Interventions to improve physical activity during pregnancy: a systematic review on issues of internal and external validity using the <scp>RE</scp>‐<scp>AIM</scp> framework

Craike, Melinda; Hill, Briony; Gaskin, Cadeyrn J.; Skouteris, Helen

doi:10.1111/1471-0528.14276

Cited by 13 publications

(17 citation statements)

References 101 publications

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“…representativeness of participants, description of settings and staff, intervention delity). This is consistent with previous reviews of health interventions across a variety of populations [30,32,[50][51][52]. Of note was the level of reporting on Adoption, with indicators at the staff and setting level amongst the lowest reported.…”

Section: Discussionsupporting

confidence: 89%

Bridging the Research to Practice Gap: A Systematic Scoping Review of Implementation of Interventions for Cancer-Related Fatigue Management

Agbejule

Hart

Ekberg

et al. 2020

Preprint

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Background. Cancer-related fatigue (CRF) is one of the most common and distressing symptoms in people with cancer. Whilst efficacy of interventions for CRF have been extensively investigated, less has been done to ensure successful translation into routine clinical practice. The aim of this systematic scoping review was to synthesise knowledge surrounding the implementation of CRF interventions, summarise the processes and outcomes of implementation strategies used, and identify opportunities for further research.Methods. PubMed, Cochrane CENTRAL, EMBASE and CINAHL databases were searched through to December 2020. The Cochrane Effective Practice and Organisation of Care (EPOC) Group taxonomy and the RE-AIM Framework were used to guide the evaluation of implementation strategies and outcomes, respectively. Results. Six studies were included. Three used implementation frameworks (PARIHS, KTA, Cullens & Adams’ Implementation Guide) to guide implementation. Overall, the implementation strategies used across all studies were reported to have directly resulted in immediate changes at the clinician level (e.g., increased clinician behaviours, self-efficacy, attitudes, knowledge of CRF management). No clear relationship was found between the use of implementation models and the number or type of implementation strategies used. For outcomes, Effectiveness and Implementation were the most highly reported RE-AIM measures followed by Reach then Maintenance. Adoption was the least reported.Conclusions. Despite the high prevalence of CRF and evidence-based interventions for managing CRF, there is limited evidence informing the sustainable implementation of these interventions. There was an absence of external indicator reporting (e.g., start-up and ongoing intervention costs) in included studies, limiting the transability of study findings. Further, factors such as lack of clinician time, insufficient program funding, and unsustainable maintenance costs, were highlighted as key implementation barriers of CRF programs. This scoping systematic review emphasises the lack of quality CRF implementation studies presently available in the literature leading to a disconnect between effective CRF interventions, routine clinical care, and cancer survivors at present. Further, this review also highlights the need for robust study designs guided by established frameworks to methodically design and evaluate the implementation of CRF management interventions in the future.

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Section: Discussionsupporting

confidence: 89%

Bridging the Research to Practice Gap: A Systematic Scoping Review of Implementation of Interventions for Cancer-Related Fatigue Management

Agbejule

Hart

Ekberg

et al. 2020

Preprint

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“…More specifically, the framework focuses on the reporting of the following five dimensions: (1) the reach into the target population and representativeness of the study sample; (2) efficacy or effectiveness of the intervention on primary outcome(s) tested under either restricted or controlled or real-world conditions, quality of life, and avoidance of unintended or negative consequences; (3) adoption rates of organizations and staff that would use the intervention and the characteristics of those organizations and staff; (4) implementation of the intervention as intended; and (5) maintenance of the effects at the individual level and sustainability of the intervention at an organizational or delivery level (RE-AIM: reach, efficacy/effectiveness, adoption, implementation, maintenance). The RE-AIM framework has been used to review the literature in diverse health areas, such as physical activity during pregnancy [27] or among family caregivers [28], self-management programs for diabetes [29,30], and health literacy interventions [31]. …”

Section: Methodsmentioning

confidence: 99%

Digital Characteristics and Dissemination Indicators to Optimize Delivery of Internet-Supported Mindfulness-Based Interventions for People With a Chronic Condition: Systematic Review

