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de Oliveira Segundo VH, de Azevedo KPM, de Medeiros GCBS, Mata ÁNDS, Piuvezam G. Association between sedentary behavior and Brain-Derived Neurotrophic Factor (BDNF) in children and adolescents: A protocol for systematic review and meta-analysis. PLoS One 2024; 19:e0299024. [PMID: 38442097 PMCID: PMC10914284 DOI: 10.1371/journal.pone.0299024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2023] [Accepted: 02/04/2024] [Indexed: 03/07/2024] Open
Abstract
BACKGROUND There is evidence in the literature suggesting that high time spent in sedentary behavior (SB) can reduce the Brain-Derived Neurotrophic Factor (BDNF) levels, an important neurotrophin that plays a role in modulating cognition, learning and memory. Children and adolescents usually spend many hours a day on SB, either sitting for a long time and/or using screen equipment. OBJECTIVE The aim of this study is to describe a systematic review and meta-analysis protocol on the associations between SB and BDNF levels in children and adolescents. METHODS This protocol is guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols and was published in the International Prospective Register of Systematic Reviews database (PROSPERO: CRD42023392246). The databases that will be searched are EMBASE, Scopus, ScienceDirect, Web of Science, SPORTDiscus, CINAHL, and PubMed. Cross-sectional and cohort studies conducted with children and adolescents (5 to 19 yr) that analyzed the association between SB and BDNF will be included in the systematic review. The characteristics of the studies, methodological aspects, and main results will be described. Then, the risk of bias (assessed by STROBE and Newcastle-Ottawa scales) and the level of evidence (assessed by the GRADE tool) from included studies will be evaluated. Sub-group analysis will also be performed. Two experienced reviewers will perform the studies selection, data extraction, and methodological quality assessment. CONCLUSION This systematic review and meta-analysis will analyze the association between SB and BDNF in children and adolescents. The results will provide subsidies to better understand this relationship and will strengthen evidence-based practice for both health professionals and future researches.
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Affiliation(s)
- Victor Hugo de Oliveira Segundo
- Department of Public Health, Postgraduate Program in Public Health, Federal University of Rio Grande do Norte, Natal/RN, Brazil
- Systematic Review and Meta-analysis Laboratory (Lab-Sys/CNPq), Federal University of Rio Grande do Norte, Natal/RN, Brazil
| | - Kesley Pablo Morais de Azevedo
- Department of Public Health, Postgraduate Program in Public Health, Federal University of Rio Grande do Norte, Natal/RN, Brazil
- Systematic Review and Meta-analysis Laboratory (Lab-Sys/CNPq), Federal University of Rio Grande do Norte, Natal/RN, Brazil
| | - Gidyenne Christine Bandeira Silva de Medeiros
- Department of Public Health, Postgraduate Program in Public Health, Federal University of Rio Grande do Norte, Natal/RN, Brazil
- Systematic Review and Meta-analysis Laboratory (Lab-Sys/CNPq), Federal University of Rio Grande do Norte, Natal/RN, Brazil
| | - Ádala Nayana de Sousa Mata
- Department of Public Health, Postgraduate Program in Public Health, Federal University of Rio Grande do Norte, Natal/RN, Brazil
- Systematic Review and Meta-analysis Laboratory (Lab-Sys/CNPq), Federal University of Rio Grande do Norte, Natal/RN, Brazil
| | - Grasiela Piuvezam
- Department of Public Health, Postgraduate Program in Public Health, Federal University of Rio Grande do Norte, Natal/RN, Brazil
- Systematic Review and Meta-analysis Laboratory (Lab-Sys/CNPq), Federal University of Rio Grande do Norte, Natal/RN, Brazil
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de Souza Nascimento AM, de Oliveira Segundo VH, Felipe Camelo Aguiar AJ, Piuvezam G, Souza Passos T, Florentino da Silva Chaves Damasceno KSFDS, de Araújo Morais AH. Antibacterial action mechanisms and mode of trypsin inhibitors: a systematic review. J Enzyme Inhib Med Chem 2022; 37:749-759. [PMID: 35168466 PMCID: PMC8856033 DOI: 10.1080/14756366.2022.2039918] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/09/2022] Open
Abstract
This systematic review (SR) aimed to gather studies describing the antibacterial action mechanisms and mode of trypsin inhibitors. The review protocol was registered (PROSPERO: CRD42020189069). Original articles resulting from studies in animal models, in bacterial culture, and using cells that describe antibacterial action of trypsin inhibitor-type peptides or proteins were selected in PubMed, Science Direct, Scopus, Web of Science, BVS, and EMBASE. The methodological quality assessment was performed using the PRISMA and OHAT tool. 2382 articles were retrieved, 17 of which were eligible. Four studies demonstrated the action mechanism directly on the bacterial membrane, and the fifth study on endogenous proteases extracted from the bacteria themselves. The antibacterial action mode was presented in the other studies, which can generate bacteriostatic or bactericidal effects without describing the mechanisms. This study generated information to enable new preclinical or clinical studies with molecules contributing to public health.
