Fidelity

保真度
  • 文章类型: Journal Article
    对针对严重心理健康以外的人群的个人安置和支持(IPS)干预措施的职业结果的国际证据进行概述。
    自2000年以来以英语发表的报告职业成果的评论概述(工作进入,工作维持,收益,工作时间,进入工作的时间)针对严重心理健康以外的人群进行IPS干预的反事实。概述综述最大化了个别研究的数据,并包括了最近的其他初步研究。进行DerSimoian-Laird随机效应荟萃分析。
    从5篇综述中确定了13项符合条件的研究,还确定了5项最近的单独研究。IPS研究涵盖了一系列专注于心理健康的群体。对于工作进入的主要职业结果,所有IPS研究均显示与对照组相比具有较高的工作进入率,总加权优势比为1.78[1.42,2.22]。通过研究规模确定了实质性的异质性,从大型和中型研究中估计的总体加权比值比为1.32[1.2,1.46]似乎更合理地估计了在严重心理健康以外的人群中扩大IPS干预措施的可能影响。中等职业成果,包括工作维持,总收入,IPS服务的平均每周工作小时数和进入工作时间通常优于对照组.
    与照常的就业服务相比,IPS服务在支持不同人口群体持续就业方面始终更有效。证据受到术语不明确的限制,小样本量,不完全干预保真度,干预污染和不一致的测量。
    UNASSIGNED: To provide an overview review of international evidence of vocational outcomes in Individual Placement and Support (IPS) interventions for populations other than severe mental health.
    UNASSIGNED: An overview of reviews published in English since 2000 reporting vocational outcomes (job entry, work sustainment, earnings, work hours, time to job entry) against counterfactuals of IPS interventions for population groups other than severe mental health. The overview review maximises data from individual studies and includes additional recent primary studies. DerSimonian-Laird random effects meta-analysis was performed.
    UNASSIGNED: Thirteen eligible studies were identified from five reviews and five more recent individual studies were also identified. IPS studies covered a range of groups with a concentration towards mental health. For the primary vocational outcome of job entry all IPS studies showed superior job entry rates compared to control groups with an overall weighted odds ratio of 1.78 [1.42,2.22]. Substantial heterogeneity was identified by study size and the overall weighted odds ratio of 1.32 [1.2,1.46] estimated from the large and medium sized studies seems a more plausible estimate of the likely effects of scaled-up IPS interventions in groups beyond severe mental health. Secondary vocational outcomes including job sustainment, total earnings, average weekly hours worked and time to job entry were typically superior in IPS services than control groups.
    UNASSIGNED: IPS services are consistently more effective in supporting diverse population groups into sustained employment compared to business-as-usual employment services. The evidence is limited by unclear terminology, small sample sizes, incomplete intervention fidelity, intervention contamination and inconsistent measurement.
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  • 文章类型: Journal Article
    背景:为了准确评估环境和公共卫生现场试验的证据,干预的背景和实施细节必须与试验结果权衡;然而,这些细节在水的报告中并不一致,卫生,卫生(WASH),限制证据的外部有效性。
    方法:为了量化WASH评估中的背景和实施情况报告水平,我们对最近10年(2012-2022年)发表的40项引用最多的WASH干预措施评价进行了范围审查.我们应用了对包括医疗保健和实施科学在内的其他部门的现有报告指南进行审查后得出的标准。我们随后回顾了主要文章,补充剂,协议,和其他相关资源,以评估背景和实施报告的彻底性。
    结果:在我们搜索的最后25个报告项目中,四个干预的名字,方法,location,和时间性-所有研究都报告了。五个项目-理论,实施者资格,剂量强度,瞄准,和测量的保真度-在超过三分之一的评论文章中没有报告。只有两项研究(5%)报告了我们清单中的所有项目。只有74%的项目是在主要文章中找到的,而其余的则在单独的论文中发现(7%)或根本没有(19%)。
    结论:关于WASH实施的不一致报告说明了该行业的一项重大挑战。很难知道实际上正在评估哪些干预措施以及如何比较评估结果。这种不一致和不完整的实现报告限制了程序员和决策者将可用证据应用于其上下文的能力。标准化报告准则将改善WASH实地评估证据的应用。
    BACKGROUND: To accurately assess evidence from environmental and public health field trials, context and implementation details of the intervention must be weighed with trial results; yet these details are under and inconsistently reported for water, sanitation, and hygiene (WASH), limiting the external validity of the evidence.
