Exploring the impact of information and communication technologies on loneliness and social isolation in community-dwelling older adults: a scoping review of reviews.

BACKGROUND: Recognizing the escalating public health concerns of loneliness and social isolation in aging populations, this study seeks to comprehensively explore the potential of information and communication technology (ICT)-based interventions to address these issues among older adults. This scoping review of reviews aims to map and synthesize existing evidence on the effectiveness and scope of ICT interventions targeting loneliness and social isolation in community-dwelling older adults, elucidating types of technology, impacts, facilitators, barriers, and research gaps. METHODS: Following the Joanna Briggs Institute framework, we systematically searched eight diverse databases identifying relevant published reviews. We included English-written, peer-reviewed reviews of all types, with no limits regarding time of publication about ICTs targeting loneliness and/or social isolation for community-dwelling older adults. Eligible reviews were analysed and summarized, offering a holistic narrative of the reported types of ICTs and their impact, the identified facilitators and barriers influencing the implementation and adoption of ICT interventions, and the research gaps identified in the literature. RESULTS: The review included 39 publications published between 2012 and 2024, spanning systematic, scoping, and reviews of reviews. Various ICTs were reported, primarily social media virtual communities, followed by video-mediated friendly visits, conversational agents, social robots, exergames and online gameplay. Predominantly positive impacts on mitigating social isolation and loneliness were evident for these ICTs, although methodological diversity and contradictory findings complicated definite conclusions. Facilitators and barriers encompassed individual competencies, access and usage, and intervention design and implementation. Research gaps involved targeting specific subgroups, exploring innovative technologies, incorporating diverse study designs, improving research methodologies, and addressing usability and accessibility. Future research should focus on identifying elderly individuals who can benefit the most from ICT use, exploring novel technologies, using a wider range of study designs, and enhancing usability and accessibility considerations. CONCLUSIONS: This review sheds light on the diverse range of ICTs, their impact, and the facilitators and barriers associated with their use. Future investigations should prioritize refining outcome measures, addressing gender differences, and enhancing the usability and accessibility of interventions. The involvement of older adults in the design process and the exploration of technological training interventions hold promise in overcoming barriers.

Longitudinal Coadaptation of Older Adults With Wearables and Voice-Activated Virtual Assistants: Scoping Review.

BACKGROUND: The integration of smart technologies, including wearables and voice-activated devices, is increasingly recognized for enhancing the independence and well-being of older adults. However, the long-term dynamics of their use and the coadaptation process with older adults remain poorly understood. This scoping review explores how interactions between older adults and smart technologies evolve over time to improve both user experience and technology utility. OBJECTIVE: This review synthesizes existing research on the coadaptation between older adults and smart technologies, focusing on longitudinal changes in use patterns, the effectiveness of technological adaptations, and the implications for future technology development and deployment to improve user experiences. METHODS: Following the Joanna Briggs Institute Reviewer's Manual and PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines, this scoping review examined peer-reviewed papers from databases including Ovid MEDLINE, Ovid Embase, PEDro, Ovid PsycINFO, and EBSCO CINAHL from the year 2000 to August 28, 2023, and included forward and backward searches. The search was updated on March 1, 2024. Empirical studies were included if they involved (1) individuals aged 55 years or older living independently and (2) focused on interactions and adaptations between older adults and wearables and voice-activated virtual assistants in interventions for a minimum period of 8 weeks. Data extraction was informed by the selection and optimization with compensation framework and the sex- and gender-based analysis plus theoretical framework and used a directed content analysis approach. RESULTS: The search yielded 16,143 papers. Following title and abstract screening and a full-text review, 5 papers met the inclusion criteria. Study populations were mostly female participants and aged 73-83 years from the United States and engaged with voice-activated virtual assistants accessed through smart speakers and wearables. Users frequently used simple commands related to music and weather, integrating devices into daily routines. However, communication barriers often led to frustration due to devices' inability to recognize cues or provide personalized responses. The findings suggest that while older adults can integrate smart technologies into their lives, a lack of customization and user-friendly interfaces hinder long-term adoption and satisfaction. The studies highlight the need for technology to be further developed so they can better meet this demographic's evolving needs and call for research addressing small sample sizes and limited diversity. CONCLUSIONS: Our findings highlight a critical need for continued research into the dynamic and reciprocal relationship between smart technologies and older adults over time. Future studies should focus on more diverse populations and extend monitoring periods to provide deeper insights into the coadaptation process. Insights gained from this review are vital for informing the development of more intuitive, user-centric smart technology solutions to better support the aging population in maintaining independence and enhancing their quality of life. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.2196/51129.

Exploring the structure of relative age effects research using citation network analysis.