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Affiliation(s)
| | | | - Ana Júlia Felipe Camelo Aguiar
- Biochemistry and Molecular Biology Postgraduate Program, Biosciences Center, Federal University of Rio Grande do Norte, Natal, Brazil
| | - Grasiela Piuvezam
- Postgraduate Program in Public Health, Center for Health Sciences, Federal University of Rio Grande do Norte, Natal, Brazil.,Department of Public Health, Center for Health Sciences, Federal University of Rio Grande do Norte, Natal, Brazil
| | - Thaís Souza Passos
- Nutrition Postgraduate Program, Center for Health Sciences, Federal University of Rio Grande do Norte, Natal, Brazil.,Department of Nutrition, Center for Health Sciences, Federal University of Rio Grande do Norte, Natal, Brazil
| | | | - Ana Heloneida de Araújo Morais
- Nutrition Postgraduate Program, Center for Health Sciences, Federal University of Rio Grande do Norte, Natal, Brazil.,Biochemistry and Molecular Biology Postgraduate Program, Biosciences Center, Federal University of Rio Grande do Norte, Natal, Brazil.,Department of Nutrition, Center for Health Sciences, Federal University of Rio Grande do Norte, Natal, Brazil
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3
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de Sousa Mata ÁN, de Azevedo KPM, Braga LP, de Medeiros GCBS, de Oliveira Segundo VH, Bezerra INM, Pimenta IDSF, Nicolás IM, Piuvezam G. Training in communication skills for self-efficacy of health professionals: a systematic review. Hum Resour Health 2021; 19:30. [PMID: 33676515 PMCID: PMC7937280 DOI: 10.1186/s12960-021-00574-3] [Citation(s) in RCA: 35] [Impact Index Per Article: 11.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/12/2020] [Accepted: 02/24/2021] [Indexed: 05/16/2023]
Abstract
BACKGROUND Communication skills are essential for health professionals to establish a positive relationship with their patients, improving their health and quality of life. In this perspective, communication skills training can be effective strategies to improve the care provided by professionals in patient care and the quality of health services. OBJECTIVE To identify the best available evidence on training programs in communication skills to promote changes in attitude and behavior or self-efficacy of health professionals. METHODS Systematic searches were performed in eight databases, evaluating Randomized Controlled Trials and quasi-experimental studies with a control group, focusing on training communication skills for health professionals, who assessed self-efficacy or behaviors related to these skills. The phases of study selection and data extraction were carried out by two independent researchers, and the conflicts were resolved by a third. The risk of bias was assessed using the Cochrane method. RESULTS Eight studies were included in the review. Most programs lasted between 4½ h and 2 days, involved information about communication skills and the content was applied to the health professionals' context. Several teaching strategies were used, such as lectures, videos and dramatizations and the evaluation was carried out using different instruments. Improvements in the performance and in the self-efficacy of communication skills were observed in the trained groups. The RCT had a low risk of bias and the quasi-experimental studies had a moderate risk. CONCLUSION Training in communication skills can improve the performance and self-efficacy of health professionals. Programs that approach the conceptual issues and promote the space for experiential learning could be effective in communication skills training for professionals. PROSPERO CRD42019129384.
