Analysis of Movement-Based Mind-Body Interventions to Guide the Implementation of Osteoarthritis Exercise Programs: A Descriptive Review of Randomized Controlled Trials.
Analysis of Movement-Based Mind-Body Interventions to Guide the Implementation of Osteoarthritis Exercise Programs: A Descriptive Review of Randomized Controlled Trials.
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基于运动的身心干预措施指导骨关节炎运动计划实施的分析：随机对照试验的描述性回顾。
DOI：
10.1089/acm.2020.0420
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Wang,Chenchen
中科院分区：
文献类型：
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作者：
Zhang,Weijun;Roster,Katie;Hays,RonD;Wang,Chenchen
背景：在临床试验中，需要明确和完整地报告复杂干预措施的组成部分，以确保研究能够可靠地复制并成功地转化为临床实践。基于运动的身心运动，如太极，气功和瑜伽（TQY），被认为是复杂的干预措施，并在美国风湿病学会的最新指南中推荐用于骨关节炎患者。方法：检索PubMed、科克伦中心对照试验注册中心和EMBASE，检索2000 - 2020年TQY运动试验在骨关节炎中的应用。成对的研究人员独立筛选记录，提取研究特征，并评估了运动报告模板共识（CERT）清单上的19个项目。对于这些项目中的每一个，计算明确报告该项目的研究数量。然后，我们确定了项目的研究，是关键提供家庭为基础的练习作进一步analysis.Results：我们包括27个出版物报告22 TQY干预分析。没有一项研究报告了关于所有19个CERT项目的足够详细信息。报告完整性评分的中位数为11分，范围为19分中的6分至15分。最常报告的不完整项目（报告数量和研究百分比）为“起始水平规则”（n= 1，5%）和“进展规则”（n= 1，5%）。其他不完全报告的项目包括“忠诚或遵守（计划）”（n= 9，41%），“动机”（n= 9，41%），和“进展描述”（n= 5，23%）。结论：内容分析突出了长期坚持以家庭为基础的练习，这可能有助于临床医生制定干预措施，为他们的病人的动机策略。纳入的研究中没有完整报告TQY运动干预骨关节炎的详细信息。这项研究表明，在内容报告的改进，特别是需要在项目相关的运动强度和计划进展的决定，并在未来的实施动机策略。
Background:Clear and complete reporting of the components of complex interventions is required in clinical trials to ensure that research can be reliably replicated and successfully translated into clinical practice. Movement-based mind–body exercises, such as Tai Chi,qigong, and Yoga (TQY), are considered complex interventions and recommended for individuals with osteoarthritis in the latest guidelines of the American College of Rheumatology. This review analyzes the intervention reporting of randomized controlled trials of TQY to guide the implementation in osteoarthritis exercise programs.Methods:We searched PubMed, Cochrane Central Register of Controlled Trials, and EMBASE for TQY exercise trials in osteoarthritis between 2000 and 2020. Pairs of researchers independently screened the records, extracted study characteristics, and assessed 19 items on the Consensus on Exercise Reporting Template (CERT) checklist. For each of these items, the numbers of studies that clearly reported the item were calculated. We then identified the items in the studies that are key to delivering home-based exercises for further analysis.Results:We included 27 publications reporting 22 TQY interventions in the analysis. None of the studies reported sufficient details on all the 19 CERT items. The median completeness of reporting score was 11 and ranged from 6 to 15 of 19. The most frequently incompletely reported items (number reporting and percentage of studies) were “starting level rule” (n= 1, 5%) and “progression rule” (n= 1, 5%). Other incompletely reported items included “fidelity or adherence (planned)” (n= 9, 41%), “motivations” (n= 9, 41%), and “progression description” (n= 5, 23%).Conclusions:The content analysis highlights motivational strategies for long-term adherence to home-based exercises, which may help clinicians develop interventions for their patients. Details of TQY exercises interventions for osteoarthritis are incompletely reported in the included studies. The study suggests that improvements in content reporting are especially needed on items related to exercise intensity and program progression decisions, and motivational strategies in future implementation.