Amiri Farahani Leila, Asadi-Lari Mohsen, Mohammadi Eesa, Parvizy Soroor, Haghdoost Ali Akbar, Taghizadeh Ziba
Department of Midwifery, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
DG Int'l Relations Department, MOHME, IR Iran Head- Oncopathology Research Centre, IUMS, Tehran, Iran.
BMJ Open. 2015 Apr 1;5(4):e007210. doi: 10.1136/bmjopen-2014-007210.
Review and assess the effectiveness of community-based physical activity interventions among women aged 18-65 years.
Systematic review
To find relevant articles, the researcher selected reports published in English between 1 January 2000 and 31 March 2013. Systematic search was to find controlled-trial studies that were conducted to uncover the effect of community-based interventions to promote physical activity among women 18-65 years of age, in which physical activity was reported as one of the measured outcomes. The methodological quality assessment was performed using a critical appraisal sheet. Also, the levels of evidence were assessed for the types of interventions.
The literature search identified nine articles. Four of the studies were randomised and the others studies had high methodological quality. There was no evidence, on the basis of effectiveness, for social cognitive theory-based interventions and inconclusive evidence of effectiveness for the rest of interventions.
There is insufficient evidence to assess the effectiveness of community-based interventions for enhancing physical activity among women. There is a need for high-quality randomised clinical trials with adequate statistical power to determine whether multicomponent and community-based intervention programmes increase physical activity among women, as well as to determine what type of interventions have a more effective and sustainable impact on women's physical activity.
回顾并评估针对18 - 65岁女性的社区体育活动干预措施的有效性。
系统评价
为查找相关文章,研究者选取了2000年1月1日至2013年3月31日期间发表的英文报告。系统检索旨在查找为揭示社区干预措施对促进18 - 65岁女性体育活动的效果而开展的对照试验研究,其中体育活动被报告为测量结果之一。使用批判性评价表进行方法学质量评估。此外,还对干预措施类型的证据水平进行了评估。
文献检索确定了9篇文章。其中4项研究为随机对照研究,其他研究具有较高的方法学质量。基于有效性,没有证据支持基于社会认知理论的干预措施,而其他干预措施的有效性证据不明确。
没有足够的证据来评估社区干预措施对增强女性体育活动的有效性。需要开展具有足够统计学效力的高质量随机临床试验,以确定多成分和基于社区的干预项目是否能增加女性的体育活动,以及确定哪种类型的干预措施对女性的体育活动有更有效和可持续的影响。