Systematic Review Of Predictors Research Articles

Return to Work after Cancer - a Systematic Review of Predictors in Germany

More than one third of cancer survivors are of working age. Return to work (RTW) with and after cancer treatment is therefore an important issue for this group - but this is often accompanied with many challenges. The aim of this systematic review was to identify predictors of RTW after cancer from the literature specifically for Germany and to place these factors chronologically in the oncological course of treatment. A systematic search was performed using PubMed in June 2022. Included were all papers original published in German or English between 2000 and 2022 and referring to a German sample, regardless of study design. From a total of 8,381 hits in the meta-database, 30 publications were finally considered in the synthesis of results. Higher age, lower education, lower socioeconomic status, higher disease stage, more progressive disease course, more severe side effects of treatment, (more severe) fatigue, higher psychological distress, worse health status, occupational status as a blue collar worker and manual labor, unemployment prior to diagnosis, more negative perceptions of the work(place) environment, and lower intention to work and lower work ability/ subjective prognosis of employability were associated with lower likelihood of RTW after cancer in the literature. Treatment type and use of rehabilitation were also found to be associated with RTW. Sociodemographic, disease-related, psychosocial, and work-related predictors of RTW after cancer in Germany were identified. The results may help to develop targeted support measures that can be applied in specific phases of treatment. The comparability of the literature on predictors for RTW is limited due to a high heterogeneity in the operationalization of RTW and methodological approaches. There is need for further standardization in this area.

Emerging Trends in Cloud-Based E-Learning: A Systematic Review of Predictors, Security and Themes

Emerging Trends in Cloud-Based E-Learning: A Systematic Review of Predictors, Security and Themes

Rates and Predictors of Disengagement and Strength of Engagement for People With a First Episode of Psychosis Using Early Intervention Services: A Systematic Review of Predictors and Meta-analysis of Disengagement Rates.

To establish the average disengagement rate, time to disengage, and predictors of disengagement or strength of engagement. Papers were identified from 5 databases and citation searches; chosen if they reported dis/engagement in early intervention services, discarded if they didn't give a clear definition of disengagement. The studies were rated for quality and a systematic review identified predictors of engagement; meta-analysis established the average disengagement rate. Meta-regression evaluated associations between disengagement and year of study or length of follow up. 26 papers were reviewed comprising over 6800 participants, meta-analysis of 15 eligible cohorts found that the average disengagement rate was 15.60% (95% confidence intervals 11.76%-20.45%), heterogeneity was considerable, important to note when reporting as a global average. Higher disengagement rates were associated with earlier studies and length of follow up; causal factors are unclear due to the lack of data and complex interaction between clinical and methodological issues. Robust predictors of disengagement were substance use, contact with the criminal justice system, medication non-adherence, and lower symptom severity. Disengagement rates have declined although the cause is not clear partly due to methodological variation, we suggest a guide for defining disengagement. Underpinning reasons for disengagement could include people who struggle to engage (substance users), don't want to engage (medication non-adherence) or feel they don't need to engage (lower symptomology). Future research should focus on minority status, education/employment during treatment, and digital technologies.

Protocol for a systematic review of the development of depression among adolescents and young adults: psychological, biological, and contextual perspectives around the world

BackgroundDepression is a leading contributor to disability-adjusted life-years because of early onset and chronicity throughout the lifecycle. It is crucial to identify early predictors of depression among adolescents and young people to effectively target prevention. A gap in the literature is a comprehensive systematic review of predictors of depression among adolescents around the globe, especially in low- and middle-income countries LMICs. This review aims to identify evidence for biological, psychological, and contextual risk factors for the development of depression among adolescents and young adults (10–24 years of age) in high-income countries (HICs) and LMICs, ultimately contributing to (a) identification of potential mechanisms underlying depression development, (b) selection of common risk and protective factors as targets for detection, and (c) refinement of risk models that can be evaluated through existing cohorts in HICs and LMICs.MethodsThis review will follow the Population, Exposure, Comparison, Outcome (PI(E)CO) model and adheres to the PRISMA-P guidelines. A search strategy was developed by a multidisciplinary research consortium. Seven databases (MEDLINE via Ovid, PsycINFO, Cochrane Database of Systematic Reviews, Web of Science, Lilacs, African Journals Online, Global Health) will be searched to identify articles. Independent raters will screen and retrieve articles for inclusion, conduct quality ratings, and extract data. The Systematic Assessment of Quality in Observational Research adapted for Cultural Psychiatry Epidemiology (SAQOR-CPE) will be used to assess quality of observational studies. We will assess for publication bias using funnel plots and statistical methods. We will use narrative synthesis to present results, addressing the study’s objectives following the Cochrane Handbook guidelines. Meta-analyses will be used to report summary statistics for association of risk factors with development of depression.DiscussionThis systematic review will summarize evidence-based research that examines the psychological, biological, and contextual factors contributing to the onset of depression in adolescents across the globe. Results will support the development of a model that can be evaluated in existing cohorts around the world.Systematic review registrationPROSPERO registration CRD42018103973.

