Review
Medicine, General & Internal
Yue Lu, Yuan Xia, Yue Wu, Xinyong Pan, Zhenyu Wang, Yongjie Li
Summary: This study aims to compare the effects of different repetitive transcranial magnetic stimulation (rTMS) modalities on upper limb motor function and daily activities in patients with stroke. The study will collect relevant randomized controlled trials and evaluate the outcomes using assessment scales and indices. The results of this study will contribute to understanding the effectiveness and safety of rTMS in stroke treatment.
Review
Medicine, General & Internal
Dennis Visser, Elizabeth M. Wattel, Karin H. L. Gerrits, Johannes C. van der Wouden, Franka J. M. Meiland, Aafke J. de Groot, Elise P. Jansma, Cees M. P. M. Hertogh, Ewout B. Smit
Summary: Physical fitness training can be effective for adults aged over 65 years, with current existing guidelines widely applicable. However, adjustments may be necessary based on individual health conditions.
Article
Medicine, General & Internal
Birgit Maria Vahlberg, Erik Lundstrom, Staffan Eriksson, Ulf Holmback, Tommy Cederholm
Summary: The study evaluated the effects of mobile phone text-messaging exercise instructions on body composition, cardiometabolic risk markers, and self-reported health at 3 months after stroke. The results showed no clear effect of daily mobile phone-delivered training instructions on body composition, cardiovascular biochemical risk factors, or self-perceived health. Further research is needed to evaluate secondary prevention efforts in larger populations after recent stroke.
Article
Medicine, General & Internal
Ciara McCormack, Brona Kehoe, Sarah J. Hardcastle, Noel McCaffrey, Andrew McCarren, Sean Gaine, Brian McCullagh, Niall Moyna
Summary: The study investigates the feasibility, acceptability, utility, and safety of a novel remotely supervised home-based exercise programme for PH patients. Home-based exercise programmes have the potential to increase the availability and accessibility of exercise training as an adjunct therapy in PH, improving quality of life and physical function.
Article
Medicine, General & Internal
Wenya Pei, Te He, Pei Yang, Xiaozhou Lv, Boyu Jiao, Fanqi Meng, Yingshuo Yan, Liqian Cui, Guanheng He, Xin Zhou, Guihua Wen, Jingwen Ruan, Liming Lu
Summary: This study aims to evaluate the efficacy and effectiveness of electroacupuncture combined with CBT-I in patients with insomnia, with sleep architecture analyzed using deep learning on PSGs. Participants will be randomized to receive either electroacupuncture combined with CBT-I or sham acupuncture combined with CBT-I and followed up for 4 weeks. The results will be disseminated through peer-reviewed journals.
Article
Medicine, General & Internal
Maomao Huang, Xi Luo, Chi Zhang, Yu-Jie Xie, Li Wang, Tenggang Wan, Ruyan Chen, Fangyuan Xu, Jian-Xiong Wang
Summary: This study aims to compare the efficacy of transcranial magnetic stimulation (rTMS) in the dorsolateral prefrontal cortex (DLPFC) and motor cortex (M1) in patients with neuropathic pain after spinal cord injuries (SCI), in order to provide more treatment options for this condition.
Review
Medicine, General & Internal
Hannah M. L. Young, Thomas Yates, Paddy C. Dempsey, Louisa Y. Herring, Joseph Henson, Jack Sargeant, Ffion Curtis, Harini Sathanapally, Patrick J. Highton, Michelle Hadjiconstantinou, Rebecca Pritchard, Selina Lock, Sally J. Singh, Melanie J. Davies
Summary: The number of people living with multiple long-term conditions (MLTCs) is predicted to rise. This scoping review aims to map the available evidence regarding interventions for people living with both frailty and MLTCs. Tailoring physical activity in response to symptoms and involving family may be important in this population. However, how the tailoring of interventions has been approached within existing studies is currently unclear.
Article
Medicine, General & Internal
Joakim Stenso, Thor Einar Andersen, Joar Haroy
Summary: This study used the RE-AIM framework to investigate attitudes, beliefs, and behavior towards the Adductor Strengthening Programme (ASP) among primary delivery agents of injury prevention exercises in Norwegian male professional football teams. The study also identified modifications to the ASP protocol in a real-world application.
Article
Medicine, General & Internal
Katja Thomsen, Anders Fournaise, Lars Erik Matzen, Karen Andersen-Ranberg, Jesper Ryg
Summary: This study examined the impact of follow-up visits by an outgoing multidisciplinary geriatric team on unplanned hospital readmission in older patients discharged to a skilled nursing facility. The results showed that patients who received the follow-up visits had a significantly lower readmission rate, indicating a positive impact on the health of older patients.