Russell¹,

Ugalde²,

Milne³

et al. 2018

JMIR Ment Health

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BackgroundInternet-supported mindfulness-based interventions (MBIs) are increasingly being used to support people with a chronic condition. Characteristics of MBIs vary greatly in their mode of delivery, communication patterns, level of facilitator involvement, intervention period, and resource intensity, making it difficult to compare how individual digital features may optimize intervention adherence and outcomes.ObjectiveThe aims of this review were to (1) provide a description of digital characteristics of internet-supported MBIs and examine how these relate to evidence for efficacy and adherence to the intervention and (2) gain insights into the type of information available to inform translation of internet-supported MBIs to applied settings.MethodsMEDLINE Complete, PsycINFO, and CINAHL databases were searched for studies assessing an MBI delivered or accessed via the internet and engaging participants in daily mindfulness-based activities such as mindfulness meditations and informal mindfulness practices. Only studies using a comparison group of alternative interventions (active compactor), usual care, or wait-list were included. Given the broad definition of chronic conditions, specific conditions were not included in the original search to maximize results. The search resulted in 958 articles, from which 11 articles describing 10 interventions met the inclusion criteria.ResultsInternet-supported MBIs were more effective than usual care or wait-list groups, and self-guided interventions were as effective as facilitator-guided interventions. Findings were informed mainly by female participants. Adherence to interventions was inconsistently defined and prevented robust comparison between studies. Reporting of factors associated with intervention dissemination, such as population representativeness, program adoption and maintenance, and costs, was rare.ConclusionsMore comprehensive descriptions of digital characteristics need to be reported to further our understanding of features that may influence engagement and behavior change and to improve the reproducibility of MBIs. Gender differences in determinants and patterns of health behavior should be taken into account at the intervention design stage to accommodate male and female preferences. Future research could compare MBIs with established evidence-based therapies to identify the population groups that would benefit most from internet-supported programs.Trial RegistrationPROSPERO CRD42017078665; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=78665 (Archived by WebCite at http://www.webcitation.org/71ountJpu)

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“…More specifically, the framework focuses on the reporting of five dimensions, (1) the reach into the target population and representativeness of the study sample; (2) efficacy/effectiveness of the intervention on primary outcome(s) tested under either restricted/controlled or real-world conditions quality of life, and avoidance of unintended or negative consequences; (3) adoption rates of organisations and staff that would use the intervention and the characteristics of those organisations and staff; (4) implementation of the intervention as intended; and (5) maintenance of the effects at the individual level and sustainability of the intervention at an organisational or delivery level (RE-AIM). The RE-AIM framework has been used to review the literature in diverse health areas, such as physical activity during pregnancy [27] or among family caregivers [28], self-management programs for diabetes [29,30], and health literacy interventions [31].…”

Section: Internal and External Validity Indicatorsmentioning

confidence: 99%

Digital Characteristics and Dissemination Indicators to Optimize Delivery of Internet-Supported Mindfulness-Based Interventions for People With a Chronic Condition: Systematic Review (Preprint)

Russell¹,

Ugalde²,

Milne³

et al. 2017

Preprint

View full text Add to dashboard Cite

BACKGROUND Internet-supported mindfulness-based interventions (MBIs) are increasingly being used to support people with a chronic condition. Characteristics of MBIs vary greatly in their mode of delivery, communication patterns, level of facilitator involvement, intervention period, and resource intensity, making it difficult to compare how individual digital features may optimize intervention adherence and outcomes. OBJECTIVE The aims of this review were to (1) provide a description of digital characteristics of internet-supported MBIs and examine how these relate to evidence for efficacy and adherence to the intervention and (2) gain insights into the type of information available to inform translation of internet-supported MBIs to applied settings. METHODS MEDLINE Complete, PsycINFO, and CINAHL databases were searched for studies assessing an MBI delivered or accessed via the internet and engaging participants in daily mindfulness-based activities such as mindfulness meditations and informal mindfulness practices. Only studies using a comparison group of alternative interventions (active compactor), usual care, or wait-list were included. Given the broad definition of chronic conditions, specific conditions were not included in the original search to maximize results. The search resulted in 958 articles, from which 11 articles describing 10 interventions met the inclusion criteria. RESULTS Internet-supported MBIs were more effective than usual care or wait-list groups, and self-guided interventions were as effective as facilitator-guided interventions. Findings were informed mainly by female participants. Adherence to interventions was inconsistently defined and prevented robust comparison between studies. Reporting of factors associated with intervention dissemination, such as population representativeness, program adoption and maintenance, and costs, was rare. CONCLUSIONS More comprehensive descriptions of digital characteristics need to be reported to further our understanding of features that may influence engagement and behavior change and to improve the reproducibility of MBIs. Gender differences in determinants and patterns of health behavior should be taken into account at the intervention design stage to accommodate male and female preferences. Future research could compare MBIs with established evidence-based therapies to identify the population groups that would benefit most from internet-supported programs. CLINICALTRIAL PROSPERO CRD42017078665; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=78665 (Archived by WebCite at http://www.webcitation.org/71ountJpu)

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Interventions to improve physical activity during pregnancy: a systematic review on issues of internal and external validity using the RE‐AIM framework

Abstract: The systematic review highlights the under-reporting of contextual factors in studies of physical activity during pregnancy.

Cited by 13 publications

References 101 publications

Bridging the Research to Practice Gap: A Systematic Scoping Review of Implementation of Interventions for Cancer-Related Fatigue Management

Bridging the Research to Practice Gap: A Systematic Scoping Review of Implementation of Interventions for Cancer-Related Fatigue Management

Digital Characteristics and Dissemination Indicators to Optimize Delivery of Internet-Supported Mindfulness-Based Interventions for People With a Chronic Condition: Systematic Review

Digital Characteristics and Dissemination Indicators to Optimize Delivery of Internet-Supported Mindfulness-Based Interventions for People With a Chronic Condition: Systematic Review (Preprint)

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