Evidence map›Paper›PMID 32947851›Full record

SynthesisInternational journal of environmental research and public health2020

The Effectiveness of Educational Training or Multicomponent Programs to Prevent the Use of Physical Restraints in Nursing Home Settings: A Systematic Review and Meta-Analysis of Experimental Studies.

Anna Brugnolli, Federica Canzan, Luigina Mortari, Luisa Saiani, Elisa Ambrosi, Martina Debiasi

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Exploring the Safewards Programme to Reduce Restrictive Practices in Residential Aged Care: Protocol for a Pilot and Feasibility Study.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  5. Nursing Ethical Decision Making on Adult Physical Restraint: A Scoping Review.International journal of environmental research and public health · 2024
    Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Attitudes of Nursing Staff in Hospitals towards Restraint Use: A Cross-Sectional Study.International journal of environmental research and public health · 2022
    Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Anna BrugnolliCentre of Higher Education for Health Sciences, 38122 Trento, Italy.
Federica CanzanDepartment of Diagnostics and Public Health, University of Verona, 37134 Verona, Italy.
Luigina MortariDepartment of Human Sciences, University of Verona, 37134 Verona, Italy.
Luisa SaianiDepartment of Diagnostics and Public Health, University of Verona, 37134 Verona, Italy.
Elisa AmbrosiDepartment of Diagnostics and Public Health, University of Verona, 37134 Verona, Italy.ORCID 0000-0003-0336-5956
Martina DebiasiCentre of Higher Education for Health Sciences, 38122 Trento, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This review assesses the effectiveness of interventions to reduce physical restraint (PR) use in older people living in nursing homes or residential care facilities. A systematic search of studies published in four electronic databases (MEDLINE, CINHAL, PsycINFO, Cochrane Central Register of Controlled Trials). The review included individual and cluster randomized controlled trials that compared educational training and multicomponent programs to avoid PR use. Risk bias of randomized controlled trials (RCTs) was assessed according to the Cochrane Handbook for Systematic Reviews of Interventions. This review includes 16 studies in a qualitative synthesis that met the inclusion criteria, nine of them offered a multicomponent program and seven offered only educational training. The results of the 12 studies included in the meta-analysis showed a significant trend in favor of intervention over time and intensity of PR use tends to decrease. The review indicates that educational programs and other supplementary interventions should be effective, but the heterogeneous operative definition of physical restraints can make difficult data generalization.

Indexed as

Nursing HomesQuality of LifeRestraint, PhysicalAgedAged, 80 and overHumansLongitudinal StudiesSingle-Blind Methodmeta-analysisnursing homesolder peoplephysical restraintsystematic review

Identifiers

PMID32947851
PMCPMC7558973

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.