    METHODS: To quantify the level of reporting of context and implementation in WASH evaluations, we conducted a scoping review of the 40 most cited evaluations of WASH interventions published in the last 10 years (2012-2022). We applied criteria derived from a review of existing reporting guidance from other sectors including healthcare and implementation science. We subsequently reviewed main articles, supplements, protocols, and other associated resources to assess thoroughness of context and implementation reporting.
    RESULTS: Of the final 25 reporting items we searched for, four-intervention name, approach, location, and temporality-were reported by all studies. Five items-theory, implementer qualifications, dose intensity, targeting, and measured fidelity-were not reported in over a third of reviewed articles. Only two studies (5%) reported all items in our checklist. Only 74% of items were found in the main article, while the rest were found in separate papers (7%) or not at all (19%).
    CONCLUSIONS: Inconsistent reporting of WASH implementation illustrates a major challenge in the sector. It is difficult to know what interventions are actually being evaluated and how to compare evaluation results. This inconsistent and incomplete implementation reporting limits the ability of programmers and policy makers to apply the available evidence to their contexts. Standardized reporting guidelines would improve the application of the evidence for WASH field evaluations.
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  • 文章类型: Systematic Review
    本文已迁移。这篇文章被标记为推荐。
    背景:模拟训练可以有益于发展临床技能,而不会给患者带来风险。这篇综述考虑了有关用于教导桡骨远端(腕部)骨折的闭合复位(操纵)程序的模拟模型的文献,特别是高保真模型,以及支持使用此类模型的证据。
    方法:对Medline和Embase进行范围审查。
    结果:五篇文章描述了低保真度模型,主要集中在低成本和教学的基本原则。确定了三篇讨论高保真模型的文章和两篇评论文章。
    结论:Egan等人评估了对高保真模拟器的态度。(2013),他们发现大多数参与者都赞成将该模型用作教学工具,尽管参与者的选择可能存在偏见。Mayneetal.(2016)随后使用高保真模型,包括不透射线的标记和更客观的测量工具,以评估骨科学员的闭合复位技术和获得的骨折位置和铸造的充分性。资历与客观结构化技术技能评估(OSATS)和全球评分(GRS)的较高分数相关,但与骨折位置或铸造质量的放射学测量无关。超过90%的参与者实现了足够的减少。Seeley等人。(2017)使用放射学测量和完成任务的时间与另一种高保真减少模型。两个最有经验的参与者组无法在任何骨折复位的放射学措施或复位时间上进行区分。尽管这些组明显优于最初级的参与者.
    结论:所讨论的模型似乎有助于向没有经验的参与者传授程序的基本原理和步骤,但平台效应似乎限制了对更有经验的学习者的潜在益处。教育者的时间和财务成本的限制可能会影响此类模型在此类培训中的使用。
    This article was migrated. The article was marked as recommended.
    BACKGROUND: Simulation training can be beneficial for developing clinical skills without risks to patients. This review considers the literature on simulation models used for teaching closed reduction (manipulation) procedures for distal radius (wrist) fractures, particularly high-fidelity models, and the evidence supporting the use of such models.
    METHODS: A scoping review of Medline and Embase was performed.
    RESULTS: Five articles described low-fidelity models, predominantly focussing on low costs and teaching basic principles. Three articles and two commentary pieces discussing high-fidelity models were identified.
    CONCLUSIONS: Attitudes towards a high-fidelity simulator were assessed by Egan et al. (2013), who found the majority of participants to be in favour of the model\'s use as a teaching tool, although participant selection may have been subject to bias. Mayne et al. (2016) subsequently used a high-fidelity model including radio-opaque markers and more objective measurements tools to assess orthopaedic trainees\' closed reduction technique and adequacy of the achieved fracture position and casting. Seniority correlated with higher scores on objective structured assessment of technical skills (OSATS) and global rating scores (GRS) but not radiological measures of fracture position or cast quality, and over 90% of all participants achieved an adequate reduction. Seeley et al. (2017) used radiological measurements and time to task completion with another high-fidelity reduction model. The two most experienced participant groups could not be differentiated on any radiological measures of fracture reduction or on the time taken for reduction, although these groups were significantly better than the most junior participants.
    CONCLUSIONS: The discussed models appear helpful to teach inexperienced participants the basic principles and steps in a procedures but a plateau effect appears to limit the potential benefit to more experienced learners. The constraints of educators\' time and financial costs may influence the usage of such models in this type of training.