A systematic review of predictors, moderators, and mediators of augmentative and alternative communication (AAC) outcomes for children with autism spectrum disorder

Documented variability in augmentative and alternative communication (AAC) intervention outcomes makes it difficult for clinicians to select systems most likely to be effective for individual children with autism spectrum disorder (ASD). The aim of this study was to identify child-related factors associated with AAC intervention outcomes through a systematic review of the research literature. A search was conducted of peer-reviewed research articles in which AAC intervention outcomes and associated factors were reported for children with ASD. The search yielded 965 titles and abstracts, of which seven articles relating to six studies met criteria for inclusion. In total, 18 factors were examined, of which nine were assessed as predictors (e.g., cognition, ASD severity, language use), three as moderators (e.g., joint attention, object exploration), and six as mediators (e.g., frequency of therapy, communication partner knowledge). Child characteristics associated with communication outcomes were pre-intervention cognition, severity of ASD, verbal imitation, vocabulary comprehension, object use, joint attention, language use, and two multi-dimensional measures of communication competence. This study suggests emerging evidence for predictors, but less is known about what factors moderate and mediate response to AAC interventions.

‘Primum non nocere’—first, do no harm

British Journal of Healthcare AssistantsVol. 6, No. 11 Conference Preview‘Primum non nocere’—first, do no harmLinda NazarkoLinda NazarkoSearch for more papers by this authorLinda NazarkoPublished Online:16 Aug 2013https://doi.org/10.12968/bjha.2012.6.11.527AboutSectionsView articleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InEmail View article References Bhatia N, Daga MK, Garg S, Prakash SK (2010) Urinary catheterization in medical wards. J Global Infect Dis 2(2): 83–90 Crossref, Google ScholarCovinsky KE, Palmer RM, Fortinsky RHet al. (2003) Loss of independence in activities of daily living in older adults hospitalized with medical illnesses: increased vulnerability with age. J Am Geriatr Soc 51(4): 451–8 Crossref, Google ScholarHealth Protection Agency (HPA) (2012) English National Point Prevalence Survey on Healthcare-associated Infections and Antimicrobial Use, 2011: preliminary data. http://bit.ly/KBRtdc (accessed 29 October 2012) Google ScholarFakih MG, Pena ME, Shemes Set al. (2010) Effect of establishing guidelines on appropriate urinary catheter placement. Acad Emerg Med 17(3): 337–40 Crossref, Google ScholarHoogerduijn JG, Schuurmans MJ, Duijnstee MSet al. (2007) A systematic review of predictors and screening instruments to identify older hospitalized patients at risk for functional decline. J Clin Nurs 16(1): 46–57 Crossref, Google ScholarNational Patient Safety Agency (NPSA) (2007) Slips, trips and falls data update. http://bit.ly/Rix92X (accessed 29 October 2012) Google ScholarNational Patient Safety Agency (NPSA) (2010) Bedrails Safer Practice Notice. http://bit.ly/xh0juG (accessed 29 October 2012) Google ScholarNazarko L (2010) Effective evidence-based catheter management: an update. Br J Nurs 19(15): 948–53 Link, Google ScholarNHS Midlands and East (2012) Five simple steps to prevent and treat pressure ulcers. www.stopthepressure.com/sskin/ (accessed 29 October 2012) Google ScholarPhillips L, Buttery J (2009) Exploring pressure ulcer prevalence and preventative care. Nurs Times 105(16): 34–6 Google ScholarRothfeld AF, Stickley A (2010) A program to limit urinary catheter use at an acute care hospital. Am J Infect Control 38(7): 568–71 Crossref, Google ScholarSchwendimann R, Bühler H, De Geest S, Milisen K (2008) Characteristics of hospital inpatient falls across clinical departments. Gerontology 54(6): 342–8 Crossref, Google Scholar FiguresReferencesRelatedDetails 1 November 2012Volume 6Issue 11ISSN (print): 1753-1586ISSN (online): 2052-4420 Metrics History Published online 16 August 2013 Published in print 1 November 2012 Information© MA Healthcare LimitedPDF download

A systematic review of predictors and screening instruments to identify older hospitalized patients at risk for functional decline

To determine a valid, reliable and clinical user-friendly instrument, based on predictors of functional decline, to identify older patients at risk for functional decline. The predictors of functional decline are initially considered and, subsequently, the characteristics and psychometric qualities of existing screening instruments are investigated. Functional decline is a common and serious problem in older hospitalized patients, resulting in a change in quality of life and lifestyle. Studies have shown that 30-60% of older people develop new dependencies in activities of daily living (ADL) during their hospital stay. Adverse health outcomes such as mortality, a prolonged hospital stay, nursing home placement and increased dependency of older people at home are the results. Not only are the personal costs high but also, in a rapidly growing older population, the impact on health-care costs is also high. Age, lower functional status, cognitive impairment, preadmission disability in instrumental activities of daily life (IADL), depression and length of hospital stay were identified as predictors of functional decline. Three screening instruments to identify hospitalized patients at risk for functional decline were found in the literature: the Hospital Admission Risk Profile, the Identification of Seniors at Risk and the Care Complexity Prediction Instrument. The reported validity was moderate. Reliability and the ease of use in the clinical setting were not well described. These three instruments should be further tested in a hospitalized older population. Screening is a first step to identify patients at risk for functional decline and this will make it possible to treat patients who are identified so as to prevent functional decline. Because of their ability to observe and to guide the patients and the overall view they have, nurses play a key role in this process.