cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.26927184.v1
title: Perceived factors influencing the success of pain neuroscience education in chronic musculoskeletal pain: a meta-synthesis of qualitative studies

description: We aimed to identify the factors influencing the success of Pain Neuroscience Education (PNE) in chronic musculoskeletal (MSK) pain from the perspective of those experiencing PNE first-hand. We conducted a meta-synthesis of qualitative studies. Articles were found on MEDLINE <i>via</i> Pubmed, EMBASE, Cochrane Library, CINHAL, and PsycINFO up to April 2023. Eligible qualitative studies focussed on adults (&gt;16 years old) with a diagnosis of chronic primary or secondary MSK pain who performed PNE. Thematic synthesis by Thomas and Harden was followed. The Critical Appraisal Skills Programme (CASP) tool ensured the quality of the studies, while the Confidence in Evidence from the Reviews of Qualitative Research (CERQual) approach facilitated data confidence assessment. Nine studies were included (188 participants). Three analytical themes were developed: (i) “Efficient Communication of Information”, emphasising the importance of accurate content transmission; (ii) “Emotional Support and Well-being”, recognising emotional aspects as integral to treatment; and (iii) “Empowerment Promotion”, focusing on information retention and personal transformation. The studies showed good quality, with moderate confidence in the evidence. The perceived factors influencing the success of PNE are intricately related to the domain of communication, the emotional dimension of personal experience, and the capacity to be empowered. Tailoring interventions to pain experiences, preferences, and emotions is key for the success of pain neuroscience education;A personalised approach is crucial for effective pain neuroscience education, emphasising the need to understand and address the specific aspects of each patient’s pain journey. Tailoring interventions to pain experiences, preferences, and emotions is key for the success of pain neuroscience education; A personalised approach is crucial for effective pain neuroscience education, emphasising the need to understand and address the specific aspects of each patient’s pain journey.
DOI: 10.6084/m9.figshare.28255018
title: Exploration of hospital room design on emotions, activity, and social connections after stroke: a qualitative study of patient experiences using virtual reality

description: Stroke patients are rarely asked about their responses to specific design attributes. Virtual reality (VR) offers a promising tool to explore how hospital environments are experienced after stroke. To gather perspectives and emotional responses regarding physical design attributes of hospital patient rooms after stroke. We developed a ‘VR experience’ for adult stroke patients in both single and multi-patient room designs, with four additional physical design attributes: <i>spaciousness</i>, <i>greenery outlook</i>, <i>night-time noise</i>, and <i>design attributes for social connectivity e.g. furnishings</i>. A qualitative study approach involved semi-structured interviewing, that followed immersion in the VR patient room designs. Qualitative descriptive and thematic analysis was done. (Australian New Zealand Clinical Trials Registry, Trial Id: ACTRN12620000375954). Thirty-five stroke patients participated (April 2019–March 2020). Interviews yielded three themes and ten sub-themes. Themes were: (1) action and care supported by design and layout, such as ease of movement; (2) connection to people, nature, and place, emphasising social interaction and greenery; and (3) control of the environment, involving attributes like space. Findings showed how physical design attributes enhance movement accessibility, promote social interaction, or provide sensory comfort. Using VR allowed rich, detailed feedback from patients, offering valuable insights for designing hospital environments. Placement of recognisable furnishings, configuration of spaces in patient rooms, and quiet private spaces are perceived as supporting social interactions and movement.Positive distractors of greenery exposure, outdoor views, and human-based sounds support restorative opportunities from clinical care tasks.Noise, intrusive presence of other people in own space, and difficult access to technology/personal effects contribute to discomfort.Addressing emotions and social connectivity through environment design might prime social and physical activity for optimal brain recovery and repair. Placement of recognisable furnishings, configuration of spaces in patient rooms, and quiet private spaces are perceived as supporting social interactions and movement. Positive distractors of greenery exposure, outdoor views, and human-based sounds support restorative opportunities from clinical care tasks. Noise, intrusive presence of other people in own space, and difficult access to technology/personal effects contribute to discomfort. Addressing emotions and social connectivity through environment design might prime social and physical activity for optimal brain recovery and repair.
DOI: 10.6084/m9.figshare.28255018.v1
title: Exploration of hospital room design on emotions, activity, and social connections after stroke: a qualitative study of patient experiences using virtual reality

