant studies published until December 2023 was conducted. We included samples of healthy children and those with chronic conditions or disabilities, findings related to self-management or social skills, and the NIVR interventions applied. A convergent-integrated design was used for the synthesis. RESULTS This review included 22 studies, of which 15 examined children having autism spectrum disorders. Utilizing NIVR was found to be effective in enhancing social skills. Participating in virtual communities with peers having similar conditions was determined to facilitate social support and identity exploration. DISCUSSION Healthcare interventions using NIVR need to be explored further to improve self-management and social skills in children with various conditions.
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Affiliation(s)
- Hyeseon Yun
- Hyeseon Yun, PhD Candidate and Research Assistant, College of Nursing and Brain Korea 21 FOUR Project, Yonsei University, Seoul, South Korea
| | - Mina Park
- Mina Park, Assistant Professor, School of Nursing, Soonchunhyang University, Cheonan, South Korea
| | - Hooyun Lee
- Hooyun Lee, PhD Student and Research Assistant, College of Nursing and Brain Korea 21 FOUR Project, Yonsei University, Seoul, South Korea
| | - Eun Kyoung Choi
- Eun Kyoung Choi, Associate Professor, College of Nursing and Mo-Im Kim Nursing Research Institute, Yonsei University, Seoul, South Korea.
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Wedege P, Mæland S, Abrahamsen FE, Divanoglou A. Structured, time-limited peer mentorship activity programmes for individuals with acquired brain or spinal cord injuries: a mixed methods systematic review of characteristics and outcomes. Disabil Rehabil 2024:1-16. [PMID: 38318804 DOI: 10.1080/09638288.2024.2310185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2023] [Accepted: 01/19/2024] [Indexed: 02/07/2024]
Abstract
PURPOSE To determine the characteristics and outcomes of structured, time-limited peer mentorship activity programmes for individuals with acquired brain or spinal cord injury. MATERIALS AND METHODS A mixed methods systematic review with an advanced convergent qualitative meta-integration synthesis design was adopted. Seven databases were searched, with two reviewers independently screening, selecting, and extracting data and evaluating the methodological quality of the included studies. RESULTS The review included ten original studies: five qualitative, four quantitative, and one mixed methods. The peer mentorship programmes were conducted in Europe, Oceania, the United States, and Africa, lasting from two days to 2.5 weeks. The programmes had diverse focuses, but all addressed mentees' independence, health, or quality of life in some way. None was based on a theoretical framework. Programme participation positively impacted cognition, emotions, independence, and social life. The safe and supportive environments the mentees and peer mentors created facilitated the outcomes. The evidence of programme participation on life satisfaction and community participation was inconclusive. CONCLUSION Despite their short duration, structured, time-limited peer mentorship activity programmes can strengthen community rehabilitation of individuals with acquired brain or spinal cord injury. It is recommended that peer mentorship programmes are grounded on a theoretical framework.
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Affiliation(s)
- P Wedege
- Department of Sport and Social Sciences, Norwegian School of Sport Sciences, Oslo, Norway
- Department of Follow-up Services after Spinal Cord Injury, Sunnaas Rehabilitation Hospital, Bjørnemyr, Norway
| | - S Mæland
- Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
| | - F E Abrahamsen
- Department of Sport and Social Sciences, Norwegian School of Sport Sciences, Oslo, Norway
| | - A Divanoglou
- Department of Rehabilitation Medicine and Department of Medical and Health Sciences, Linköping University, Linköping, Sweden
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Vickers N, Matthews A, Paul G. Perspectives and factors associated with informal human milk sharing: a mixed-methods systematic review protocol. HRB Open Res 2023; 6:24. [PMID: 37662478 PMCID: PMC10472069 DOI: 10.12688/hrbopenres.13718.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/13/2023] [Indexed: 09/05/2023] Open
Abstract
Background The practice of informal human milk sharing is a relatively new phenomenon and poses significant questions in the domain of infant feeding. Informal human milk sharing is a means of donating human milk from another lactating individual who is not the child's biological parent, in a casual manner, that is, without the involvement of health professionals or agencies. The advent of digital technology has facilitated the donation and receipt of human milk through digital online platforms and thus has amplified this modern practice. This research aims to comprehensively examine and synthesize evidence about the motivations, barriers, facilitators and experiences of individuals who both donate (donors) and the primary care givers of the infants who receive (recipients) human milk informally to provide to infants. Methods A mixed-methods systematic review will be undertaken. This review will consider qualitative, quantitative and primary mixed-methods studies which report on the factors associated with informal milk sharing, and on donors' and recipients' experiences of the practice. Primary mixed-method studies will be included if the individual qualitative and quantitative components can be extracted. Five databases will be searched for studies on informal human milk sharing published from inception of the database. Study quality will be evaluated using the standardized JBI critical appraisal tools, selected based on the methodology in each individual study. Data extraction will be conducted using the JBI mixed methods data extraction form followed by data transformation, synthesis and integration. This mixed-methods systematic review will follow a convergent integrated approach in accordance with JBI guidance. Discussion Informal human milk sharing is a novel practice in the domain of infant feeding. This review will enable a thorough understanding of this practice from both the donors and recipients' perspective and will have implications for healthcare professionals, policy and future clinical decision-making. Protocol registration number PROSPERO CRD42023405653.