Article
Medicine, General & Internal
Sandra Angelika Muemken, Paul Gellert, Malte Stollwerck, Julie Lorraine O'Sullivan, Joern Kiselev
Summary: The LSA-D is a valid tool for measuring life-space mobility in German community-dwelling older adults within the past 4 weeks in ambulant urban and rural settings.
Article
Medicine, General & Internal
Padraig Bambrick, Niamh Phelan, Emma Grant, Thomas Byrne, Michael Harrison, Riona Mulcahy, John Cooke
Summary: Frailty is a complex age-related loss of physiological reserve associated with adverse health outcomes. The costs of frailty pose a significant public health challenge in an aging population. Evidence-based programs suitable for frail older adults in the community are lacking, hindering widespread implementation of interventions like resistance exercise and protein supplementation.
Review
Medicine, General & Internal
Aoife Leahy, Margaret O'Connor, Jennifer Condon, Sarah Heywood, Elaine Shanahan, Catherine Peters, Rose Galvin
Summary: This systematic review and meta-analysis aims to examine the diagnostic accuracy of the Clinical Frailty Scale in identifying hospitalised adults with frailty and medical diagnosis, as well as its predictive value in determining those at increased risk of subsequent adverse outcomes. The findings of this study will contribute to resource planning and targeted interventions for older adults at risk of adverse outcomes.
Article
Medicine, General & Internal
Tomonori Yokoyama, Takao Mukai, Naoki Kodama, Kana Takao, Takashi Hiraoka, Nobuyuki Arai, Jitsuro Yano, Hiroaki Nagatsuka, Yousuke Manda, Kozo Hanayama, Shogo Minagi
Summary: This study aims to investigate whether soft PAP can improve dysarthria and dysphagia occurring as cerebrovascular disease sequelae. The study results will help determine the efficacy of Soft PAP in improving articulation and swallowing function compared with conventional rehabilitation without using soft PAP.
Review
Medicine, General & Internal
Sonia M. Thomas, Amanda Parker, Jennifer Fortune, Gary Mitchell, Areej Hezam, Ying Jiang, Margaret de Groh, Kerry Anderson, Amelie Gauthier-Beaupre, Joan Barker, Jennifer Watt, Sharon E. Straus, Andrea C. Tricco
Summary: This scoping review summarises the evidence on falls and subsequent social isolation and/or loneliness in older adults. The findings indicate that falls can lead to social isolation and mental health issues, emphasizing the need for further research in this area.
Article
Medicine, General & Internal
Chengyang Jing, Kuangshi Li, Zongheng Li, Yiting Sun, Jiabao Wu, Yingjie Li, Yuyue Li, Li Zhou, Zhe Zhang, Mingzhi Zhao, Yong Zhang
Summary: AIS is a serious public health problem, and effective dyskinesia rehabilitation treatment is crucial for patients' prognosis and quality of life. This trial aims to evaluate the clinical efficacy of modified TC postural training (TPT) and explore related central-peripheral neurotransmitter mechanisms. The study has been approved by the Ethics Committee and will be disseminated through peer-reviewed publications and conference presentations.
Review
Geriatrics & Gerontology
Celia Alvarez-Bueno, Jonathan J. Deeks, Ivan Cavero-Redondo, Kate Jolly, Ana I. Torres-Costoso, Malcolm Price, Ruben Fernandez-Rodriguez, Vicente Martinez-Vizcaino
Summary: For the treatment of motor symptoms in Parkinson's disease (PD), physical activity interventions have been proposed as an effective strategy. Sensorimotor training including endurance, resistance, and dance was found to be the most effective physical activity interventions for mitigating PD motor symptoms.
JOURNAL OF GERIATRIC PHYSICAL THERAPY
(2023)
Article
Gerontology
Kathryn L. Hale, Lauren C. Zalla, Elissa M. Scherer, Truls Ostbye, Pethirupillai Amal Dinesh Coonghe, Rajendra Surenthirakumaran, Joanna Maselko
Summary: Grandparenting activities are of increasing interest to researchers seeking to understand reduced social engagement and depression among aging adults. Through a pilot study in Sri Lanka involving 79 grandparents aged 55 and above, it was found that greater engagement in generative grandparenting activities was correlated with lower distress and this association was stronger among grandparents with more functional limitations.
