Chronic Illness Exercise Interventions: A Meta-Analysis

慢性病运动干预：荟萃分析

• 批准号: 6751490
• 负责人: Vicki S Conn
• 金额: $ 3.3万
• 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/6751490
• 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）护士照顾患有各种疾病的成年人 慢性疾病，这些人中的许多人可以受益于增加身体 活动不仅可以提高生活质量，还可以延缓疾病 疾病进展或预防并发症（Healthy People 2010）。尽管许多 初步研究测试了旨在增加身体健康的干预措施， 活动的慢性病患者的成年人，他们的研究结果是未经综合， 严重阻碍了护理实践和研究进展。的目的 该项目将整合有关干预措施的科学知识， 增加慢性病患者的身体活动。该项目处理 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 对慢性病患者进行身体活动的干预;（3） 区分影响干预措施效果的因素， 活动所提出的方法在荟萃分析中很常见， 研究小组在初步综合干预措施时使用， 增加老年人的身体活动。一个非常广泛和 将使用计算机检索进行严格的文献检索 策略、祖先检索、登记和数据库检索、手工检索 选择期刊，护理和其他学科的研究生评论 项目、前向引文检索、会议/协会审查 摘要，并与检索到的主要研究的资深作者联系， NIH资助的合格研究的主要研究者。初步研究 报告将进行可靠的编码，用于干预、方法和 参与者属性，解决研究目标。分析计划包括： d指数，用于标准化处理和对照之间的效应大小 组，未加权和样本量加权计算， 固定和随机效应模型，方法学的潜在控制 在随后的分析和同质性分析（Qt 3 Qw），以检测主持人 干预成分效应。调查结果将告知护理实践和 未来的研究。护士将能够利用这些发现来设计有效的 帮助慢性病成年人增加身体活动的方案。的 由于这项工作的重要性和广泛范围， 实现这些重要目标。