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Affiliation(s)
- Ádala Nayana de Sousa Mata
- Multicampi School of Medical Sciences of Rio Grande do Norte, Federal University of Rio Grande do Norte, Av. Coronel Martiniano, 541, Centro, Caicó, RN ZIP Code: 59300-000 Brazil
| | - Kesley Pablo Morais de Azevedo
- Post-Graduate Program in Public Health, Health Science Center, Federal University of Rio Grande do Norte, Av. Sen. Salgado Filho, 1787 - Lagoa Nova, Natal, RN ZIP Code: 59056-000 Brazil
| | - Liliane Pereira Braga
- Multicampi School of Medical Sciences of Rio Grande do Norte, Federal University of Rio Grande do Norte, Av. Coronel Martiniano, 541, Centro, Caicó, RN ZIP Code: 59300-000 Brazil
| | | | - Victor Hugo de Oliveira Segundo
- Post-Graduate Program in Public Health, Health Science Center, Federal University of Rio Grande do Norte, Av. Sen. Salgado Filho, 1787 - Lagoa Nova, Natal, RN ZIP Code: 59056-000 Brazil
| | - Isaac Newton Machado Bezerra
- Academic Center of Vitória, Federal University of Pernanmbuco, R. Aldo do reservatório, s/n, Bela Vista, Vitória de Santo Antão, PE ZIP Code: 55608-680 Brazil
| | - Isac Davidson Santiago Fernandes Pimenta
- Post-Graduate Program in Public Health, Health Science Center, Federal University of Rio Grande do Norte, Av. Sen. Salgado Filho, 1787 - Lagoa Nova, Natal, RN ZIP Code: 59056-000 Brazil
| | - Ismael Martinez Nicolás
- Department of Health Sciences, Catholic University San Antonio de Murcia, San Antonio de Murcia, Campus de los Jerónimos, 135, 30107 Guadalupe, Murcia Spain
| | - Grasiela Piuvezam
- Department of Public Health, Federal University of Rio Grande do Norte, University Campus, Av. Senador Salgado Filho, 3000, Lagoa Nova, Natal, RN ZIP Code: 59.078-970 Brazil
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Pimenta IDSF, de Sousa Mata ÁN, Braga LP, de Medeiros GCBS, de Azevedo KPM, Bezerra INM, de Oliveira Segundo VH, de França Nunes AC, Santos GM, Grosseman S, Nicolás IM, Piuvezam G. Media and scientific communication about the COVID-19 pandemic and the repercussions on the population's mental health: A protocol for a systematic review and meta-analysis. Medicine (Baltimore) 2020; 99:e23298. [PMID: 33327257 PMCID: PMC7738065 DOI: 10.1097/md.0000000000023298] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/15/2020] [Accepted: 10/22/2020] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Good communication strategies are essential in times of crisis, such as the coronavirus pandemic. The dissemination of inaccurate information and the need for social isolation to control coronavirus disease 2019 (COVID-19) have shown a negative impact on the population, causing damage to mental health, with the appearance or worsening of symptoms of stress, fear, anxiety, and depression. Thus, the systematic review study is intended to gather evidence on the impact of information about COVID-19 on the mental health of the population. METHODS This systematic review protocol is conducted using the guidelines of the preferred reporting items for systematic reviews and meta-analyses protocols and the Cochrane Handbook for Systematic Reviews of Interventions. The review aims to include published studies that address the exposure of the general population to information about COVID-19, through observational and experimental studies, which consider the following outcomes: fear, stress, anxiety, and depression. Thus, a comprehensive research strategy will be conducted in the following databases: PubMed / Medline, Scopus, Web of Science, EMBASE, Science Direct, CINAHL, PsycINFO and Cochrane Central Register of Controlled Trials (CENTRAL). Two independent reviewers will perform all procedures, such as study selection, data collection, and methodological evaluation. Disagreements will be forwarded to a third reviewer. RevMan 5.3 software will be used for data analysis. RESULTS This systematic review will provide evidence of the influence of access to and consumption of media and scientific information about COVID-19 on the mental health of the population. It will consider information about the characterization of the study and the population studied, clinical and epidemiological information on mental health, and data on access to and consumption of media and scientific information. DISCUSSION The results should inform about the consequences of communication about the new coronavirus on the emergence or worsening of psychological and psychiatric symptoms, allowing to develop strategies to achieve effective communication of information to promote the mental health of the population. SYSTEMATIC REVIEW REGISTRATION NUMBER PROSPERO CRD42020182918.