description: Stroke patients are rarely asked about their responses to specific design attributes. Virtual reality (VR) offers a promising tool to explore how hospital environments are experienced after stroke. To gather perspectives and emotional responses regarding physical design attributes of hospital patient rooms after stroke. We developed a ‘VR experience’ for adult stroke patients in both single and multi-patient room designs, with four additional physical design attributes: <i>spaciousness</i>, <i>greenery outlook</i>, <i>night-time noise</i>, and <i>design attributes for social connectivity e.g. furnishings</i>. A qualitative study approach involved semi-structured interviewing, that followed immersion in the VR patient room designs. Qualitative descriptive and thematic analysis was done. (Australian New Zealand Clinical Trials Registry, Trial Id: ACTRN12620000375954). Thirty-five stroke patients participated (April 2019–March 2020). Interviews yielded three themes and ten sub-themes. Themes were: (1) action and care supported by design and layout, such as ease of movement; (2) connection to people, nature, and place, emphasising social interaction and greenery; and (3) control of the environment, involving attributes like space. Findings showed how physical design attributes enhance movement accessibility, promote social interaction, or provide sensory comfort. Using VR allowed rich, detailed feedback from patients, offering valuable insights for designing hospital environments. Placement of recognisable furnishings, configuration of spaces in patient rooms, and quiet private spaces are perceived as supporting social interactions and movement.Positive distractors of greenery exposure, outdoor views, and human-based sounds support restorative opportunities from clinical care tasks.Noise, intrusive presence of other people in own space, and difficult access to technology/personal effects contribute to discomfort.Addressing emotions and social connectivity through environment design might prime social and physical activity for optimal brain recovery and repair. Placement of recognisable furnishings, configuration of spaces in patient rooms, and quiet private spaces are perceived as supporting social interactions and movement. Positive distractors of greenery exposure, outdoor views, and human-based sounds support restorative opportunities from clinical care tasks. Noise, intrusive presence of other people in own space, and difficult access to technology/personal effects contribute to discomfort. Addressing emotions and social connectivity through environment design might prime social and physical activity for optimal brain recovery and repair.
DOI: 10.6084/m9.figshare.29008715
title: Motivational interviewing to facilitate goal setting in rehabilitation: a feasibility study

description: To investigate the feasibility of using embedded motivational interviewing (MI) to develop patient-centred goals in rehabilitation. Sixty adults (mean age 68 years, 60% female) referred with any health condition for community rehabilitation and four MI trained clinicians participated to inform feasibility of embedding motivational interviewing in goal setting to facilitate patient-centred discussions. Feasibility domains of acceptability, demand, implementation (including MI fidelity), practicality and limited efficacy were evaluated. Over the 14-month recruitment period, 70 patients were eligible and 60 agreed to participate (86% uptake). Patient participants reported high levels of acceptance (median 10/10, IQR 9 to 10) and identified a median of 2 (IQR 2 to 4) patient-centred goals, of which 69% were achieved at discharge. MI goal setting took a median of 20 mins (IQR 17 to 24) and most commonly occurred during the second rehabilitation session (<i>n</i> = 28, 47%). There were no adverse events and no instances where goal setting was incomplete. Clinicians proficiently integrated MI into clinical practice and supported the application of MI within routine rehabilitation goal setting. Integrating motivational interviewing into rehabilitation goal setting was a feasible way to elicit patient-centred goals, which were accepted by patients and rehabilitation clinicians. Integrating motivational interviewing (MI) within rehabilitation goal setting was acceptable to patients and allied health cliniciansMI facilitated collaborative discussions to elicit meaningful patient-centred rehabilitation goalsRehabilitation clinicians can feasibly and proficiently integrate MI into goal setting discussions and see value in continuing to use this approach as part of usual careWhile feasible, further consideration is required to determine the effectiveness of MI-informed goal setting before it could be recommended to be implemented into routine rehabilitation practice Integrating motivational interviewing (MI) within rehabilitation goal setting was acceptable to patients and allied health clinicians MI facilitated collaborative discussions to elicit meaningful patient-centred rehabilitation goals Rehabilitation clinicians can feasibly and proficiently integrate MI into goal setting discussions and see value in continuing to use this approach as part of usual care While feasible, further consideration is required to determine the effectiveness of MI-informed goal setting before it could be recommended to be implemented into routine rehabilitation practice
DOI: 10.6084/m9.figshare.29008715.v1
title: Motivational interviewing to facilitate goal setting in rehabilitation: a feasibility study