JOURNAL OF INTERGENERATIONAL RELATIONSHIPS
(2023)
Article
Medicine, Research & Experimental
Evans A. Asamane, Laura Quinn, Samuel I. Watson, Richard J. Lilford, Karla Hemming, Cheick Sidibe, Ryan T. Rego, Sami Bensassi, Youssouf Diarra, Samba Diop, Om Prasad Gautam, Mohammad Sirajul Islam, Louise Jackson, Kate Jolly, Kassoum Kayentao, Ousmane Koita, Buba Manjang, Susan Tebbs, Nicola Gale, Paula Griffiths, Sandy Cairncross, Ousmane Toure, Semira Manaseki-Holland
Summary: This study presents a protocol for a cluster randomised trial to evaluate the effectiveness of a community-based educational intervention in improving food safety and hygiene behaviors and enhancing child nutrition. The trial will assess changes in complementary-food safety and preparation behaviors, as well as food and water contamination and diarrhoea. The study will also examine secondary outcomes such as maternal autonomy, enteric infection, nutrition, child anthropometry, and development scores.
Article
Health Care Sciences & Services
Adrian H. Taylor, Tom P. Thompson, Adam Streeter, Jade Chynoweth, Tristan Snowsill, Wendy Ingram, Michael Ussher, Paul Aveyard, Rachael L. Murray, Tess Harris, Colin Green, Jane Horrell, Lynne Callaghan, Colin J. Greaves, Lisa Price, Lucy Cartwright, Jonny Wilks, Sarah Campbell, Dan Preece, Siobhan Creanor
Summary: This study examined the effect of motivational support for smokers who wanted to reduce smoking but not quit immediately. The intervention, which aimed to increase physical activity and reduce smoking, did not lead to significant increases in prolonged abstinence. Additionally, the intervention was not cost-effective.
HEALTH TECHNOLOGY ASSESSMENT
(2023)
Article
Nutrition & Dietetics
Rosina Cross, Colin Greaves, Janet Withall, Marlene Kritz, Afroditi Stathi
Summary: This qualitative longitudinal study aims to understand motivations in older adults receiving the REACT physical activity intervention through the lens of self-determination theory. The study found that perceptions of autonomy, competence, and relatedness were associated with adherence to the REACT program and maintenance of an active lifestyle.
INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY
(2023)
Article
Medicine, General & Internal
Grace O. Dibben, Melvyn Hillsdon, Hasnain M. Dalal, Lars H. Tang, Patrick Joseph Doherty, Rod Taylor
Summary: This study aimed to quantify the impact of a home-based cardiac rehabilitation intervention (REACH-HF) on objectively assessed physical activity (PA) of heart failure (HF) patients, and explore the associations between patient characteristics and changes in PA. The results showed that although there was no significant difference in overall PA levels between the REACH-HF intervention group and the control group, the REACH-HF group had increased weekday MVPA, light PA, and decreased inactivity compared to the control group. Baseline PA levels were found to be highly predictive of PA change.
Review
Oncology
Janine Dretzke, Ava Lorenc, Ada Adriano, Clare Herd, Hisham Mehanna, Paul Nankivell, David J. Moore
Summary: The current follow-up models in cancer are seen as unsustainable and inflexible. Patient-initiated follow-up (PIFU) is gaining interest as an alternative model, and it is important to determine its acceptability to patients and healthcare professionals (HCPs). The findings show that most women treated for breast or endometrial cancer and HCPs support PIFU, but further research is needed.
Review
Medicine, General & Internal
Powsiga Uruthirakumar, Rajendra Surenthirakumaran, Tiffany Gooden, Gregory Y. H. Lip, G. Neil Thomas, David Moore, Krishnarajah C. Nirantharakumar, Balachandran Kumarendran, Kumaran Subaschandran, Shribavan Kaneshamoorthy, Vethanayagam Antony Sheron, Mahesan Guruparan
Summary: This systematic review aims to update the findings of a previous review conducted in 2006 and evaluate the impact of all rate and rhythm control strategies on the quality of life (QoL) of patients with atrial fibrillation (AF). By searching multiple databases and clinical trial registries, relevant randomized controlled trials will be screened, data extracted, and quality assessed. The results of this review will provide comparisons of the impact of different strategies on the QoL of AF patients and will be crucial for optimizing the overall wellbeing of these patients.