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  • 文章类型: Journal Article
    治疗完整性定义为根据特定理论模型实施治疗的程度。它包括两个组成部分:坚持,也就是说,治疗师实施理论模型规定的技术的程度,和能力,也就是说,治疗师熟练和适当地实施模型规定的技术的程度。最近,诚信问题在心理治疗研究中越来越重要,特别是试图阐明其在影响治疗效果方面的作用。然而,大多数研究都集中在个人环境上。因此,本系统综述旨在研究团体临床治疗的完整性与结局之间的关系.结果强调了组治疗完整性和结果之间的正相关关系。此外,这篇综述提供了对研究意义的见解,临床实践,和治疗师的培训,确定仍需要回答的问题,并追踪未来可能的研究方向。
    Treatment integrity is defined as the extent to which the treatment has been implemented according to a specific theoretical model. It consists of two components: adherence, that is, the degree to which the therapist implements the techniques prescribed by the theoretical model, and competence, that is, the degree to which the therapist skilfully and appropriately implements the techniques prescribed by the model. Recently, the issue of integrity is gaining increasing importance in psychotherapy research, especially in an attempt to clarify its role in influencing the effectiveness of treatments. However, most studies focus on the individual setting. Therefore, this systematic review aims at investigating the relationship between integrity and outcome in group clinical treatments. Results highlighted a positive relationship between group treatment integrity and outcome. Moreover, this review provided insights for implications for research, clinical practice, and training of therapists, identifying questions that still need to be answered and tracing possible future research directions.
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  • 文章类型: Journal Article
    测量反馈系统(MFS)可以帮助指导治疗和改善临床结果。MFS的研究在执行和结果上都是异构的,MFS的影响似乎受到对流程和实施要素的有限关注以及卫生专业人员的有限采用的限制。当前的系统综述描绘了MFS研究中过程和实施元素的使用。提供了治疗师对MFS的使用和态度的概述。三级荟萃分析用于测试理论上知情的过程和实施要素,作为MFS效果的调节因素。临床性能反馈干预理论(CP-FIT)的假设和一般命题用于组织研究要素,并用作调节变量。以前关于MFS干预的研究对实施工作和过程要素的关注有限,这些因素可能会增加MFS的效果及其在治疗师中的使用。很少做出努力来减少MFS使用的障碍,一些研究报告说,治疗师对MFS的参与有限。治疗师对MFS的态度,反馈,或标准化措施被异质报道,使数据合成具有挑战性。在研究中,确定的过程和实施要素与效应大小没有显着相关,结果不支持CP-FIT的命题。缺乏统计上显著的关联可能是由于关于过程和实施方面的细节报告有限。需要进行更多的研究来测试有关过程和实施元素的假设,以改善MFS的使用和效果。未来的研究应该渴望以一种能够理解实施过程和治疗师采用这些系统的方式报告发现。
    Measurement feedback systems (MFS) can help guide treatment and improve clinical outcomes. Studies of MFS are heterogeneous both in execution and results, and the effects of MFS seem restricted by limited attention to process and implementation elements and by limited adoption by health professionals. The current systematic review mapped the use of process and implementation elements in MFS studies. An overview of therapists\' use of and attitudes toward MFS is provided. Three-level meta-analyses were used to test theoretically informed process and implementation elements as moderators of the effects of MFS. Hypotheses and general propositions from Clinical Performance Feedback Intervention Theory (CP-FIT) were used to organize the elements of the studies and were used as moderator variables. Previous studies on MFS interventions have had a limited focus on implementation efforts and process elements that may increase the effects of MFS and their use among therapists. Efforts have sparsely been made to reduce barriers to MFS use, and several studies have reported limited engagement with MFS among therapists. Therapists\' attitudes toward MFS, feedback, or standardized measures were heterogeneously reported, making data synthesis challenging. Identified process and implementation elements were not significantly associated with effect sizes in the studies and the results did not support the propositions of CP-FIT. The lack of statistically significant associations may be due to limited reporting of details about process and implementation aspects. More research designed to test hypotheses regarding process and implementation elements is needed to improve the use and effects of MFS. Future studies should aspire to report findings in a manner that allows for an understanding of the implementation process and therapists\' adoption of these systems.
