Tai Chi and Workplace Wellness for Health Care Workers: A Systematic Review

Cocchiara, Rosario Andrea; Dorelli, Barbara; Gholamalishahi, S; Longo, William; Musumeci, Emiliano; Mannocci, Alice; Torre, Giuseppe La

doi:10.3390/ijerph17010343

Cited by 18 publications

(27 citation statements)

References 26 publications

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“…From the 210 SRs of Tai Chi, 47 SRs were selected for the nal evidence synthesis and 114 estimates of effect, representing 59,306 adult participants in randomised controlled trials, were extracted from 37 SRs. Estimates of effects were not extracted and the GRADE-certainty of the evidence was not appraised for four SRs with unreliable meta-analyses [64,75,77,98] and six SRs with no meta-analysis [59,62,68,71,88,94]. No results were extracted from, nor was the AMSTAR-2 quality formally appraised or reported for 163 SRs (164 articles) because for 79 SRs a far more recent SR, typically with more primary studies was identi ed; for 46 SRs (47 articles) following further consideration, a SR of higher quality and/or with more primary studies in the meta-analysis for the PCO was selected; and for 38 of the SRs that did not conduct a meta-analysis, the PCO were reported by a SR with a meta-analysis (Additional le 4).…”

Section: Study Selection For Evidence Synthesismentioning

confidence: 99%

“…General health, quality of life and wellbeing While most SRs were for adults and older adults with chronic diseases, a SR with no meta-analysis reported various physical and psychological bene ts of Tai Chi for students in higher education [94]. Another SR with no meta-analysis reported improved workplace productivity/motivation and work-related stress for healthcare workers [62].…”

Section: Adverse Eventsmentioning

confidence: 99%

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Determining the safety and effectiveness of Tai Chi: A critical overview of 210 systematic reviews of controlled clinical trials

Yang

Hunter

et al. 2021

Preprint

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Background: This overview aims to critically appraise the best available systematic review (SR) evidence on the health effects of Tai Chi. Methods: Nine databases (English and Chinese languages) were searched for SRs of controlled clinical trials of Tai Chi interventions published between Jan-2010 and Dec-2020 in any language. Excluded were primary studies and meta-analyses that combined Tai Chi with other interventions. To minimise overlap, effect estimates were extracted from the most recent, comprehensive, highest quality SR for each population, condition, and outcome. SR quality was appraised using AMSTAR 2 and effect estimates with GRADE.Results: Of the 210 included SRs, 193 only included randomised controlled trials, one only included non-randomised studies of interventions, and 16 included both. The most common conditions were neurological (18.6%), falls/balance (14.7%), cardiovascular (14.7%), musculoskeletal (11.0%), cancer (7.1%) and diabetes mellitus (6.7%). Except for stroke, no evidence for disease prevention was found, instead proxy-outcomes/risks factors were evaluated. 114 effect estimates were extracted from 37 SRs (2 high quality, 6 moderate, 18 low, and 11 critically low), representing 59,306 adults. Compared to active and/or inactive controls, a clinically important benefit from Tai Chi was reported for 66 effect estimates; 53 reported an equivalent or marginal benefit, and 6 an equivalent risk of adverse events. Eight effect estimates (7.0%) were graded as high certainty evidence, 43 (37.7%) moderate, 36 (31.6%) low, and 27 (23.7%) very low. This was due to concerns with risk of bias in 92 (80.7%) effect estimates, imprecision in 43 (37.7%), inconsistency in 37 (32.5%) and publication bias in 3 (2.6%). SR quality was limited by the search strategies, language bias, inadequate consideration of clinical, methodological and statistical heterogeneity, poor reporting standards, and/or no registered protocol. Conclusions: The findings suggest Tai Chi has multisystem effects with physical, psychological, and quality of life benefits for a wide range of conditions, including individuals with multiple health problems. Clinically important benefits were most consistently reported for Parkinson’s disease, falls risk, knee osteoarthritis, low back pain, cardiovascular diseases including hypertension, and stroke. Notwithstanding, for most conditions, higher quality primary studies and SRs are required.

