Chronic Illness Exercise Interventions: A Meta-Analysis

描述：(申请人提供)护士照顾患有各种慢性病的成年人，这些人中的许多人都可以从增加身体素质中受益 不仅可以提高生活质量，还可以延缓疾病的活动 进展或预防并发症(健康人，2010年)。虽然很多人 初步研究已经测试了旨在增加体力活动的干预措施 在患有慢性病的成年人中的活动，他们的发现是未综合的，这 严重阻碍了护理实践和研究进展。目的 该项目旨在将有关干预措施的科学知识整合到 增加慢性病患者的体力活动。该项目致力于 这些具体目标：(1)确定研究基地的实力 增加体力活动的干预措施；(2)具体说明 对慢性病患者进行体力活动干预； 辨别影响干预效果的因素 活动。建议的方法，在荟萃分析中很常见， 由研究团队在初步综合干预措施时使用 增加老年人的体力活动。一种极其广泛和 将使用计算机检索进行严格的文献检索 策略、祖先搜索、注册表和数据库搜索、手工搜索 精选期刊、护理及其他学科毕业生综述 项目、前向引文搜索、会议/协会审查 摘要，以及与资深作者就检索到的初步研究和 美国国立卫生研究院的首席研究员资助了符合条件的研究。初步研究 将可靠地对报告进行编码，以便进行干预、方法和 针对研究目标的参与者属性。分析计划包括： D指数，用于标准化治疗和控制之间的影响大小 分组，包括未加权和样本量加权计算，分析项下 固定和随机效应模型，方法论上的潜在控制 在后续分析中进行主持人，并进行同质性分析(QT3、QW)来检测 干预成分效应。调查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的计划增加了他们的体力活动。这个 这项工作的重要性和广泛范围使得有必要提供资金以 实现这些重要目标。

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.