PROSPERO International prospective register of systematic reviews
Community-based exercise programs as a strategy to maintain function in chronic disease: a systematic review
Dina Brooks, Roger Goldstein, Marla Beauchamp, Laura Desveaux, Nancy Salbach, Kelly O'Brien
Citation
Dina Brooks, Roger Goldstein, Marla Beauchamp, Laura Desveaux, Nancy Salbach, Kelly O'Brien. Community-based exercise programs as a strategy to maintain function in chronic disease: a systematic review.
PROSPERO
2012:CRD42012002786
Available from http://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42012002786
Review question(s)
To describe the structure and delivery of community-based exercise programs designed for chronic disease populations.
To describe the effectiveness of community-based exercise programs designed for chronic disease populations.
Studies will be included if they satisfy the inclusion and exclusion criteria as described above (regarding the population and intervention). When clarification is required via the corresponding author, studies will only be included when a sufficient response is received.
Condition or domain being studied
Chronic disease populations, including stroke, COPD, heart disease, diabetes, and arthritis. Outcomes include individual function and health-related quality of life.
Participants/ population
Inclusion Criteria:
- participants have not previously completed a rehabilitation program.
- participants have one of the top five chronic diseases as identified by the Public Health Agency of Canada, including stroke, COPD, arthritis, diabetes, or heart disease.
Exclusion Criteria:
- paediatric population.
Intervention(s), exposure(s)
Inclusion Criteria:
(1) randomized trials delivered in the community or in the home;
(2) program includes a component of regular exercise;
(3) participants diagnosed with one of the top five chronic diseases in Canada, including COPD, heart disease, stroke, arthritis, and diabetes; and
(4) at least one outcome that evaluated functional exercise capacity or HRQOL.
Exclusion Criteria:
(1) any or all participants having previous experience in a formal rehabilitation program;
(2) the intervention was delivered in an institutional or private practice setting; (3) the study included the paediatric population;
(4) population diagnosis of rheumatoid arthritis or fibromyalgia;
(5) the corresponding author was contacted to provide clarity regarding the program design but did not respond; and
(6) only an abstract available with no further information from authors.
Comparator(s)/ control
The comparison group will be usual care or an attention control for each specific chronic disease. It may also be a similar exercise-based intervention.
Context
Studies whose intervention of interest is delivered outside the healthcare setting (including hospitals and private practice) will be included.
Outcome(s)
Primary outcomes
Any measures of exercise capacity and health-related quality of life (as selected by the authors and validated in the literature).
Outcome data extracted will include measures taken at baseline and completion of the intervention.
Secondary outcomes
None.
Data extraction, (selection and coding)
Potential articles will be identified by a member of the research team and articles selected for inclusion will be reviewed by an additional team member. Discrepencies related to articles for inclusion will be resolved through discussions between the two reviewers. Data will be extracted by one team member, who will contact the corresponding author when the required data are not provided in the article.
Risk of bias (quality) assessment
The quality assessment will be completed using the Cochrane Risk of Bias tool. Two members of the research team will independently assess the quality of the articles and compare their results in order to reach consensus.
Strategy for data synthesis
The data will be subject to meta-analysis comparing the effects of the intervention to those of usual care. Data will be extracted and entered into Cochrane's Review Manager 5.1 to complete the meta-analysis. Due to the variety of outcome measures used for different chronic disease populations, standardized mean differences will be computed for exercise capacity and health-related quality of life measures.
Analysis of subgroups or subsets
None planned.
Dissemination plans
The results of this review will be published and made available in a scientific journal, in addition to being presented at an appropriate scientific conference.
Contact details for further information
Dina Brooks
Department of Physical Therapy
University of Toronto
160-500 University Avenue
Toronto, ON, CANADA
M5G 1V7
dina.brooks@utoronto.ca
Organisational affiliation of the review
University of Toronto
www.utoronto.ca
Review team
Dr Dina Brooks, University of Toronto Dr Roger Goldstein, West Park Healthcare Centre Dr Marla Beauchamp, Harvard University Ms Laura Desveaux, University of Toronto Dr Nancy Salbach, University of Toronto Dr Kelly O'Brien, University of Toronto
Details of any existing review of the same topic by the same authors
None.
Anticipated or actual start date
15 May 2012
Anticipated completion date
27 September 2013
Funding sources/sponsors
None.
Conflicts of interest
None known
Other registration details
None.
Language
English
Country
Canada
Subject index terms status
Subject indexing assigned by CRD
Subject index terms
Community Health Services; Exercise; Health Education; Humans; Program Evaluation
Date of registration in PROSPERO
09 August 2012
Date of publication of this revision
04 March 2013
Stage of review at time of this submission
Started
Completed
Preliminary searches
No
Piloting of the study selection process
Formal screening of search results against eligibility criteria
Data extraction
Risk of bias (quality) assessment
Data analysis
Prospective meta-analysis
PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites.
