Randomized Trials of Nurse-Delivered Interventions in Weight Management Research: A Systematic Review

Francis, Lucine; Spaulding, Erin M; Turkson‐Ocran, Ruth‐Alma; Allen, Jerilyn K.

doi:10.1177/0193945916686962

Cited by 16 publications

(15 citation statements)

References 42 publications

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“…The comparison group was broken down into the groups used in the studies (alternative intervention, usual care, delayed intervention/measurement only and placebo). Theory (2017) (25) 47•91 years (mean from 11 studies; 55 %) 3-5 years range ( was broken down into theory used and theory not used. The BCT used were from the BCT reported in the studies (goal setting, goal review, pharmacological support, action planning, self-monitoring, instructions and feedback).…”

Section: Discussionmentioning

confidence: 99%

Are interventions delivered by healthcare professionals effective for weight management? A systematic review of systematic reviews

Epton

Keyworth

Goldthorpe

et al. 2021

Public Health Nutr.

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Objective: There are many systematic reviews of weight management interventions delivered by healthcare professionals (HCP), but it is not clear under what circumstances interventions are effective due to differences in review methodology. This review of systematic reviews synthesises the evidence about: (a) the effectiveness of HCP-delivered weight management interventions and (b) intervention and sample characteristics related to their effectiveness. Design: The review of reviews involved searching six databases (inception – October 2020). Reviews were included if they were (a) systematic, (b) weight management interventions delivered, at least partially, by HCP, (c) of randomised controlled trials and (d) written in English. Data regarding weight management outcomes (e.g. weight) and moderating factors were extracted. Secondary analyses were conducted using study-level data reported in each of the reviews. Setting: The review included studies that were delivered by HCP in any clinical or non-clinical setting. Participants: Not applicable. Results: Six systematic reviews were included (forty-six unique studies). First-level synthesis showed that weight management interventions delivered by HCP are effective. The second-level synthesis found that interventions are only successful for up to 6 months, are most effective for women, non-Caucasians and adults and are most effective if they have at least six sessions. Conclusions: As interventions are only successful for up to 6 months, they are not sufficient for achieving and maintaining a healthy weight.

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Section: Discussionmentioning

confidence: 99%

Are interventions delivered by healthcare professionals effective for weight management? A systematic review of systematic reviews

Epton

Keyworth

Goldthorpe

et al. 2021

Public Health Nutr.

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“…Therefore, heart failure patients need self-care adherence to maintain hospital-initiated self-care education. Nurses are considered a crucial part of the heart failure health care system [15]. They play a pivotal role in providing patients with educational assistance by identifying access to expert information, promoting patients' health literacy, and thus empowering them [16].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Nurse-Led Heart Failure Self-Care Education on Health Outcomes of Heart Failure Patients: A Systematic Review and Meta-Analysis

Son

Choi

Lee

2020

IJERPH

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Poor self-care behaviors can lead to an increase in the risk of adverse health outcomes among patients with heart failure. Although a number of studies have investigated the effectiveness of nurse-led self-care education, the evidence regarding the effects of nurse-led intervention in heart failure remains uncertain. This study aimed to evaluate evidence on the effectiveness of nurse-led heart failure self-care education on health outcomes in patients with heart failure. To identify studies testing nurse-led education designed to improve self-care among heart failure patients, comprehensive search methods were used between January 2000 and October 2019 to systematically search six electronic databases: PubMed, CINAHL, Embase, Cochrane library, Web of Science, and SCOPUS. All the eligible study data elements were independently assessed and analyzed using random-effects meta-analysis methods. Of 612 studies, eight articles were eligible for this study. Nurse-led heart failure self-care education significantly reduced the risk of all-cause readmission (risk ratio (RR) = 0.75, 95% confidence interval (CI) = 0.66–0.85), heart failure specific readmission (RR = 0.60, 95% CI = 0.42–0.85), and all-cause mortality or readmission (RR = 0.71, 95% CI = 0.61–0.82). However, nurse-led heart failure self-care education was not associated with improvements in the quality of life and heart failure knowledge. Studies on the effectiveness of nurse-led heart failure self-care education mostly report only the positive effects on patients’ health outcomes, whereas evidence of the effectiveness of the nurse-led approach is still limited. Therefore, high quality randomized controlled trials with detailed and explicit descriptions on the components of the interventions are needed.

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“…To our knowledge, this model-centric way of structuring a systematic quantitative literature review is quite novel. Literature reviews that compile quantitative evidence are more often focused on distilling information on a particular relationship or submodel, as in a meta-analysis (Tovar, Walker, & Rew, 2018); or the quality of studies (Petit Francis, Spaulding, Turkson-Ocran, & Allen, 2017).…”

Section: Discussionmentioning

confidence: 99%

The Process of Patient Engagement in Cardiac Rehabilitation: A Model-Centric Systematic Review

et al. 2018

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This study aimed to compile existing evidence about the proposed relationships among variables at three stages of the model of therapeutic engagement (MTE): patient intention to engage in cardiac rehabilitation (CR), CR initiation, and sustained engagement. This model has not been tested in any rehabilitation setting. Therefore, this systematic literature review is key to future research and application of MTE to predict and enhance patient engagement in CR. Model-centric systematic literature reviews have been conducted for each stage of the MTE. A coherent approach to understanding and monitoring the process of patient engagement in CR is absent. Few relevant studies included in the model-centric reviews met the criteria: eight in stage 1, four in stage 2, and six in stage 3 of the MTE. In total, the tenets of the MTE were supported in patient intention to engage in CR. However, there was less evidence quantifying the proposed relationships among variables that impact on CR initiation and sustained engagement. There is a scarcity of research examining rehabilitation engagement in depth to better understand the complicated process contributing to behavioural outcomes. No decision-support models currently exist to alert patients and healthcare provider to the factors that influence non-engagement.

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Randomized Trials of Nurse-Delivered Interventions in Weight Management Research: A Systematic Review

Cited by 16 publications

References 42 publications

Are interventions delivered by healthcare professionals effective for weight management? A systematic review of systematic reviews

Are interventions delivered by healthcare professionals effective for weight management? A systematic review of systematic reviews

Effectiveness of Nurse-Led Heart Failure Self-Care Education on Health Outcomes of Heart Failure Patients: A Systematic Review and Meta-Analysis

The Process of Patient Engagement in Cardiac Rehabilitation: A Model-Centric Systematic Review

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