School of Medical, Indigenous and Health Sciences, University of Wollongong, Wollongong, New South Wales, Australia.
Brain Behav. 2024 Aug;14(8):e3635. doi: 10.1002/brb3.3635.
BACKGROUND: Multiple sclerosis (MS) is a neurological condition that necessitates a multidisciplinary approach to aid those living with MS in managing their disease. Health behavior, or lifestyle modification, is an emerging approach to MS self-management. MS researchers utilize measurement tools to ensure that interventions are best suited to the outcomes, thereby potentially influencing practice. The aim of this study was to investigate which tools are being used for health behavior management studies in people living with MS and develop an aid for tool selection. METHODS: A scoping review guided by the PRISMA-Sc checklist and the JBI manual for evidence synthesis was employed with a systematic search strategy executed across four scientific databases: Medline, PubMed, CINAHL, and Cochrane Libraries. The types of assessment tools used were extracted from the included studies. Each tool was categorized into the health behavior intervention discipline (nutrition, exercise, and psychology) and then subcategorized by the tool's purpose. The frequency of use was determined for each tool. Reporting of validation of the assessment tools were collated to inform a tool selection checklist. RESULTS: The review identified a total of 248 tools (12 nutrition, 55 exercise, and 119 psychology unique reports) from 166 studies. Seventy-seven multidimensional tools were identified including measures of quality of life, fatigue, and functional scales. Only 88 studies (53%) referred to the validity of the tools. The most commonly reported tools were the dietary habits questionnaire (n = 4, nutrition), 6-minute walk test (n = 17, exercise), Symbol Digits and Modalities Test, and Hospital Anxiety and Depression Scale (n = 15 each, psychology) with the Expanded Disability Status Scale reported 43 times. CONCLUSION: Evidence from interventions may inform practice for health professionals. This review provides insights into the range of tools reported across health behavior intervention studies for MS and offers a guide toward more consistent reporting of study methods.
背景:多发性硬化症(MS)是一种神经系统疾病,需要采取多学科方法来帮助患有 MS 的人管理疾病。健康行为或生活方式改变是一种新兴的 MS 自我管理方法。MS 研究人员利用测量工具来确保干预措施最适合结果,从而可能影响实践。本研究旨在调查在患有 MS 的人群中用于健康行为管理研究的工具,并开发一种工具选择辅助工具。
方法:本研究采用 PRISMA-Sc 清单和 JBI 证据综合手册指导的范围综述,并执行了一项系统的搜索策略,涵盖了四个科学数据库:Medline、PubMed、CINAHL 和 Cochrane Libraries。从纳入的研究中提取了用于评估的工具类型。每个工具都根据健康行为干预学科(营养、运动和心理)进行分类,然后根据工具的用途进行子分类。确定了每种工具的使用频率。收集了评估工具验证的报告,以提供工具选择清单。
结果:该综述共从 166 项研究中确定了 248 种工具(12 种营养、55 种运动和 119 种心理学独特报告)。共确定了 77 种多维工具,包括生活质量、疲劳和功能量表的测量。只有 88 项研究(53%)提到了工具的有效性。报告最多的工具是饮食习惯问卷(n=4,营养)、6 分钟步行测试(n=17,运动)、符号数字和模态测试和医院焦虑和抑郁量表(n=15 个,心理学),扩展残疾状况量表报告了 43 次。
结论:干预措施的证据可以为健康专业人员提供实践指导。本综述提供了有关 MS 健康行为干预研究中报告的工具范围的见解,并提供了一种更一致地报告研究方法的指南。
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