SYSTEMATIC REVIEWS
(2023)
Article
Medicine, Research & Experimental
Vibhu Paudyal, Richard Lowrie, Frances S. S. Mair, Lee Middleton, Versha Cheed, Jennifer Hislop, Andrea Williamson, Nigel Barnes, Catherine Jolly, Karen Saunders, Natalie Allen, Parbir Jagpal, George Provan, Steven Ross, Carole Hunter, Sarah Tearne, Andrew McPherson, Helena Heath, Cian Lombard, Adnan Araf, Emily Dixon, Amy Hatch, Jane Moir, Shabana Akhtar
Summary: This study aims to test the feasibility and effectiveness of a pharmacy-based intervention called PHOENIx for people experiencing homelessness. If the pilot study shows positive results, PHOENIx may be implemented as a publicly funded free-to-access service in community pharmacies.
PILOT AND FEASIBILITY STUDIES
(2023)
Article
Multidisciplinary Sciences
Matthew Krouwel, Sheila Greenfield, Anna Chalkley, James Sanders, Helen Parretti, Kajal Gokal, Kate Jolly, Magdalena Skrybant, Stuart Biddle, Colin Greaves, Ralph Maddison, Nanette Mutrie, Natalie Ives, Dale Esliger, Lauren Sherar, Charlotte Edwardson, Tom Yates, Emma Frew, Sarah Tearne, Amanda Daley
Summary: Through interviews and think aloud study, this research investigated participants' experiences with Snacktivity & TRADE; and found that they had a positive attitude towards this physical activity approach, believing it to be beneficial for health, despite facing barriers to participation.
Review
Respiratory System
Jane S. Watson, Rachel E. Jordan, Lucy Gardiner, Peymane Adab, Kate Jolly
Summary: Referral, uptake, and adherence to pulmonary rehabilitation (PR) programs for patients with chronic obstructive pulmonary disease (COPD) remain low. Interventions that incorporate partnership working between patients and healthcare professionals (HCPs) have shown to be more effective in increasing referral, uptake, and adherence to PR programs compared to interventions targeting single populations.
INTERNATIONAL JOURNAL OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE
(2023)
Article
Public, Environmental & Occupational Health
Peter Ladlow, Max J. Western, Colin J. Greaves, Janice L. Thompson, Janet Withall, Jolanthe de Koning, Jessica C. Bollen, Sarah J. Moorlock, Jack M. Guralnik, Kenneth R. Fox, Afroditi Stathi
Summary: This study investigated the effectiveness of the REACT exercise intervention in improving physical function in older adults. The intervention group showed significant improvements in strength and balance at 12-months, but not in gait speed. Additionally, the intervention group reported significant improvements in mobility assessment, physical component scores, and subjective physical activity.
FRONTIERS IN PUBLIC HEALTH
(2023)
Article
Psychiatry
Jeffrey Lambert, Adrian Taylor, Adam Streeter, Colin Greaves, Wendy M. Ingram, Sarah Dean, Kate Jolly, Nanette Mutrie, Lisa Price, John Campbell
Summary: The addition of web-based behavioral support to usual exercise referral schemes leads to reductions in depression but not anxiety in patients with elevated depressive symptoms. Changes in depression and anxiety were influenced by changing motivational regulations toward physical activity. The benefit of adding web-based support to exercise referral schemes on mental health appears to be from increasing confidence, competence, and self-monitoring rather than increasing physical activity. Rating: 7 out of 10.
MENTAL HEALTH AND PHYSICAL ACTIVITY
(2023)
Article
Nursing
Olivia Knox, Denise Parker, Debbie Johnson, Stephan U. Dombrowski, Gill Thomson, Joanne Clarke, Pat Hoddinott, Kate Jolly, Jenny Ingram
Summary: Text message conversations between Infant Feeding Helpers and new mothers were analyzed to understand the influence of peer support on women's feeding experiences. The use of Behavior Change Techniques (BCTs) focusing on social support and changing the social environment was found to be effective in delivering breastfeeding peer support through text messages. The findings suggest that messaging is an appropriate method for providing support when in-person interactions are limited.
Article
Medicine, General & Internal
Vichithranie W. Madurasinghe, Peter Knapp, Sandra Eldridge, David Collier, Shaun Treweek, Jo Rick, Jonathan Graffy, Adwoa Parker, Chris Salisbury, David Torgerson, Kate Jolly, Manbinder S. Sidhu, Christopher Fife-Schaw, Mark A. Hull, Kirsty Sprange, Elizabeth Brettell, Sunil Bhandari, Alan Montgomery, Peter Bower
Summary: The study found that multimedia presentation alongside written information did not improve trial recruitment rates or any other outcomes.