description: To investigate the feasibility of using embedded motivational interviewing (MI) to develop patient-centred goals in rehabilitation. Sixty adults (mean age 68 years, 60% female) referred with any health condition for community rehabilitation and four MI trained clinicians participated to inform feasibility of embedding motivational interviewing in goal setting to facilitate patient-centred discussions. Feasibility domains of acceptability, demand, implementation (including MI fidelity), practicality and limited efficacy were evaluated. Over the 14-month recruitment period, 70 patients were eligible and 60 agreed to participate (86% uptake). Patient participants reported high levels of acceptance (median 10/10, IQR 9 to 10) and identified a median of 2 (IQR 2 to 4) patient-centred goals, of which 69% were achieved at discharge. MI goal setting took a median of 20 mins (IQR 17 to 24) and most commonly occurred during the second rehabilitation session (<i>n</i> = 28, 47%). There were no adverse events and no instances where goal setting was incomplete. Clinicians proficiently integrated MI into clinical practice and supported the application of MI within routine rehabilitation goal setting. Integrating motivational interviewing into rehabilitation goal setting was a feasible way to elicit patient-centred goals, which were accepted by patients and rehabilitation clinicians. Integrating motivational interviewing (MI) within rehabilitation goal setting was acceptable to patients and allied health cliniciansMI facilitated collaborative discussions to elicit meaningful patient-centred rehabilitation goalsRehabilitation clinicians can feasibly and proficiently integrate MI into goal setting discussions and see value in continuing to use this approach as part of usual careWhile feasible, further consideration is required to determine the effectiveness of MI-informed goal setting before it could be recommended to be implemented into routine rehabilitation practice Integrating motivational interviewing (MI) within rehabilitation goal setting was acceptable to patients and allied health clinicians MI facilitated collaborative discussions to elicit meaningful patient-centred rehabilitation goals Rehabilitation clinicians can feasibly and proficiently integrate MI into goal setting discussions and see value in continuing to use this approach as part of usual care While feasible, further consideration is required to determine the effectiveness of MI-informed goal setting before it could be recommended to be implemented into routine rehabilitation practice
DOI: 10.6084/m9.figshare.28497599
title: Effectiveness of activity-based interventions for improving independence and mobility in spinal cord injury: a meta-analysis

