肌肉骨骼疾病环境下运动依从性测量的建议：系统评价与共识会议（方案）
Recommendations for exercise adherence measures in musculoskeletal settings: a systematic review and consensus meeting (protocol).
作者信息
Holden Melanie A, Haywood Kirstie L, Potia Tanzila A, Gee Melanie, McLean Sionnadh
机构信息
Arthritis Research UK Primary Care Centre, Keele University, Keele ST5 5BG, UK.
出版信息
Syst Rev. 2014 Feb 10;3:10. doi: 10.1186/2046-4053-3-10.
BACKGROUND
Exercise programmes are frequently advocated for the management of musculoskeletal disorders; however, adherence is an important pre-requisite for their success. The assessment of exercise adherence requires the use of relevant and appropriate measures, but guidance for appropriate assessment does not exist. This research will identify and evaluate the quality and acceptability of all measures used to assess exercise adherence within a musculoskeletal setting, seeking to reach consensus for the most relevant and appropriate measures for application in research and/or clinical practice settings.
METHODS/DESIGN: There are two key stages to the proposed research. First, a systematic review of the quality and acceptability of measures used to assess exercise adherence in musculoskeletal disorders; second, a consensus meeting. The systematic review will be conducted in two phases and reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to ensure a robust methodology. Phase one will identify all measures that have been used to assess exercise adherence in a musculoskeletal setting. Phase two will seek to identify published and unpublished evidence of the measurement and practical properties of identified measures. Study quality will be assessed against the COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN) guidelines. A shortlist of best quality measures will be produced for consideration during stage two: a meeting of relevant stakeholders in the United Kingdom during which consensus on the most relevant and appropriate measures of exercise adherence for application in research and/or clinical practice settings will be sought.
DISCUSSION
This study will benefit clinicians who seek to evaluate patients' levels of exercise adherence and those intending to undertake research, service evaluation, or audit relating to exercise adherence in the musculoskeletal field. The findings will impact upon new research studies which aim to understand the factors that predict adherence with exercise and which test different adherence-enhancing interventions. PROSPERO reference: CRD42013006212.
背景
运动方案经常被推荐用于肌肉骨骼疾病的管理；然而，坚持是其成功的重要先决条件。运动坚持情况的评估需要使用相关且合适的测量方法，但目前尚无关于合适评估方法的指导。本研究将识别并评估在肌肉骨骼疾病背景下用于评估运动坚持情况的所有测量方法的质量和可接受性，力求就研究和/或临床实践中最相关且合适的测量方法达成共识。
方法/设计：本拟议研究有两个关键阶段。第一，对用于评估肌肉骨骼疾病中运动坚持情况的测量方法的质量和可接受性进行系统评价；第二，召开一次共识会议。系统评价将分两个阶段进行，并按照系统评价和荟萃分析的首选报告项目（PRISMA）指南进行报告，以确保方法的稳健性。第一阶段将识别所有在肌肉骨骼疾病背景下用于评估运动坚持情况的测量方法。第二阶段将力求识别已识别测量方法的测量及实际属性的已发表和未发表证据。将根据基于共识的健康测量工具选择标准（COSMIN）指南评估研究质量。将列出最佳质量测量方法的入围清单，以供第二阶段审议：在英国召开一次相关利益攸关方会议，期间将就研究和/或临床实践中最相关且合适的运动坚持测量方法寻求共识。
讨论
本研究将使那些寻求评估患者运动坚持水平的临床医生以及那些打算开展与肌肉骨骼领域运动坚持相关的研究、服务评估或审核的人员受益。研究结果将影响旨在了解预测运动坚持的因素以及测试不同坚持增强干预措施的新研究。国际前瞻性系统评价注册库（PROSPERO）编号：CRD42013006212。
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