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Affiliation(s)
- Niamh Vickers
- School of Nursing, Psychotherapy and Community Health, Dublin City University, Dublin, Leinster, D09Y8VX, Ireland
| | - Anne Matthews
- School of Nursing, Psychotherapy and Community Health, Dublin City University, Dublin, Leinster, D09Y8VX, Ireland
| | - Gillian Paul
- School of Nursing, Psychotherapy and Community Health, Dublin City University, Dublin, Leinster, D09Y8VX, Ireland
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Mühlenpfordt I, Blakeslee SB, Everding J, Cramer H, Seifert G, Stritter W. Touching body, soul, and spirit? Understanding external applications from integrative medicine: A mixed methods systematic review. Front Med (Lausanne) 2022; 9:960960. [PMID: 36619637 PMCID: PMC9813495 DOI: 10.3389/fmed.2022.960960] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2022] [Accepted: 11/29/2022] [Indexed: 12/24/2022] Open
Abstract
Introduction External applications from anthroposophic medicine (EAAM) are touch-based applications such as rhythmical massages, embrocations, and compresses that serve as components of complementary treatment concepts for various diseases. The aim of this review is to gain an understanding of typical indications and outcomes and to systematically assess the effectiveness and safety of EAAM. Materials and methods Medline/PubMed, CINAHL, the Cochrane Library, Embase, and PsycINFO were searched through May 2021 and supplemented by searches in specialized databases and personal requests to experts in the field. Studies and case reports on EAAM in patients, as well as healthy individuals, were included in the qualitative synthesis. Outcome parameters depending on each study were grouped as effect themes and assigned to study clusters using Thematic Analysis for a thematic overview of effect patterns. Results Four RCTs, 7 cohort studies, 1 mixed-methods, 1 retrospective, 4 qualitative studies, 3 case series, and 25 case reports on EAAM were identified. The analysis indicated various effects of EAAM on physiological as well as psychological health indicators and patterns of effect development. Study quality was found to be high for only 2 studies, and moderate for 1 study, and all remaining 45 studies showed a moderate or high risk of bias or were not ratable with used rating tools. Conclusion The included studies present a wide range of potential indications for EAAM, while showing methodological drawbacks. To determine whether EAAM can be considered an effective treatment option, clinical studies exploring the effect of different EAAM modalities on defined patient groups are recommended for the future. Systematic review registration [https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=214030], identifier [CRD42020214030].
