Introduction:
Mobility is one of the most important contributors to healthy aging and is traditionally measured through performance-based tests. Measuring life-space mobility is a holistic way to measure the spaces individuals visited over a period of time versus what they are physically able to do. However, before a measure of life-space mobility can be widely used in research and clinical settings, it must have robust psychometric properties. The objective of this review is to summarize the psychometric properties of existing life-space mobility measures in community-dwelling older adults.
Inclusion criteria:
The construct is life-space mobility and the instruments are: The Nursing Home Life Space Diameter, the Life-Space Questionnaire, and the Life-Space Assessment. The population is community-dwelling older adults (age > 65). The outcome of the review includes all psychometric properties (reliability, validity, responsiveness) as well as feasibility and interpretability data.
Methods:
Following the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) and JBI guidelines, a search strategy will be piloted and then translated to multiple databases. Two independent reviewers will conduct title/abstract screening, full-text screening, data extraction, and assess the methodological quality of the studies. A narrative synthesis will be compiled for all collected data. A meta-analysis will be conducted for each psychometric property if there are enough studies with sufficiently low heterogeneity.
Systematic review registration number:
PROSPERO CRD42019121855
Purpose: To determine the cost-effectiveness of physiotherapy (PT) to manage individuals with chronic conditions. Method: Design: Systematic review of randomized controlled trials (RCTs). Eligibility: RCTs with adult participants diagnosed with ≥1 chronic condition, an intervention delivered or supervised by a physiotherapist, including an economic evaluation of the intervention provided. Procedure: Eight databases were searched. Title/abstract screening, full-text review, and data extraction were performed in duplicate. The quality of included studies was assessed using Cochrane's Risk of Bias Assessment 2.0. Results: Fifty-three articles were included in this review. Fifteen compared PT to no PT, 38 compared novel PT to conventional PT. Of the studies comparing PT to no PT, 53% found PT to be cost-effective. Of the studies comparing novel to conventional PT, 55% found novel interventions were cost-effective. Overall, PT was cost-effective in most studies related to arthritis, chronic LBP, and chronic neck pain. The heterogeneity of study characteristics limited the ability to perform a meta-analysis. Conclusions: Over half of included studies reported PT to be cost-effective. Future high quality RCTs performing rigorous economic evaluations are needed to determine the cost-effectiveness of different interventions delivered or supervised by a PT to prevent disability for those with chronic conditions.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.