description: This study aimed to further investigate the effectiveness of activity-based interventions (ABI) for individuals with spinal cord injury (SCI). A systematic literature search was conducted in eight electronic databases up to 1 January, 2024. Standardized mean difference (SMD) or MD with 95% confidence intervals (CI) was used to express the estimates of the effectiveness of ABI. Compared to controls, ABI for lower limbs does not significantly improve independence, but it does improve mobility; however, ABI for upper limbs significantly improve independence and mobility. In the intermediate SCI subgroup, the ABI group suggested significant improvement in functional independence and mobility. In the chronic SCI subgroup, the ABI group did not show improvement in independence, but it suggested significant improvement in mobility. Nevertheless, the ABI group did not show statistically significant differences for independence and mobility in the acute SCI subgroup. Moreover, the application of ABI was not associated with an improvement in quality of life but significantly improved 6-minute walk test (6-MWT) and 10-meter walk test (10MWT). Except for ABI for lower limbs for independence, meta-analyses for the remaining outcomes were free of publication bias. Application of ABI may benefit SCI individuals by improving independence, mobility, 6MWT, and 10MWT. Original studies regarding activity-based interventions (ABI) for spinal cord injury (SCI) were investigated via Meta-analysis.ABI improved functional independence and mobility of upper limbs as well as mobility for lower limbs, while improvement of independence for lower limbs was not investigated.ABI significantly improved 6-minute walk test (6MWT) and 10-meter walk test (10MWT), but had no effect on quality of life.Rehabilitation professionals should incorporate ABI to improve walking speed in individuals with SCIs. Original studies regarding activity-based interventions (ABI) for spinal cord injury (SCI) were investigated via Meta-analysis. ABI improved functional independence and mobility of upper limbs as well as mobility for lower limbs, while improvement of independence for lower limbs was not investigated. ABI significantly improved 6-minute walk test (6MWT) and 10-meter walk test (10MWT), but had no effect on quality of life. Rehabilitation professionals should incorporate ABI to improve walking speed in individuals with SCIs.
DOI: 10.6084/m9.figshare.28497599.v1
title: Effectiveness of activity-based interventions for improving independence and mobility in spinal cord injury: a meta-analysis

description: This study aimed to further investigate the effectiveness of activity-based interventions (ABI) for individuals with spinal cord injury (SCI). A systematic literature search was conducted in eight electronic databases up to 1 January, 2024. Standardized mean difference (SMD) or MD with 95% confidence intervals (CI) was used to express the estimates of the effectiveness of ABI. Compared to controls, ABI for lower limbs does not significantly improve independence, but it does improve mobility; however, ABI for upper limbs significantly improve independence and mobility. In the intermediate SCI subgroup, the ABI group suggested significant improvement in functional independence and mobility. In the chronic SCI subgroup, the ABI group did not show improvement in independence, but it suggested significant improvement in mobility. Nevertheless, the ABI group did not show statistically significant differences for independence and mobility in the acute SCI subgroup. Moreover, the application of ABI was not associated with an improvement in quality of life but significantly improved 6-minute walk test (6-MWT) and 10-meter walk test (10MWT). Except for ABI for lower limbs for independence, meta-analyses for the remaining outcomes were free of publication bias. Application of ABI may benefit SCI individuals by improving independence, mobility, 6MWT, and 10MWT. Original studies regarding activity-based interventions (ABI) for spinal cord injury (SCI) were investigated via Meta-analysis.ABI improved functional independence and mobility of upper limbs as well as mobility for lower limbs, while improvement of independence for lower limbs was not investigated.ABI significantly improved 6-minute walk test (6MWT) and 10-meter walk test (10MWT), but had no effect on quality of life.Rehabilitation professionals should incorporate ABI to improve walking speed in individuals with SCIs. Original studies regarding activity-based interventions (ABI) for spinal cord injury (SCI) were investigated via Meta-analysis. ABI improved functional independence and mobility of upper limbs as well as mobility for lower limbs, while improvement of independence for lower limbs was not investigated. ABI significantly improved 6-minute walk test (6MWT) and 10-meter walk test (10MWT), but had no effect on quality of life. Rehabilitation professionals should incorporate ABI to improve walking speed in individuals with SCIs.
DOI: 10.6084/m9.figshare.28053209
title: Responders COPD patients to two different home-based rehabilitation programs: a blind, randomized, and controlled clinical trial