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Section: Study Selection For Evidence Synthesismentioning

confidence: 99%

Section: Adverse Eventsmentioning

confidence: 99%

Determining the safety and effectiveness of Tai Chi: A critical overview of 210 systematic reviews of controlled clinical trials

Yang

Hunter

et al. 2021

Preprint

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“…For instance, while considerable literature contrasts specifically "good" and "bad" collaborations both in principle and in practice (Coetzee, 2019;Hoekman et al, 2010;Intriligator, 1990;Jermann et al, 2011;Lutomia, 2019;Madela, 2020;Moyi Okwaro & Geissler, 2015;Ordóñez-Matamoros et al, 2011), other literature describes "unpleasant" collaborations (Cocchiara et al, 2020;Youtie & Bozeman, 2016;Hajmohammad & Vachon, 2016;Kalinga, 2019;Mose, 2019;Musila, 2019;Omanga & Mainye, 2019). These latter reports comprise collaborative interactions that might repeat despite being unpleasant, in contrast to bad collaborative interactions that forestall any future work.…”

Section: Grounding Of Interactionsmentioning

confidence: 99%

“…These latter reports comprise collaborative interactions that might repeat despite being unpleasant, in contrast to bad collaborative interactions that forestall any future work. In these unpleasant scenarios-whether with co-authors (Youtie & Bozeman, 2016), co-workers (Cocchiara et al, 2020), or a supplier with a monopoly on materials needed for conducting a business (Hajmohammad & Vachon, 2016)-some circumstance in play may effectively force or require further interactions between partners despite past unfavorable ones, which suggests no small measure of domination at work in the partnership.…”

Section: Grounding Of Interactionsmentioning

confidence: 99%

A Positive Project Outcome: Lessons from a Non-Dominant Government University-Based Program

Lutomia

Bello‐Bravo

Medendorp

et al. 2020

IJPS

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This article explores factors contributing to a non-dominant collaboration paradigm in a partnership between a government-based international development agency and a university-based non-governmental organization. Anchored in Wood’s and Gray’s collaborative framework, this article describes how the steeply hierarchical partnership navigated the elements of collaboration – organizational autonomy; shared problem domain; interactive processes; shared rules, norms, and structures; and decision making – to produce non-dominant values and practices deriving from negotiated processes, rules, norms, and structures that produced positive collaboration outcomes. In particular, a history of prior mutually beneficial interactions emerges as a critical precondition for achieving a non-dominant collaboration in this case study’s steeply hierarchical organizational relationship, one in which egalitarianism and equal decision-making regarding the agenda and the goals of the collaboration could have been highly constrained.

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“…A wide range of mind-body modalities designed to facilitate the mind's capacity to affect health has been used for a long time to improve mental health, well-being, quality of life, and physical health of clinical populations, and the general population in various occupations [6]. Previous studies have reported that mind-body modalities such as yoga [7], mindfulness-based interventions [8,9], and tai chi [10] can benefit the health of HCWs. Today, mind-body medicine has re-emerged for its mental health benefits in the context of COVID-19 [11,12], and some health systems use mind-body modalities to build strategies to improve the mental health of the public, patients with COVID-19, and HCWs [13,14].…”

Section: Introductionmentioning

confidence: 99%

A Protocol for a Systematic Review and Meta-Analysis of Mind–Body Modalities to Manage the Mental Health of Healthcare Workers during the COVID-19 Era

Kwon

Lee

2021

Healthcare

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The coronavirus disease 2019 (COVID-19) pandemic has become an unprecedented threat to humanity worldwide, including healthcare workers (HCWs). Mind–body modalities have been used to improve the mental health, well-being, quality of life, and physical health of clinical and general populations, and may also be used to improve the mental health of HCWs during COVID-19. The objective of this review is to analyze the effectiveness of mind–body modalities for the mental health of HCWs in the COVID-19 era. Six electronic bibliographic databases were comprehensively searched to find intervention studies using mind–body modalities, including meditation, mindfulness-based intervention, autogenic training, yoga, tai chi, qigong, breathing exercise, music therapy, guided imagery, biofeedback, prayer, and faith-based techniques for HCWs. All intervention studies conducted from December 2019 to August 2021 will be included. Quality assessment will be performed according to study type, and Cochrane Collaboration’s Risk of Bias tool will be used for randomized controlled clinical trials (RCTs). If sufficient homogeneous data from RCTs exist, a meta-analysis will be performed. Dichotomous data and continuous data are presented as risk ratios and mean differences with their 95% confidence intervals, respectively. The results of this systematic review will be disseminated through the publication of a manuscript in a peer-reviewed journal or by presentation at a conference.

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Tai Chi and Workplace Wellness for Health Care Workers: A Systematic Review

Cited by 18 publications

References 26 publications

Determining the safety and effectiveness of Tai Chi: A critical overview of 210 systematic reviews of controlled clinical trials

Determining the safety and effectiveness of Tai Chi: A critical overview of 210 systematic reviews of controlled clinical trials

A Positive Project Outcome: Lessons from a Non-Dominant Government University-Based Program

A Protocol for a Systematic Review and Meta-Analysis of Mind–Body Modalities to Manage the Mental Health of Healthcare Workers during the COVID-19 Era

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