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中风后身体活动干预措施开发中的公民科学方法:一项范围综述。

Citizen science approaches in the development of post-stroke physical activity interventions: A scoping review.

作者信息

Bakker Martijn, Schuling Rhoda, Dekker Rienk, Krops Leonie A, de Jong Johan

机构信息

Department of Rehabilitation Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

School of Sport Studies, Hanze University of Applied Sciences, Groningen, The Netherlands.

出版信息

PLoS One. 2025 Aug 20;20(8):e0329948. doi: 10.1371/journal.pone.0329948. eCollection 2025.

DOI:10.1371/journal.pone.0329948
PMID:40834020
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12367154/
Abstract

BACKGROUND

Stroke is a major cause of disability globally, with high recurrence rates despite the implementation of secondary prevention strategies. Promoting physical activity and reducing sedentary behaviour are critical to mitigate these risks. Collaborative research approaches, including citizen science, offer promising methods for developing more effective and sustainable interventions by leveraging patient insights and lived experiences across different research stages.

OBJECTIVES

This scoping review explored the application of citizen science approaches in developing interventions targeting physical activity and sedentary behaviour for people with stroke.

METHODS

Following Arksey and O'Malley's framework and the PRISMA-ScR checklist, five databases were searched. We included empirical studies involving stroke patients in research on physical activity or sedentary behaviour interventions. Data was extracted on terminology, collaboration methods, and participant roles and analysed using the Participation Matrix framework. Methodological rigor was assessed using the CASP qualitative checklist.

RESULTS

Fourteen studies were included, most published after 2020 and originating from diverse countries. Terms like "co-design," "co-creation," and "patient and public involvement" were prevalent, but "citizen science" was not explicitly mentioned. Methods for active involvement of stroke patients included focus groups, workshops, and advisory panels. Stroke patients primarily participated as advisors or partners during intervention design, with minimal involvement in early research stages, data analysis, or dissemination. Researchers predominantly held decision-making roles.

CONCLUSIONS

Citizen science in stroke research is still developing, with limited patient involvement across research phases. Expanding the depth and scope of patient involvement could enhance the relevance and long-term impact of interventions.

摘要

背景

中风是全球致残的主要原因,尽管实施了二级预防策略,但复发率仍然很高。促进身体活动和减少久坐行为对于降低这些风险至关重要。包括公民科学在内的合作研究方法,通过在不同研究阶段利用患者的见解和生活经验,为开发更有效和可持续的干预措施提供了有前景的方法。

目的

本范围综述探讨了公民科学方法在为中风患者制定针对身体活动和久坐行为的干预措施中的应用。

方法

按照阿克西和奥马利的框架以及PRISMA-ScR清单,检索了五个数据库。我们纳入了涉及中风患者的身体活动或久坐行为干预研究的实证研究。提取了有关术语、合作方法以及参与者角色的数据,并使用参与矩阵框架进行了分析。使用CASP定性清单评估方法的严谨性。

结果

纳入了14项研究,大多数研究于2020年之后发表,且来自不同国家。“共同设计”“共同创造”和“患者及公众参与”等术语很普遍,但未明确提及“公民科学”。中风患者积极参与的方法包括焦点小组、研讨会和咨询小组。中风患者在干预设计期间主要作为顾问或合作伙伴参与,在早期研究阶段、数据分析或传播方面参与极少。研究人员主要担任决策角色。

结论

中风研究中的公民科学仍在发展,患者在各个研究阶段的参与有限。扩大患者参与的深度和范围可以提高干预措施的相关性和长期影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b0e2/12367154/7dd4e17c27b5/pone.0329948.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b0e2/12367154/494add5e013a/pone.0329948.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b0e2/12367154/7dd4e17c27b5/pone.0329948.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b0e2/12367154/494add5e013a/pone.0329948.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b0e2/12367154/7dd4e17c27b5/pone.0329948.g002.jpg

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本文引用的文献

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Stroke patient and stakeholder engagement (SPSE): concepts, definitions, models, implementation strategies, indicators, and frameworks-a systematic scoping review.卒中患者和利益相关者参与(SPSE):概念、定义、模型、实施策略、指标和框架——系统范围界定综述。
Syst Rev. 2024 Oct 31;13(1):271. doi: 10.1186/s13643-024-02686-y.
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Development of a behaviour change intervention for improving physical activity amongst stroke survivors with physical disabilities: a co-design approach.开发一种行为改变干预措施,以提高身体残疾的中风幸存者的身体活动量:一种共同设计方法。
BMC Public Health. 2024 Oct 22;24(1):2918. doi: 10.1186/s12889-024-20403-1.
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The impacts of a healthy lifestyle on the physical and mental health status of female stroke survivors in Australia.
健康生活方式对澳大利亚女性中风幸存者身心健康状况的影响。
Top Stroke Rehabil. 2025 Mar;32(2):161-172. doi: 10.1080/10749357.2024.2377517. Epub 2024 Jul 15.
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Co-design for stroke intervention development: Results of a scoping review.共同设计用于中风干预措施的发展:范围综述的结果。
PLoS One. 2024 Feb 14;19(2):e0297162. doi: 10.1371/journal.pone.0297162. eCollection 2024.
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Co-designing care for multimorbidity: a systematic review.共设计多病共存的照护:系统评价。
BMC Med. 2024 Feb 7;22(1):58. doi: 10.1186/s12916-024-03263-9.
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"Coming home was a disaster, I didn't know what was going to happen": a qualitative study of survivors' and family members' experiences of navigating care post-stroke.“回家是一场灾难,我不知道会发生什么”:一项关于中风后幸存者和家庭成员在护理方面的导航体验的定性研究。
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Keeping Active with Texting after Stroke (KATS): development of a text message intervention to promote physical activity and exercise after stroke.中风后通过短信保持活跃(KATS):一种促进中风后身体活动和锻炼的短信干预措施的开发。
Pilot Feasibility Stud. 2023 Jun 23;9(1):105. doi: 10.1186/s40814-023-01326-x.
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