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Affiliation(s)
- Inga Mühlenpfordt
- Department of Pediatrics, Division of Oncology and Hematology, Charité – Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin Institute of Health, Berlin, Germany,*Correspondence: Inga Mühlenpfordt,
| | - Sarah B. Blakeslee
- Department of Pediatrics, Division of Oncology and Hematology, Charité – Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin Institute of Health, Berlin, Germany
| | - Janina Everding
- Department of Pediatrics, Division of Oncology and Hematology, Charité – Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin Institute of Health, Berlin, Germany
| | - Holger Cramer
- Institute of General Practice and Interprofessional Care, University Hospital Tübingen, Tübingen, Germany,Bosch Health Campus, Stuttgart, Germany
| | - Georg Seifert
- Department of Pediatrics, Division of Oncology and Hematology, Charité – Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin Institute of Health, Berlin, Germany,Department of Pediatrics, Faculty of Medicine, University of São Paulo, São Paulo, Brazil
| | - Wiebke Stritter
- Department of Pediatrics, Division of Oncology and Hematology, Charité – Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin Institute of Health, Berlin, Germany
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Lizarondo L, Stern C, Apostolo J, Carrier J, de Borges K, Godfrey C, Kirkpatrick P, Pollock D, Rieger K, Salmond S, Vandyk A, Loveday H. Five common pitfalls in mixed methods systematic reviews - lessons learned. J Clin Epidemiol 2022; 148:178-183. [PMID: 35341946 DOI: 10.1016/j.jclinepi.2022.03.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2021] [Revised: 03/17/2022] [Accepted: 03/21/2022] [Indexed: 10/18/2022]
Abstract
OBJECTIVE Mixed methods systematic reviews (MMSR) combine quantitative and qualitative evidence within a single review. Since the revision of the JBI Methodology for MMSRs in 2020, there has been an increasing number of reviews published that claim to follow this approach. A preliminary examination of these indicated that authors frequently deviated from the methodology. This paper outlines five common 'pitfalls' associated with undertaking MMSR and provides direction for future reviewers attempting MMSR. METHODS Forward citation tracking identified 17 reviews published since the revision of the JBI mixed methods methodological guidance. Methods used in these reviews were then examined against the JBI methodology to identify deviations. RESULTS The issues identified related to the rationale for choosing the methodological approach; incorrect synthesis and integration approach chosen to answer the review question/s posed; the exclusion of primary mixed methods studies in the review; the lack of detail regarding the process of data transformation and a lack of 'mixing' of the quantitative and qualitative components. CONCLUSION This exercise was undertaken to assist systematic reviewers considering conducting a MMSR as well as MMSR users to identify potential areas where authors tend to deviate from the methodological approach. Based on these findings a series of recommendations are provided.
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Affiliation(s)
- Lucylynn Lizarondo
- JBI, Faculty of Health and Medical Sciences, University of Adelaide, 55 Norwich House, King William Road, Adelaide, Australia.
| | - Cindy Stern
- JBI, Faculty of Health and Medical Sciences, University of Adelaide, 55 Norwich House, King William Road, Adelaide, Australia
| | - Joao Apostolo
- Health Sciences Research Unit: Nursing, Escola Superior de Enfermagem de Coimbra, Coimbra, Portugal Centre for Evidence Based Practice: A JBI Centre of Excellence, Portugal
| | - Judith Carrier
- School of Healthcare Sciences, Cardiff University, The Wales Centre For Evidence Based Care: A JBI Centre of Excellence, Cardiff CF10 3AT, United Kingdom
| | - Kelli de Borges
- Universidade Federal de Juiz de For a, Campus Universitário, Rua José Lourenço Kelmer, s/n - São Pedro, Juiz de Fora - MG, 36036-900, Brazil
| | - Christina Godfrey
- School of Nursing, Queen's University, Queen's Collaboration for Health Care Quality: A JBI Centre of Excellence Kingston, 99 University Ave, Kingston, Ontario K7L 3N6, Canada
| | - Pamela Kirkpatrick
- School of Nursing and Midwifery, Robert Gordon University, The Scottish Centre for Evidence-based, Multi-professional Practice: A JBI Centre of Excellence, Garthdee House, Garthdee Rd, Garthdee, Aberdeen AB10 7AQ, United Kingdom
| | - Danielle Pollock
- JBI, Faculty of Health and Medical Sciences, University of Adelaide, 55 Norwich House, King William Road, Adelaide, Australia
| | - Kendra Rieger
- School of Nursing, Trinity Western University, 22500 University Dr, Langley, British Columbia, V2Y 1Y1, Canada
| | - Susan Salmond
- School of Nursing, Rutgers, The State University of New Jersey, The Northeast Institute for Evidence Synthesis and Translation (NEST): A JBI Centre of Excellence, New Brunswick, New Jersey, USA
| | - Amanda Vandyk
- School of Nursing, University of Ottawa, 75 Laurier Ave. E, Ottawa, Ontario K1N 6N5, Canada
| | - Heather Loveday
- College of Nursing, Midwifery and Healthcare, University of West London, The University of West London Centre for Evidence-Based Healthcare: A JBI Centre of Excellence, St Mary's Rd, London W5 5RF, United Kingdom
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Morrison L, Johnston B, Cooper M. Mixed methods systematic review: Factors influencing research activity among nurses in clinical practice. J Clin Nurs 2021; 31:2450-2464. [PMID: 34820932 DOI: 10.1111/jocn.16133] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2021] [Revised: 10/27/2021] [Accepted: 11/02/2021] [Indexed: 11/30/2022]
Abstract
AIM This study aimed to identify, evaluate and summarise current evidence in relation to the factors that influence the conducting of research by nurses in clinical practice. DESIGN This study used mixed methods systematic review. DATA SOURCES CINAHL, EMBASE, MEDLINE, Scopus and ASSIA, with dates limited from 2015 to 2020, were used to conduct a systematic search of the literature. REVIEW METHODS The Joanna Briggs Institute approach was followed, with results reported according to the Preferred Reporting System for Systematic Reviews and Meta-Analyses. The associated checklist for systematic reviews was also used. A standardised data extraction tool was then used, with quality appraisal guided by the Mixed Methods Appraisal Tool, with a subsequent convergent qualitative synthesis. RESULTS Sixteen papers were identified for inclusion, nine quantitative, six qualitative and one mixed methods. Four themes were identified: research competence and culture, proactive research mentorship, research resources and making a difference. These were critically discussed in relation to barriers and enablers to the conduct of research by nurses in clinical practice. Commonly cited barriers included a lack of research knowledge, confidence and access to resources, particularly protected time, while enablers such as educational partnerships, identifying research-motivated clinical nurses and access to research role models were also apparent in the literature. CONCLUSIONS Globally, nurses in clinical practice are clearly motivated to engage in the research process despite apparent barriers that have a significant impact on productivity. Nevertheless, there are also enablers to building research capacity apparent that offer methodological and structural approaches to empower this group to conduct research.
