使用理论领域框架对患有轻度认知障碍/痴呆症的老年人运动坚持性的可改变促进因素和障碍：一项系统评价方案
Modifiable facilitators and barriers to exercise adherence in older adults with MCI/dementia using the Theoretical Domains Framework: a systematic review protocol.
作者信息
Zhen Xueting, Wang Lina, Yan Hang, Tao Hong, Cai Yaxiu, Wang Jie, Chen Haiqin, Ge Chenxi
机构信息
School of Medicine, Huzhou University, Huzhou, Zhejiang, China.
School of Medicine, Huzhou University, Huzhou Central Hospital, Huzhou, Zhejiang, China
出版信息
BMJ Open. 2020 Sep 10;10(9):e034500. doi: 10.1136/bmjopen-2019-034500.
INTRODUCTION
Exercise has multiple benefits on maintaining or improving cognitive function for people with mild cognitive impairment (MCI)/dementia. However, many older adults with MCI/dementia are not sufficiently active to achieve these benefits. Allowing for the current studies on exercise adherence in older adults with MCI/dementia still have some deficiencies. This paper aims: (1) to identify the modifiable facilitators and barriers to exercise adherence for older adults with MCI/dementia in terms of the perspectives of patients, caregivers and healthcare professionals; (2) to organise the identified factors of exercise adherence based on the Theoretical Domains Framework (TDF) among included studies.
METHODS AND ANALYSIS
A systematic computerised literature search will be performed in the following online databases: PubMed, Embase, Cochrane Library, Web of Science, China National Knowledge Infrastructure and Wan Fang Database, which published between January 1990 and June 2020. We will identify peer-reviewed publications which examined facilitators and barriers to exercise adherence. Searches will have no limitation in language publications using search terms related to exercise interventions, adherence and MCI/dementia. Two independent reviewers will screen titles, abstracts and full-text articles according to the predetermined inclusion and exclusion criteria. We will use the statistical software Nvivo V.12 to manage the information. Basing on the TDF, we will map identified modifiable facilitators and barriers of literature to the domains of TDF.
ETHICS AND DISSEMINATION
This review will summarise modifiable facilitators and barriers to exercise adherence for older adults with MCI/dementia for the first time. Ethical approval is not required as no primary data are collected. We are going to disseminate our findings to the scientific and medical community in peer-reviewed journals. The review findings will facilitate adequate and accurate access to care and treatment to help older adults with MCI/dementia have a broader adoption to exercise.
PROSPERO REGISTRATION NUMBER
CRD42019117725.
引言
运动对轻度认知障碍（MCI）/痴呆症患者维持或改善认知功能有多种益处。然而，许多患有MCI/痴呆症的老年人活动量不足，无法获得这些益处。考虑到目前关于MCI/痴呆症老年患者运动依从性的研究仍存在一些不足。本文旨在：（1）从患者、护理人员和医疗保健专业人员的角度，确定MCI/痴呆症老年患者运动依从性的可改变促进因素和障碍；（2）根据纳入研究中的理论领域框架（TDF），对已确定的运动依从性因素进行整理。
方法与分析
将在以下在线数据库中进行系统的计算机文献检索：PubMed、Embase、Cochrane图书馆、科学网、中国知网和万方数据库，检索1990年1月至2020年6月发表的文献。我们将识别经同行评审的研究运动依从性促进因素和障碍的出版物。使用与运动干预、依从性和MCI/痴呆症相关的检索词，对语言出版物不设限制进行检索。两名独立评审员将根据预先确定的纳入和排除标准筛选标题、摘要和全文文章。我们将使用统计软件Nvivo V.12来管理信息。基于TDF，我们将把文献中已确定的可改变促进因素和障碍映射到TDF的各个领域。
伦理与传播
本综述将首次总结MCI/痴呆症老年患者运动依从性的可改变促进因素和障碍。由于未收集原始数据，无需伦理批准。我们将在同行评审期刊上向科学界和医学界传播我们的研究结果。综述结果将有助于充分、准确地获得护理和治疗，以帮助患有MCI/痴呆症的老年人更广泛地接受运动。
PROSPERO注册号：CRD42019117725。
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