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  • 文章类型: Journal Article
    背景:Proctor及其同事在2011年的论文中提出了八个实施成果的分类法,并挑战了该领域,以解决专注于概念化的研究议程,测量,和理论建设。十年后,本文绘制了该领域在实施成果研究方面的进展。这个范围审查描述了每个实施结果是如何被研究的,使用的研究设计和方法,以及当前文献中所代表的背景和设置。我们还描述了实施成果在实施战略和其他成果方面的作用。
    方法:Arksey和O\'Malley进行范围审查的框架指导了我们的方法。使用正向引文跟踪,我们确定了所有引用2011年论文的文献。我们在WebofScience(WOS)数据库中进行了搜索,并添加了从出版商发送给第一作者的引文警报,为期6个月,与WOS引文搜索相吻合。这产生了1346个标题和摘要。最初的摘要筛选产生了480份手稿,全文审查产生了400份符合纳入标准的手稿(至少一项实施结果的实证评估).
    结果:略多于一半(52.1%)的收录手稿被检查为可接受性。保真度(39.3%),可行性(38.6%),采用率(26.5%),和适当性(21.8%)也被普遍检查。渗透率(16.0%),可持续性(15.8%),和费用(7.8%)的检查频率较低。32份手稿检查了原始分类法中未包括的实施结果。大多数研究发生在医疗保健(45.8%)或行为健康(22.5%)组织中。三分之二的人使用了观测设计。我们发现在测试实施战略和实施结果之间的关系方面几乎没有进展的证据,让我们没有准备好知道如何实现实施成功。此外,很少有研究测试实施结果对其他重要结果类型的影响,例如服务系统和改善个人或人口健康。
    结论:我们的综述提供了现有实施成果文献正在解决的研究问题的全面快照,并揭示了严格的需求,在未来10年的成果研究中,对实现实施成果的战略进行分析研究和测试。
    Proctor and colleagues\' 2011 paper proposed a taxonomy of eight implementation outcomes and challenged the field to address a research agenda focused on conceptualization, measurement, and theory building. Ten years later, this paper maps the field\'s progress in implementation outcomes research. This scoping review describes how each implementation outcome has been studied, research designs and methods used, and the contexts and settings represented in the current literature. We also describe the role of implementation outcomes in relation to implementation strategies and other outcomes.
    Arksey and O\'Malley\'s framework for conducting scoping reviews guided our methods. Using forward citation tracing, we identified all literature citing the 2011 paper. We conducted our search in the Web of Science (WOS) database and added citation alerts sent to the first author from the publisher for a 6-month period coinciding with the WOS citation search. This produced 1346 titles and abstracts. Initial abstract screening yielded 480 manuscripts, and full-text review yielded 400 manuscripts that met inclusion criteria (empirical assessment of at least one implementation outcome).
    Slightly more than half (52.1%) of included manuscripts examined acceptability. Fidelity (39.3%), feasibility (38.6%), adoption (26.5%), and appropriateness (21.8%) were also commonly examined. Penetration (16.0%), sustainability (15.8%), and cost (7.8%) were less frequently examined. Thirty-two manuscripts examined implementation outcomes not included in the original taxonomy. Most studies took place in healthcare (45.8%) or behavioral health (22.5%) organizations. Two-thirds used observational designs. We found little evidence of progress in testing the relationships between implementation strategies and implementation outcomes, leaving us ill-prepared to know how to achieve implementation success. Moreover, few studies tested the impact of implementation outcomes on other important outcome types, such as service systems and improved individual or population health.
    Our review presents a comprehensive snapshot of the research questions being addressed by existing implementation outcomes literature and reveals the need for rigorous, analytic research and tests of strategies for attaining implementation outcomes in the next 10 years of outcomes research.
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  • 文章类型: Journal Article
    II型糖尿病(T2D),是一个严重的健康问题,占全球死亡率的10.7%。全球80%的病例发生在低收入和中等收入国家(LMIC)。患病率迅速增加。糖尿病自我管理教育(DSME)是一项具有成本效益的计划,为高危人群提供他们需要的知识和技能,以适应生活方式的改变,从而改善他们的健康和福祉。本系统综述审查了DSME在LMICs中的应用,并确定了相应的实施结果(成本,保真度,接受,和采用)与在低资源环境中的成功实施相关。
    使用六个电子数据库(PubMed,Embase,科克伦,WebofScience,谷歌学者,PAIS,和EBSCO发现)在2022年10月至11月之间。符合搜索标准的文章随后被导入到EndNote和Covidence中进行分析。随机试验的CochraneRoB方法用于评估纳入研究的偏倚风险(RoB)。使用叙述性综合来总结结果。
    共有773项研究被输入用于筛查,在删除了203个重复项之后,570只剩下摘要和标题筛选导致487篇文章被排除在外,留下83供全文审查。经过全文审查,76篇文章被排除在外,发现7篇文章与我们的搜索相关。排除的最常见原因是研究设计(n=23),缺乏结果(n=14),和错误的患者群体(n=12)。
    我们的系统审查发现,DSME可以是LMIC中可接受且具有成本效益的解决方案。虽然我们打算分析成本,收养,可接受性,和忠诚,我们的调查显示,在这些领域的文献中存在差距,大多数研究侧重于可接受性和成本,没有研究确定保真度或采用率。为了进一步评估DSME的疗效并增强LMIC中T2D的健康结果,它的应用还需要更多的研究。
    osf.io/7482t。
    UNASSIGNED: Type II diabetes (T2D), is a serious health issue accounting for 10.7% of mortality globally. 80% of cases worldwide are found in low- and middle-income countries (LMIC), with rapidly increasing prevalence. Diabetes-self management education (DSME) is a cost-effective program that provides at-risk individuals with the knowledge and skills they need to adopt lifestyle changes that will improve their health and well-being. This systematic review examined the application of DSME in LMICs and identified the corresponding implementation results (cost, fidelity, acceptance, and adoption) associated with successful implementation in low-resource settings.