description: To verify the number of patients with COPD responders to two different home-based rehabilitation programs. This was a blinded, randomized, and controlled clinical trial. The six-minute step test (6MST), one-minute sit-stand test (1-MSTST), six-minute walk test (6MWT), COPD Assessment Test (CAT), modified Medical Research Council (mMRC), monitoring of physical activity in daily life, and isometric quadriceps muscle strength were assessed pre- and post-intervention. A total of 50 patients were randomized into two groups: hybrid rehabilitation (HR), consisting of supervised physical exercise once a week associated with exercises at home, and home-based rehabilitation (HBR), which consisted of a single meeting for guidance related to the physical exercises prescribed. Significant differences (<i>p</i> &lt; 0.05) were observed in the following parameters post-intervention and between groups: 6MST (HR = 67.1 ± 25.7 to 93.5 ± 37.2; HBR = 69.6 ± 19.5 to 82.3 ± 25.2 steps), 6MWT (HR = 367.7 ± 84 to 433.2 ± 88.8; HBR = 396.2 ± 97.2 to 418.3 ± 83.8 m), CAT (HR = 19.5 ± 6.8 to 13.0 ± 7.8; HBR = 17.0 ± 7.6 to 15.0 ± 10 points), and mMRC (HR = 2[2-3] to 1[1-2]; HBR = 2[2-3] to 2[1-3] points). However, the response rate was 80% in the HR and 50% in the HBR. Both pulmonary rehabilitation programs improved physical capacity, alleviated dyspnea, and reduced the impact of the disease on health status; however, the number of responders was higher in the HR. Hybrid rehabilitation (HR) and home-based rehabilitation (HBR), tested and implemented based on the performance in functional tests, improve physical capacity, the sensation of dyspnea, and quality of life of patients with chronic obstructive pulmonary disease (COPD). Hybrid rehabilitation (HR) and home-based rehabilitation (HBR), could be recommended as alternatives to conventional pulmonary rehabilitation (PR). Home-based PR programs, individually prescribed based on functional tests, may be accessible options for the rehabilitation of patients with COPD under no treatment.
DOI: 10.6084/m9.figshare.28053209.v1
title: Responders COPD patients to two different home-based rehabilitation programs: a blind, randomized, and controlled clinical trial

description: To verify the number of patients with COPD responders to two different home-based rehabilitation programs. This was a blinded, randomized, and controlled clinical trial. The six-minute step test (6MST), one-minute sit-stand test (1-MSTST), six-minute walk test (6MWT), COPD Assessment Test (CAT), modified Medical Research Council (mMRC), monitoring of physical activity in daily life, and isometric quadriceps muscle strength were assessed pre- and post-intervention. A total of 50 patients were randomized into two groups: hybrid rehabilitation (HR), consisting of supervised physical exercise once a week associated with exercises at home, and home-based rehabilitation (HBR), which consisted of a single meeting for guidance related to the physical exercises prescribed. Significant differences (<i>p</i> &lt; 0.05) were observed in the following parameters post-intervention and between groups: 6MST (HR = 67.1 ± 25.7 to 93.5 ± 37.2; HBR = 69.6 ± 19.5 to 82.3 ± 25.2 steps), 6MWT (HR = 367.7 ± 84 to 433.2 ± 88.8; HBR = 396.2 ± 97.2 to 418.3 ± 83.8 m), CAT (HR = 19.5 ± 6.8 to 13.0 ± 7.8; HBR = 17.0 ± 7.6 to 15.0 ± 10 points), and mMRC (HR = 2[2-3] to 1[1-2]; HBR = 2[2-3] to 2[1-3] points). However, the response rate was 80% in the HR and 50% in the HBR. Both pulmonary rehabilitation programs improved physical capacity, alleviated dyspnea, and reduced the impact of the disease on health status; however, the number of responders was higher in the HR. Hybrid rehabilitation (HR) and home-based rehabilitation (HBR), tested and implemented based on the performance in functional tests, improve physical capacity, the sensation of dyspnea, and quality of life of patients with chronic obstructive pulmonary disease (COPD). Hybrid rehabilitation (HR) and home-based rehabilitation (HBR), could be recommended as alternatives to conventional pulmonary rehabilitation (PR). Home-based PR programs, individually prescribed based on functional tests, may be accessible options for the rehabilitation of patients with COPD under no treatment.