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Affiliation(s)
| | - Ádala Nayana de Sousa Mata
- Multicampi School of Medical Sciences of Rio Grande do Norte, Federal University of Rio Grande do Norte, Caicó/RN
| | - Liliane Pereira Braga
- Multicampi School of Medical Sciences of Rio Grande do Norte, Federal University of Rio Grande do Norte, Caicó/RN
| | | | | | | | | | - Ana Clara de França Nunes
- Department of Odontology, Post-Graduation Program in Public Health, Federal University of Rio Grande do Norte, Natal/RN
| | | | - Suely Grosseman
- Department of Paediatrics, Federal University of Santa Catarina, Florianopolis/SC, Brazil
| | | | - Grasiela Piuvezam
- Department of Public Health, Federal University of Rio Grande do Norte, Natal/RN, Brazil
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de Souza TA, da Silva PHA, da Silva Nunes AD, de Araújo II, de Oliveira Segundo VH, de Oliveira Viana Pereira DM, Barbosa IR, de Vasconcelos Torres G. The association between race and risk of illness and death due to COVID-19: A protocol for systematic review and meta-analysis. Medicine (Baltimore) 2020; 99:e22828. [PMID: 33181651 PMCID: PMC7668480 DOI: 10.1097/md.0000000000022828] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/15/2020] [Accepted: 09/21/2020] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND The Corona Virus Disease, 2019 (COVID-19) pandemic revealed many social disparities that already exist in countries that have social inequalities in their historical context. Studies have already been published on the epidemiological and clinical characteristics of population groups considered to be at risk where they reveal that Black people are at greater risk of becoming ill and dying from this cause. In this context, this protocol describes a systematic review that aims to analyze the association of race as the higher risk for illness and death due to COVID-19. METHODS This protocol will be developed based on the recommendations of Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA-P). For this, we will conduct searches in the PubMed, Web of Science, Scopus, Lilacs, and ScienceDirect databases in the search for cross-sectional studies. All cross-sectional studies that analyzed hospitalization and death by COVID-19 as race in its determinant will be included. The search will be carried out by 2 independent researchers who will carry out the selection of articles, then the duplicate studies will be removed and screened using the Rayyan QCRI application. To assess the risk of bias, the instrument proposed by Downs and Black will be used. Meta-analyzes and subgroup analyzes will be carried out according to included data conditions. RESULTS Based on this review, it will be possible to carry out a high-quality synthesis of available evidence that brings race as a factor for illness and death by COVID-19 and to verify which race is most affected by this disease. CONCLUSION The relevance of this systematic review to the current context is considered, as it has a high potential to assist in the development of public health strategies and policies that address existing racial differences.Record of systematic review: CRD42020208767.
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Affiliation(s)
| | | | | | - Ivani Iasmim de Araújo
- Faculty of Health Science of Trairi, Federal University of Rio Grande do Norte, Santa Cruz, RN, Brazil
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6
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de Medeiros GCBS, Nunes ACDF, de Azevedo KPM, de Oliveira Segundo VH, Santos GM, Mata ÁNDS, Pimenta ID, Bezerra INM, Braga LP, Capucho HC, Piuvezam MR, Barbosa Filho VC, Leitão JC, Martínez DG, Piuvezam G. The Control and Prevention of COVID-19 Transmission in Children: A Protocol for Systematic Review and Meta-analysis. Medicine (Baltimore) 2020; 99:e21393. [PMID: 32756132 PMCID: PMC7402914 DOI: 10.1097/md.0000000000021393] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/22/2020] [Accepted: 06/23/2020] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND The pandemic following the rapid spread of the new SARS-CoV-2 virus has hit all continents and caused thousands of deaths worldwide. Evidence has been published on epidemiological and clinical characteristics of population groups considered at risk; however, information for the other population groups, especially for the child population, is needed. In this context, this protocol describes a systematic review that will aim to identify the evidence on control and prevention of COVID-19 transmission among children and adolescents, as well as to describe the epidemiological profile and clinical and immunological characteristics of COVID-19 in this population. METHODS This protocol will be developed in accordance with PRISMA-P. The searches will be conducted in PubMed, Web of Science, ScienceDirect, EMBASE, and Scopus, seeking clinical trials. Observational studies and case reports with Children and adolescents (≤19 years) infected with SARS-CoV-2 will be included whether they report information on the control of prevention and COVID-19 transmission. Two independent researchers will perform the selection of articles, removal of duplication, and screening by Rayyan QCRI application. Cochrane's RoB 2.0, ROBINS-I, and CASP tools will be used to assess the risk of bias. Meta-analysis, subgroup analyses, and/or descriptive analyses will be carried out based on the data conditions included. RESULTS A high-quality synthesis of the available evidences on the epidemiological profile, the clinical and immunological characteristics involved in children, and adolescents diagnosed with COVID-19, as well as the participation of this population in the transmission dynamics of SARS-CoV-2 will be provided. CONCLUSION This systematic review has an important relevance in the current context because it has a great potential to help the development of new control and prevention strategies in the pediatric population. RECORD OF SYSTEMATIC REVIEW CRD42020179263.
