Galaviz Karla I, Harden Samantha M, Smith Erin, Blackman Kacie Ca, Berrey Leanna M, Mama Scherezade K, Almeida Fabio A, Lee Rebecca E, Estabrooks Paul A
9Professor of Human Nutrition, Foods, & Exercise, Virginia Tech, Co-Director of the Fralin Translational Obesity Research Center, Professor of Family Medicine, Virginia Tech Carilion School of Medicine, Senior Director of Research, Carilion Clinic, 1 Riverside Circle SW Suite #104, Roanoke, VA 24016, USA.
Int J Behav Nutr Phys Act. 2014 Jun 17;11:77. doi: 10.1186/1479-5868-11-77.
The purpose of this review was to determine the degree to which physical activity interventions for Latin American populations reported on internal and external validity factors using the RE-AIM framework (reach & representativeness, effectiveness, adoption, implementation, maintenance). We systematically identified English (PubMed; EbscoHost) and Spanish (SCIELO; Biblioteca Virtual en Salud) language studies published between 2001 and 2012 that tested physical activity, exercise, or fitness promotion interventions in Latin American populations. Cross-sectional/descriptive studies, conducted in Brazil or Spain, published in Portuguese, not including a physical activity/fitness/exercise outcome, and with one time point assessment were excluded. We reviewed 192 abstracts and identified 46 studies that met the eligibility criteria (34 in English, 12 in Spanish). A validated 21-item RE-AIM abstraction tool was used to determine the quality of reporting across studies (0-7 = low, 8-14 = moderate, and 15-21 = high). The number of indicators reported ranged from 3-14 (mean = 8.1 ± 2.6), with the majority of studies falling in the moderate quality reporting category. English and Spanish language articles did not differ on the number of indicators reported (8.1 vs. 8.3, respectively). However, Spanish articles reported more across reach indicators (62% vs. 43% of indicators), while English articles reported more across effectiveness indicators (69% vs 62%). Across RE-AIM dimensions, indicators for reach (48%), efficacy/effectiveness (67%), and implementation (41%) were reported more often than indicators of adoption (25%) and maintenance (10%). Few studies reported on the representativeness of participants, staff that delivered interventions, or the settings where interventions were adopted. Only 13% of the studies reported on quality of life and/or potential negative outcomes, 20% reported on intervention fidelity, and 11% on cost of implementation. Outcomes measured after six months of intervention, information on continued delivery and institutionalization of interventions, were also seldom reported. Regardless of language of publication, physical activity intervention research for Latin Americans should increase attention to and measurement of external validity and cost factors that are critical in the decision making process in practice settings and can increase the likelihood of translation into community or clinical practice.
本综述的目的是确定针对拉丁美洲人群的体育活动干预措施在使用RE-AIM框架（覆盖范围与代表性、有效性、采用情况、实施情况、维持情况）报告内部和外部效度因素方面的程度。我们系统地检索了2001年至2012年间发表的英文（PubMed；EbscoHost）和西班牙文（SCIELO；虚拟健康图书馆）语言的研究，这些研究对拉丁美洲人群的体育活动、锻炼或健身促进干预措施进行了测试。排除在巴西或西班牙进行的、以葡萄牙语发表的、不包括体育活动/健身/锻炼结果且为单时间点评估的横断面/描述性研究。我们审查了192篇摘要，确定了46项符合纳入标准的研究（34篇英文，12篇西班牙文）。使用经过验证的21项RE-AIM摘要工具来确定各项研究的报告质量（0 - 7分为低质量，8 - 14分为中等质量，15 - 21分为高质量）。报告的指标数量范围为3 - 14个（平均值 = 8.1 ± 2.6），大多数研究属于中等质量报告类别。英文和西班牙文文章在报告的指标数量上没有差异（分别为8.1和8.3）。然而，西班牙文文章在覆盖范围指标方面报告得更多（占指标的62%对43%），而英文文章在有效性指标方面报告得更多（占69%对62%）。在RE-AIM的各个维度中，覆盖范围（48%）、效能/有效性（67%）和实施情况（41%）的指标报告频率高于采用情况（25%）和维持情况（10%）的指标。很少有研究报告参与者、实施干预措施的工作人员或采用干预措施的场所的代表性。只有13%的研究报告了生活质量和/或潜在负面结果，20%报告了干预保真度，11%报告了实施成本。干预六个月后测量的结果、关于干预措施持续实施和制度化的信息也很少被报告。无论出版物的语言如何，针对拉丁美洲人的体育活动干预研究都应更加关注并测量外部效度和成本因素，这些因素在实际环境的决策过程中至关重要，并且可以增加转化为社区或临床实践的可能性。
