Cuthbert Colleen A, King-Shier Kathryn, Ruether Dean, Tapp Dianne M, Culos-Reed S Nicole
J Phys Act Health. 2017 Jul;14(7):578-595. doi: 10.1123/jpah.2016-0280. Epub 2017 Mar 14.
Family caregivers are an important health care resource and represent a significant proportion of Canadian and US populations. Family caregivers suffer physical and psychological health problems because of being in the caregiver role. Interventions to support caregiver health, including physical activity (PA), are slow to be investigated and translated into practice.
To examine the evidence for PA interventions in caregivers and determine factors hampering the uptake of this evidence into practice.
A systematic review and evaluation of internal and external validity using the RE-AIM (Reach, Efficacy/Effectiveness, Adoption, Implementation, and Maintenance) framework was conducted. Randomized controlled trials or pretest/posttest studies of PA interventions were included.
Fourteen studies were published between 1997 and 2015. Methodological quality of studies and risk of bias was variable. External validity criteria were often not reported. Mean reporting levels were 1) reach, 53%; 2) efficacy/effectiveness, 73%; 3) adoption, 18%; 4) implementation, 48%; and 5) maintenance, 2%.
The lack of reporting of components of internal and external validity hinders the integration of caregiver PA interventions into clinical or community settings. Researchers should focus on standardized outcomes, accepted reporting criteria, and balancing factors of internal and external validity, to advance the state of the science.
家庭照顾者是重要的医疗保健资源，在加拿大和美国人口中占很大比例。家庭照顾者因承担照顾者角色而遭受身心健康问题。包括体育活动（PA）在内的支持照顾者健康的干预措施，在研究和转化为实践方面进展缓慢。
审查针对照顾者的体育活动干预措施的证据，并确定阻碍将该证据应用于实践的因素。
使用RE-AIM（覆盖范围、效果/有效性、采用、实施和维持）框架对内部和外部有效性进行系统综述和评估。纳入体育活动干预措施的随机对照试验或前测/后测研究。
1997年至2015年期间发表了14项研究。研究的方法学质量和偏倚风险各不相同。外部有效性标准往往未报告。平均报告水平为：1）覆盖范围，53%；2）效果/有效性，73%；3）采用，18%；4）实施，48%；5）维持，2%。
内部和外部有效性组成部分报告的缺乏阻碍了照顾者体育活动干预措施纳入临床或社区环境。研究人员应关注标准化结果、公认的报告标准以及平衡内部和外部有效性因素，以推动科学发展。