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Affiliation(s)
| | - Ana Clara de França Nunes
- Department of Public Health, Postgraduate Program in Public Health, Federal University of Rio Grande do Norte, Natal/RN, Brazil
| | - Kesley Pablo Morais de Azevedo
- Department of Public Health, Postgraduate Program in Public Health, Federal University of Rio Grande do Norte, Natal/RN, Brazil
| | - Victor Hugo de Oliveira Segundo
- Department of Public Health, Postgraduate Program in Public Health, Federal University of Rio Grande do Norte, Natal/RN, Brazil
| | - Gilberto Martins Santos
- Department of Administration (Campus PM), Postgraduate Program in Management of Public Organizations, Federal University of Santa Maria, Santa Maria/RS, Brazil
| | - Ádala Nayana de Sousa Mata
- Multicampi School of Medical Sciences of RN, Federal University of Rio Grande do Norte, Caicó/RN, Brazil
| | - Isac Davidson Pimenta
- Department of Public Health, Postgraduate Program in Public Health, Federal University of Rio Grande do Norte, Natal/RN, Brazil
| | - Isaac Newton Machado Bezerra
- Multiprofessional Residency Program of Interiorization Health Care, Federal University of Pernambuco, Vitória de Santo Antão/PE, Brazil
| | - Liliane Pereira Braga
- Multicampi School of Medical Sciences of RN, Federal University of Rio Grande do Norte, Caicó/RN, Brazil
| | | | | | | | - José Carlos Leitão
- Research Center in Sports Sciences, Health and Human Development, CIDESD, Vila Real, Portugal
| | | | - Grasiela Piuvezam
- Department of Public Health, Postgraduate Program in Public Health, Federal University of Rio Grande do Norte, Natal/RN, Brazil
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de Oliveira Segundo VH, Piuvezam G, de Azevedo KPM, de Medeiros HJ, Leitão JC, Knackfuss MI. Can people self-select an exercise intensity sufficient to enhance muscular strength during weight training?: A systematic review protocol of intervention studies. Medicine (Baltimore) 2019; 98:e17290. [PMID: 31568013 PMCID: PMC6756739 DOI: 10.1097/md.0000000000017290] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/29/2019] [Accepted: 08/30/2019] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Previous studies have reported that self-selection of the training intensity can be an interesting strategy to improve adherence in aerobic exercise programs. However, its effectiveness with weight training has not been systematically reviewed and remains unclear. In this study, we will describe a systematic review protocol that aims to investigate if people are able to self-select an intensity during weight training sufficient to enhance muscular strength. METHODS This protocol is guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols. In this study, we will search the following electronic databases: PubMed, Science Direct, Scopus, Web of Science and SPORTDiscus. Intervention studies with at least one weight training session performed at self-selected intensity, with people from both genders and all age ranges will be included. The Downs & Black checklist will be used for methodological quality assessment. Two experienced reviewers will independently perform the selection of studies, data extraction, and evaluation of the methodological quality. CONCLUSION This will be the first systematic review describing the results of weight training intervention studies with self-selected intensity. This study will provide high-quality and reliable evidence for health professionals and may direct methodological recommendations for further studies. PROSPERO REGISTRATION NUMBER CRD42019120323.