    UNASSIGNED: The available research on T2D and the use of DSME in LMIC were systematically searched for using six electronic databases (PubMed, Embase, Cochrane, Web of Science, Google Scholar, PAIS, and EBSCO Discovery) between the months of October and November of 2022. The articles that met the search criteria were subsequently imported into EndNote and Covidence for analysis. The Cochrane RoB methodology for randomized trials was used to evaluate the risk of bias (RoB) in the included studies. A narrative synthesis was used to summarize the results.
    UNASSIGNED: A total of 773 studies were imported for screening, after 203 duplicates were removed, 570 remained. Abstract and title screenings resulted in the exclusion of 487 articles, leaving 83 for full-text review. Following a full-text review, 76 articles were excluded and seven were found to be relevant to our search. The most common reasons for exclusion were study design (n = 23), lack of results (n = 14), and wrong patient population (n = 12).
    UNASSIGNED: Our systemic review found that DSME can be an acceptable and cost-effective solution in LMIC. While we intended to analyze cost, adoption, acceptability, and fidelity, our investigation revealed a gap in the literature on those areas, with most studies focusing on acceptability and cost and no studies identifying fidelity or adoption. To further evaluate the efficacy of DSME and enhance health outcomes for T2D in LMICs, more research is needed on its application.
    UNASSIGNED: osf.io/7482t.
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  • 文章类型: Journal Article
    高容量体外膜氧合(ECMO)中心通常比(新的)低容量ECMO中心具有更好的结果,最有可能通过适当接触ECMO病例来实现。要达到更高水平的训练,基于模拟的培训(SBT)为教育和扩展临床技能提供了额外的选择。SBT还可以帮助改善跨学科团队互动。然而,ECMO模拟器和/或模拟(ECMO模拟)技术的水平可能会有所不同。我们根据用户和开发人员的广泛经验,对可用的ECMOsims进行了结构化和客观的分类,mid-,或高保真。此分类基于整体ECMOSIM保真度,通过采用基于定义的保真度的中位数来建立,组件保真度,和由专家意见确定的定制保真度。根据这个新的分类,目前只有低保真度和中保真度ECMOsims可用。这种比较方法将来可能会用于描述ECMO模拟模拟新的发展,使ECMOSIM卡设计师成为可能,用户,和研究人员进行相应的比较,并最终改善ECMO患者的预后。
    High-volume extracorporeal membrane oxygenation (ECMO) centers generally have better outcomes than (new) low-volume ECMO centers, most likely achieved by a suitable exposure to ECMO cases. To achieve a higher level of training, simulation-based training (SBT) offers an additional option for education and extended clinical skills. SBT could also help to improve the interdisciplinary team interactions. However, the level of ECMO simulators and/or simulations (ECMO sims) techniques may vary in purpose. We present a structured and objective classification of ECMO sims based on the broad experience of users and the developer for the available ECMO sims as low-, mid-, or high-fidelity. This classification is based on overall ECMO sim fidelity, established by taking the median of the definition-based fidelity, component fidelity, and customization fidelity as determined by expert opinion. According to this new classification, only low- and mid-fidelity ECMO sims are currently available. This comparison method may be used in the future for the description of new developments in ECMO sims, making it possible for ECMO sim designers, users, and researchers to compare accordingly, and ultimately improve ECMO patient outcomes.
