• Title/Summary/Keyword: bias effect

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Effect of Cognitive Improvement Programs for Mild Cognitive Impairment in Korean Elderly: A Meta-Analysis (한국 경도인지장애 노인을 위한 인지기능 향상 프로그램의 효과: 메타분석)

  • Kim, Kyoungyun;Lee, Eunjoo
    • Korean Journal of Adult Nursing
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    • v.29 no.2
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    • pp.177-189
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    • 2017
  • Purpose: A meta-analysis was conducted to identify the effect of cognitive improvement programs for the elderly with mild cognitive impairment (MCI) in Korea. Methods: Five databases, as well as relevant reference lists, of studies published from 2000 to 2016, were searched. Fourteen studies were identified. Quality assessments of included studies were conducted using the Scottish Intercollegiate Guidelines Network checklist. An R program was used to analyze effect sizes and to identify possible sources of heterogeneity among studies. The potential for publication bias was investigated using a funnel plot, Egger's regression test and sensitivity analysis. Results: The total effect size was large (Standardized Mean Difference [SMD]=1.44, 95% CI: 1.11~1.77), with cognition based intervention (SMD= 1.77, 95% CI: 1.26~2.29) and exercise intervention (SMD=1.13, 95% CI: 0.82~1.44). Statistically significant moderators were identified intervention type by meta-ANOVA analyses. Finally, no significant evidence of publication bias was found. Conclusion: There is clear evidence that cognitive improvement programs can greatly enhance cognition in elderly with MCI. Future research should examine the effects of non-pharmacological interventions targeting elderly populations with mild-to-severe cognitive impairment in order to develop and enhance the effectiveness of cognitive improvement programs in Korea.

Integrated Review for Interventions of Musculoskeletal Symptoms and Pain on Nurses (통합적 고찰을 통한 간호사들의 직업 관련 근골격계 질환 중재)

  • Seo, Ji Yeong;Choi, Eun Hee
    • Journal of muscle and joint health
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    • v.28 no.1
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    • pp.10-17
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    • 2021
  • Purpose: This was integrative literature review for analyzing interventions of musculoskeletal symptom and pain on nurses. Methods: Data were searched by using databases, namely SAGE journals, EBSCOhost, PubMed, RISS, NDSL and KCI Search terminology included nurse and musculoskeletal and the language was Korean or Engli.sh. Data analysis was classified by risk of bias, inconsistency, indirectness and imprecision. Total six studies, one Korean and five English articles analyzed. Results: Risk of bias was serious in three of six studies. Regarding inconsistency, one study was moderate effect size and two studies were small effect size. There was no serious indirectness except one study. Regarding imprecision, three studies were not serious. Conclusion: Evidence from six studies was insufficient to support intervention's effect in means of no repeated studies and no high effect size of intervention. Evidence-based interventions must be applied on nurses for reducing musculoskeletal symptoms.