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Affiliation(s)
| | - Grasiela Piuvezam
- Department of Public Health, Federal University of Rio Grande do Norte (UFRN), Natal/RN
| | | | | | - José Carlos Leitão
- Center for Research in Sport, Health and Human Development, University of Trás-os-Montes and Alto Douro, Vila Real, Portugal
| | - Maria Irany Knackfuss
- Department of Physical Education, University of the State of Rio Grande do Norte (UERN), Mossoró/RN, Brazil
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Mata ÁNDS, de Azevedo KPM, Braga LP, de Medeiros GCBS, de Oliveira Segundo VH, Bezerra INM, Pimenta IDSF, Nicolás IM, Piuvezam G. Training programs in communication skills to improve self-efficacy for health personnel: Protocol for a systematic review and meta-analysis. Medicine (Baltimore) 2019; 98:e16697. [PMID: 31415361 PMCID: PMC6831249 DOI: 10.1097/md.0000000000016697] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
BACKGROUND Patient-centered care should be the focus of health services, where improvements in the communication skills of health professionals promote excellent health and quality care. Thus, this study is a protocol for a systematic review and meta-analysis to evaluate the effectiveness of training programs in communication skills to promote self-efficacy in the communication of health personnel. METHODS This systematic review protocol is conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA) statement guidelines and the Cochrane Handbook of Systematic Reviews of Interventions. The review should include studies carried out with health professionals who have undergone training in communication skills aimed at promoting their self-efficacy. Clinical trials (randomized, non-randomized), community trials, and quasi-experimental studies should be included. Therefore, the comprehensive search strategy will be conducted in the following databases: PubMed/Medline, Scopus, Web of Science, EMBASE, Science Direct, CINAHL, PsycINFO, and the Cochrane Central Register of Controlled Trials (CENTRAL). Two independent reviewers will conduct all study selection procedures, data extraction, and methodological evaluation, and disagreements will be referred to a third reviewer. RevMan 5.3 software will be used to gather data and perform the meta-analysis if possible. RESULTS This systematic review will provide evidence on more effective programs for communication skills training and will consider information such as duration, educational strategies, assessment measures, and outcomes that promote health worker self-efficacy. DISCUSSION This systematic review should provide evidence for effective communication skills training for health professionals in order to guide new strategies for quality care. DISSEMINATION AND ETHICS The findings of this scoping review will be disseminated in print, at conferences, or via peer-reviewed journals. Ethical approval is not necessary as this paper does not involve patient data. SYSTEMATIC REVIEW REGISTRATION PROSPERO CRD42019129384.
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Affiliation(s)
- Ádala Nayana de Sousa Mata
- Multicampi School of Medical Sciences of Rio Grande do Norte, Federal University of Rio Grande do Norte, Caicó/RN
- Post-graduate Program in Public Health, Health Science Center, Federal University of Rio Grande do Norte, Natal/RN
| | | | - Liliane Pereira Braga
- Multicampi School of Medical Sciences of Rio Grande do Norte, Federal University of Rio Grande do Norte, Caicó/RN
| | | | | | | | | | | | - Grasiela Piuvezam
- Post-graduate Program in Public Health, Health Science Center, Federal University of Rio Grande do Norte, Natal/RN
- Department of Public Health, Federal University of Rio Grande do Norte, Natal/RN, Brazil
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9
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de Medeiros GCBS, de Azevedo KPM, Garcia DÁ, de Oliveira Segundo VH, de Sousa Mata ÁN, de Siqueira KSDP, Fernandes AKP, Santos RPD, de Brito Trindade DDB, de Oliveira Lyra C, Piuvezam G. Protocol for systematic reviews of school-based food and nutrition education intervention for adolescent health promotion: Evidence mapping and syntheses. Medicine (Baltimore) 2019; 98:e16977. [PMID: 31464944 PMCID: PMC6736443 DOI: 10.1097/md.0000000000016977] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/20/2023] Open
Abstract