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  • 文章类型: Systematic Review
    人们对实施干预措施的保真度越来越感兴趣,因为从理论上讲,主持人更好的实施保真度与更好的参与者结果相关。然而,在育儿计划文献中,关于实施保真度和结果之间的关系,有混合的证据。本文提供了有关育儿计划文献中促进者交付与结果之间关系的证据的综合。按照PRISMA准则,本文综合了旨在减少暴力侵害儿童和儿童行为问题的育儿计划研究的系统综述结果。具体来说,它研究了促进者胜任力依从性的观察指标与父母和儿童结局之间的关联.由于研究的异质性,荟萃分析不可行。因此,遵循没有荟萃分析指南的综合。在电子数据库中搜索,引用搜索,正向引用跟踪,专家意见确定了9653篇文章。使用预先指定的标准进行筛选后,共包括18篇文章。该综述发现,大多数研究(n=13)报告与至少一个父母或子女结局具有统计学意义的正相关关系。然而,八项研究报告了不同结果的不一致发现,4项研究发现与结局无关.结果表明,更好的促进者胜任的依从性通常与积极的父母和子女结果相关。然而,纳入研究的方法学异质性以及研究概念化有能力的依从性-结果关系的方式多种多样,削弱了这一发现.
    There is increasing interest about the fidelity with which interventions are implemented because it is theorized that better implementation fidelity by facilitators is associated with better participant outcomes. However, in the parenting program literature, there is mixed evidence on the relationship between implementation fidelity and outcomes. This paper provides a synthesis of the evidence on the relationship between facilitator delivery and outcomes in the parenting program literature. Following PRISMA guidelines, this paper synthesizes the results of a systematic review of studies on parenting programs aiming to reduce violence against children and child behavior problems. Specifically, it examines associations between observational measures of facilitator competent adherence and parent and child outcomes. A meta-analysis was not feasible due to study heterogeneity. As a result, Synthesis Without Meta-Analysis guidelines were followed. Searches in electronic databases, reference searching, forward citation tracking, and expert input identified 9653 articles. After screening using pre-specified criteria, 18 articles were included. The review found that most studies (n = 13) reported a statistically significant positive relationship with at least one parent or child outcome. However, eight studies reported inconsistent findings across outcomes, and four studies found no association with outcomes. The results suggest that better facilitator competent adherence is generally associated with positive parent and child outcomes. However, this finding is weakened by the methodological heterogeneity of included studies and due to the wide variety of ways in which studies conceptualized competent adherence-outcome relationships.
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  • 文章类型: Systematic Review
    对有关评估优质体育教育(QPE)计划的实施情况以及最终阶段小学学生对体育教育(ATPE)的态度的相关结果的文献进行了范围审查,身体活动行为(PAB),心理健康(MWB)和学业成绩(AA)。范围审查包括2000年至2020年在PubMed上发表的研究,Elsevier,SCOPUS和CINAHL数据库,并根据PRISMA扩展范围审查指南完成。根据纳入标准,2869项研究中有15项纳入了审查。采用专题分析法对小学QPE课程特点的共同主题研究进行归纳和演绎分析,来自九个不同的国家,考虑到四个结果维度(ATPE,PAB,MWB和AA)。在所有四个方面被确定为QPE特征的共同主题如下:(1)政府领导;(2)体育课程;(3)学校校长和领导者;(4)学校领导的组织管理;(5)教师;(6)父母参与;(7)社区伙伴关系。基于这些发现,就小学QPE评估框架提出了建议。
    A scoping review was carried out on the literature relating to the evaluation of the implementation of quality physical education (QPE) programmes and related outcomes on final-stage primary-level pupils\' attitudes towards physical education (ATPE), physical activity behaviour (PAB), mental wellbeing (MWB) and academic achievement (AA). The scoping review included studies published between 2000 and 2020 in the PubMed, Elsevier, SCOPUS and CINAHL databases and was completed in accordance with the PRISMA extension for scoping reviews\' guidelines. Based on the inclusion criteria, 15 out of 2869 studies were included in the review. A thematic analysis was used to inductively and deductively analyse the studies for common themes of features of QPE programmes in primary schools, arising from nine different countries, considering the four outcome dimensions (ATPE, PAB, MWB and AA). The common themes identified as features of QPE across all four dimensions were as follows: (1) government leadership; (2) PE curriculum; (3) school principal and leaders; (4) organisational management from leadership in school; (5) teachers; (6) parental involvement; and (7) community partnerships. Based on these findings, recommendations were made for an evaluation framework on QPE in primary education.
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