Chronic Illness Exercise Interventions: A Meta-Analysis

慢性病运动干预：荟萃分析

• 批准号: 6620295
• 负责人: Vicki S Conn
• 金额: $ 29.86万
• 依托单位: UNIVERSITY OF MISSOURI-COLUMBIA
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-05-01 至 2005-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6620295
• 关键词: behavioral /social science research tag; chronic disease /disorder; clinical research; computer data analysis; disease /disorder prevention /control; epidemiology; exercise; extended care; health care service evaluation; health services research tag; human data; nursing care; outcomes research; patient /disease registry; patient care planning; psychic activity level; quality of life; statistics /biometry

DESCRIPTION: (provided by the applicant) Nurses care for adults with diverse chronic illnesses, many of these people could benefit from increased physical activity that may not only enhance quality of life but also delay disease progression or prevent complications (Healthy People 2010). Although many primary studies have tested interventions designed to increase physical activity among chronically ill adults, their findings are unsynthesized, which seriously impedes both nursing practice and research progress. The purpose of this project is to integrate scientific knowledge about interventions to increase physical activity among chronically ill people. The project addresses these specific aims: (1) Determine the strength of the research base about interventions to increase physical activity; (2) Specify the effect of interventions on physical activity among people with chronic illness; (3) Distinguish factors that moderate the effect of interventions to increase activity. The proposed methods, which are common in meta-analysis, have been used by the research team in a preliminary synthesis of interventions to increase physical activity among aging subjects. An extremely extensive and rigorous literature search will be conducted using computerized search strategies, ancestry searches, registries and database searches, hand searches of selected journals, review of nursing and other disciplines' graduate projects, forward citation searches, examination of conference/association abstracts, and contacts with senior authors on retrieved primary studies and principal investigators of NIH funded eligible studies. Primary research reports will be reliably coded for intervention, methodological, and participant attributes that address the research aims. Analysis plans include: d-index to standardize the magnitude of effect between treatment and control groups, both unweighted and sample size weighted calculations, analyses under both fixed and random effects models, potential control for methodological moderators in subsequent analysis, and homogeneity analysis (Qt3 Qw) to detect intervention component effects. Findings will inform both nursing practice and future research. Nurses will be able to use these findings to design effective programs to assist chronically ill adults increase their physical activity. The compelling importance and broad scope of this work make funding necessary to achieve these important aims.

描述：（由申请人提供）护士为患有多种慢性病的成年人提供护理，其中许多人可以从增加的身体素质中受益 活动不仅可以提高生活质量，还可以延缓疾病 进展或预防并发症（Healthy People 2010）。虽然很多 初步研究已经测试了旨在增强身体素质的干预措施 慢性病成人中的活动，他们的发现尚未综合，这 严重阻碍了护理实践和研究的进展。目的 该项目旨在整合有关干预措施的科学知识 增加慢性病患者的体力活动。项目地址 这些具体目标：（1）确定研究基础的实力 增加体力活动的干预措施； (2) 指定效果 对慢性病患者身体活动的干预； (3) 区分调节干预措施效果的因素以增加 活动。所提出的方法在荟萃分析中很常见， 研究小组在干预措施的初步综合中使用 增加老年受试者的体力活动。一个极其广泛和 将使用计算机检索进行严格的文献检索 策略、祖先搜索、登记和数据库搜索、手动搜索 入选期刊、护理等学科毕业生综述 项目、前向引文检索、会议/协会审查 摘要，以及与检索到的初级研究的资深作者的联系以及 NIH 资助的合格研究的主要研究人员。初步研究 报告将被可靠地编码以进行干预、方法和 涉及研究目标的参与者属性。分析计划包括： d 指数标准化治疗和对照之间的影响程度 组，未加权和样本量加权计算，分析 固定效应和随机效应模型，方法论的潜在控制 后续分析中的调节因子，以及同质性分析（Qt3 Qw）来检测 干预成分的影响。研究结果将为护理实践和 未来的研究。护士将能够利用这些发现来设计有效的 帮助患有慢性病的成年人增加体力活动的计划。这 这项工作的重要性和广泛范围使得有必要提供资金 实现这些重要目标。