Loef M, Walach H
European University Viadrina, Germany.
European University Viadrina, Germany.
Public Health. 2015 Apr;129(4):377-84. doi: 10.1016/j.puhe.2015.01.014. Epub 2015 Feb 21.
OBJECTIVE: To evaluate the practical applicability of systematic reviews and meta-analyses to the maintenance of physical activity or weight loss by assessing methodological and reporting aspects. METHODS: To identify relevant studies a literature search was conducted in MEDLINE, EMBASE, Cochrane Library, PsycINFO, PSYNDEX, Google scholar, and reference lists. Each article was evaluated for methodological quality, operationalization of maintenance, and practicability following the RE-AIM framework and the PRISMA statement. RESULTS: Twenty-four systematic reviews and meta-analyses were included of which 14 were published in the last four years. There were multiple definitions of maintenance. In addition the instances of redundancy, and neglect of thematic fields are identified. Eighty-seven percent of the reviews showed methodological flaws. The potential practical use of the outcomes was limited. CONCLUSION: The applicability of systematic reviews and meta-analyses regarding health behaviour maintenance is limited with regard to reporting, methodology and thematic coverage. For practitioners, synthesis of quantitative and qualitative evidence with theoretical models is lacking.
目的:通过评估方法学和报告方面,评价系统评价和Meta分析在维持身体活动或体重减轻方面的实际适用性。 方法:为识别相关研究,在MEDLINE、EMBASE、Cochrane图书馆、PsycINFO、PSYNDEX、谷歌学术以及参考文献列表中进行了文献检索。按照RE-AIM框架和PRISMA声明,对每篇文章的方法学质量、维持的操作化以及实用性进行了评估。 结果:纳入了24篇系统评价和Meta分析,其中14篇是在过去四年发表的。维持有多种定义。此外,还发现了冗余情况以及对主题领域的忽视。87%的评价显示存在方法学缺陷。结果的潜在实际用途有限。 结论:系统评价和Meta分析在健康行为维持方面的适用性在报告、方法学和主题覆盖方面有限。对于从业者而言,缺乏将定量和定性证据与理论模型相结合的情况。
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