BACKGROUND Nutrition is an important modifiable factor in combating overweight and obesity among adolescents. School has been indicated as an effective environment for influencing eating behavior; however, recent reviews assessing school-based interventions specifically for adolescents are scarce. Therefore, we propose the present systematic review with the aim to comprehensively review the quantitative and qualitative literature on the effects of school-based food and nutrition education interventions on adolescent health promotion through healthy eating habits. METHODS We will search MEDLINE/PubMed, Embase, Scopus, ERIC, ScienceDirect, Web of Science, Cochrane, LILACS, and ADOLEC. We will include randomized controlled trials (RCT), non-RCT, and controlled before-after studies. Risk of bias will be assessed using the EPOC Risk of Bias Tool for RCT, Risk of Bias in Non-randomized Studies of Interventions (ROBINS-I) tool for non-RCT or controlled before-after, as well as the Critical Appraisal Skills Program (CASP) checklist for qualitative studies. We will analyze the overall strength of the evidence for each outcome using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) tool. Two independent researchers will conduct all evaluations and any disagreements will be consulted with a third reviewer. Data analysis and synthesis will be analyzed by the RevMan 5.3 software. We will conduct the study in accordance with the guideline of the Preferred Reporting Items for Systematic Review and Meta-analyses Protocols. RESULT This review will evaluate the effects of school-based food and nutrition education interventions on adolescent health promotion through healthy eating habits. The primary outcome will be changes in adolescent food consumption. Secondary outcomes will be biological parameters (e.g., body mass index (BMI), waist circumference (WC), body composition, etc); biochemical parameters (e.g., glycemia, triglycerides, total cholesterol, etc); qualitative evidences that support or explain the effect of school-based food and nutrition education interventions on adolescent food consumption. CONCLUSION The findings of this systematic review will summarize the latest evidence of the effects of school-based food and nutrition education interventions on adolescent health promotion. The findings will be an available reference for school-based interventions and other further research. REGISTRATION PROSPERO CRD42019116520.
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Affiliation(s)
| | | | - Daniel Ángel Garcia
- Department of Physiotherapy, San Antonio de Murcia Catholic University, Spain
| | | | | | | | | | | | | | - Clélia de Oliveira Lyra
- Department of Nutrition, Federal University of Rio Grande do Norte
- Graduate Program in Public Health, UFRN, Natal, Brazil
| | - Grasiela Piuvezam
- Graduate Program in Public Health, UFRN, Natal, Brazil
- Department of Public Health, UFRN, Natal, Brazil
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10
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de Azevedo KPM, de Oliveira Segundo VH, de Medeiros GCBS, de Sousa Mata ÁN, García DÁ, de Carvalho Leitão JCG, Knackfuss MI, Piuvezam G. Effects of exercise on the levels of BDNF and executive function in adolescents: A protocol for systematic review and meta-analysis. Medicine (Baltimore) 2019; 98:e16445. [PMID: 31305474 PMCID: PMC6641795 DOI: 10.1097/md.0000000000016445] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
Abstract
BACKOGROUND Evidence available in the literature suggests that physical exercise increases the release of brain-derived neurotrophic factor (BDNF) in humans and may possibly be related to improvements in executive function. However, studies of this phenomenon in adolescents are still scarce. The objective of this work is to describe the protocol for a systematic review (SR) and meta-analysis of interventional studies aiming to determine the effect of physical exercise on BDNF levels and executive function in adolescents. METHODS This protocol is guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P) and by the Cochrane Handbook of Systematic Reviews of Interventions. The databases to be searched are PubMed, EMBASE, Scopus, ScienceDirect, Web of Science, SPORTDiscus, the Cochrane Central Register of Controlled Trials (CENTRAL), and CINAHL. Interventional studies conducted on adolescents with different exercise protocols and evaluations of BDNF levels and executive function in pre- and post-intervention periods will be included in the systematic review. The characteristics of the studies, participants, and main results will be described, then the evaluation of the risk of biases and the level of evidence obtained by the protocol will be assessed. The selection of studies, data extraction, and evaluation of the methodological quality will be performed by 2 experienced reviewers independently. CONCLUSION The systematic review will present the effects of the practice of physical exercises on the BDNF and executive function levels. The results will strengthen the interventions with the focus on the brain health of adolescents through general orientations and the evidences described shall direct future research. PROSPERO REGISTRATION NUMBER CRD42018110683.
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Affiliation(s)
| | | | | | | | | | | | - Maria Irany Knackfuss
- Post-Graduate program in health and society, University of the State of Rio Grande do Norte (UERN), Mossoró/RN, Brazil
| | - Grasiela Piuvezam
- Department of Public Health, Federal University of Rio Grande do Norte, Natal/RN
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