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Affiliation(s)
- Lindy Morrison
- University of Glasgow/NHS Greater Glasgow & Clyde, Glasgow, UK
| | | | - Mark Cooper
- University of Glasgow, Nursing and Health Care School, Glasgow, UK
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Noonan MC, Wingham J, Taylor RS. 'Who Cares?' The experiences of caregivers of adults living with heart failure, chronic obstructive pulmonary disease and coronary artery disease: a mixed methods systematic review. BMJ Open 2018; 8:e020927. [PMID: 29997137 PMCID: PMC6082485 DOI: 10.1136/bmjopen-2017-020927] [Citation(s) in RCA: 27] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/01/2017] [Revised: 05/30/2018] [Accepted: 06/07/2018] [Indexed: 01/12/2023] Open
Abstract
OBJECTIVE To assess the experiences of unpaid caregivers providing care to people with heart failure (HF) or chronic obstructive pulmonary disease (COPD) or coronary artery disease (CAD). Design Mixed methods systematic review including qualitative and quantitative studies. Data sources Databases searched: Medline Ebsco, PsycInfo, CINAHL Plus with Full Text, Embase, Web of Science, Ethos: The British Library and ProQuest. Grey literature identified using: Global Dissertations and Theses and Applied Sciences Index and hand searches and citation checking of included references. Search time frame: 1 January 1990 to 30 August 2017. ELIGIBILITY CRITERIA FOR SELECTING STUDIES Inclusion was limited to English language studies in unpaid adult caregivers (>18 years), providing care for patients with HF, COPD or CAD. Studies that considered caregivers for any other diagnoses and studies undertaken in low-income and middle-income countries were excluded. Quality assessment of included studies was conducted by two authors. DATA ANALYSIS/SYNTHESIS A results-based convergent synthesis was conducted. RESULTS Searches returned 8026 titles and abstracts. 54 studies-21 qualitative, 32 quantitative and 1 mixed method were included. This totalled 26 453 caregivers who were primarily female (63%), with median age of 62 years. Narrative synthesis yielded six concepts related to caregiver experience: (1) mental health, (2) caregiver role, (3) lifestyle change, (4) support for caregivers, (5) knowledge and (6) relationships. There was a discordance between paradigms regarding emerging concepts. Four concepts emerged from qualitative papers which were not present in quantitative papers: (1) expert by experience, (2) vigilance, (3) shared care and (4) time. CONCLUSION Caregiving is life altering and complex with significant health implications. Health professionals should support caregivers who in turn can facilitate the recipient to manage their long-term condition. Further longitudinal research exploring the evolution of caregiver experiences over time of patients with chronic cardiopulmonary conditions is required. TRIAL REGISTRATION NUMBER CRD42016053412.
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Affiliation(s)
- Miriam Catherine Noonan
- European Centre for Environment and Human Health, University of Exeter Medical School, Knowledge Spa, Royal Cornwall Hospital, Truro, UK
| | - Jennifer Wingham
- Royal Cornwall Hospitals NHS Trust, Research, Development and Innovation, F37, Knowledge Spa, Royal Cornwall Hospital, Truro, Cornwall & University of Exeter, Exeter, UK
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