Since the 1980s, research on relative age effects (RAEs) consistently shows that relatively older individuals are advantaged in sport and other contexts. With the recent proliferation of studies on RAEs, periodic knowledge synthesis becomes imperative. Our purpose was to conduct a cross-disciplinary citation network analysis of RAEs literature to enhance our knowledge of RAEs citation structures and the interconnectivity of RAEs studies. We analysed 484 RAEs articles found in Web of Science that were published before 2022. Descriptive results revealed a 12.6% annual growth rate for total RAEs articles published since 1980. The articles appeared in 151 journals, had 1,180 unique authors, and averaged 23.9 citations received. Three theoretical/review papers had the most substantial influence on the field. For the conceptual structure of the field, it was apparent that RAEs research focused mainly on sport performance, maturity, and competition. Regarding intellectual structure, three distinct clusters of articles were cited together, and 13 authorship clusters were detected with few between-cluster connections. The results describe a field with productivity but little interconnectivity among authors and papers. We offer insights into this trend and the role that influential authors/articles have in the field.

Searches as data: archiving and sharing search strategies using an institutional data repository.

Background: By defining search strategies and related database exports as code/scripts and data, librarians and information professionals can expand the mandate of research data management (RDM) infrastructure to include this work. This new initiative aimed to create a space in McGill University's institutional data repository for our librarians to deposit and share their search strategies for knowledge syntheses (KS). Case Presentation: The authors, a health sciences librarian and an RDM specialist, created a repository collection of librarian-authored knowledge synthesis (KS) searches in McGill University's Borealis Dataverse collection. We developed and hosted a half-day "Dataverse-a-thon" where we worked with a team of health sciences librarians to develop a standardized KS data management plan (DMP), search reporting documentation, Dataverse software training, and howto guidance for the repository. Conclusion: In addition to better documentation and tracking of KS searches at our institution, the KS Dataverse collection enables sharing of searches among colleagues with discoverable metadata fields for searching within deposited searches. While the initial creation of the DMP and documentation took about six hours, the subsequent deposit of search strategies into the institutional data repository requires minimal effort (e.g., 5-10 minutes on average per deposit). The Dataverse collection also empowers librarians to retain intellectual ownership over search strategies as valuable stand-alone research outputs and raise the visibility of their labor. Overall, institutional data repositories provide specific benefits in facilitating compliance both with PRISMA-S guidance and with RDM best practices.

Thematic description of factors linked with extended-spectrum beta-lactamase-producing Enterobacteriaceae in humans.

Background: Extended-spectrum beta-lactamase (ESBL)-producing Enterobacteriaceae are associated with serious antimicrobial-resistant infections in Canadians. Humans are exposed to ESBL-producing Enterobacteriaceae through many interconnected pathways. To better protect Canadians, it is important to generate an understanding of which sources and activities contribute most to ESBL exposure and infection pathways in Canada. Objective: The aims of this scoping review were to thematically describe factors potentially associated with ESBL-producing Enterobacteriaceae colonization, carriage and/or infection in humans from countries with a very high human development index and describe the study characteristics. Methods: Four databases (PubMed, CAB Direct, Web of Science, EBSCOhost) were searched to retrieve potentially relevant studies. Articles were screened for inclusion, and factors were identified, grouped thematically and described. Results: The review identified 381 relevant articles. Factors were grouped into 13 themes: antimicrobial use, animals, comorbidities and symptoms, community, demographics, diet and substance use, health care, household, occupation, prior ESBL colonization/carriage/infection, residential care, travel, and other. The most common themes reported were demographics, health care, antibiotic use and comorbidities and symptoms. Most articles reported factors in hospital settings (86%) and evaluated factors for ESBL-producing Enterobacteriaceae infections (52%). Conclusion: This scoping review provided valuable information about which factor themes have been well described (e.g., health care) and which have been explored less frequently (e.g., diet or animal contact). Themes identified spanned human, animal and environmental contexts and settings, supporting the need for a diversity of perspectives and a multisectoral approach to mitigating exposure to antimicrobial resistance.

An inferential spatiotemporal approach for knowledge synthesis to identify trends in public health research.

Background: Decisions follow patterns that are introduced by human perception. Research and development (R&D) are influenced by these patterns. Furthermore, R&D publications can represent repetitive attempts to solve similar, or the same problems. Literature reviews serve as an important tool for identifying these trends, but they are time consuming. The time commitment of a literature review can be reduced by using a sample of research. This will allow an infinite population of research to be generalized. Additionally, spatiotemporal analysis is most appropriate for fields that follow time and geographic trends, such as public health. Also, using research locations to perform this analysis potentially captures the social return of R&D, as knowledge gained. As a result, an inferential spatiotemporal methodological framework is introduced to quickly identify research trends using public health research. This was applied to a childhood Pb exposure case study. Methods: A body of more than 1000 childhood elevated blood lead (Pb) level (EBLL) research articles were used to extract publication years, research locations, and subtopics. These publications were grouped into research locations (i.e., U.S. states where research was conducted; not publication location) and averaged over years published (i.e., 29 years). Binary indicator variables were derived using the subtopics extracted and the periods identified in time trend analyses. Explanatory variables were used to conduct hypothesis testing. Significant variables were used to generalize the population of the annual average EBLL articles written per state. Results: The range of the annual average of EBLL research articles by state was 0-1.7 articles, with a mean of 0.3 articles. Thirty-eight explanatory variables suggested a significant effect on research article production. These included temporal, sociodemographic, education, structure age, environmental, and economic variables. The strongest effect on research production for U.S. states came from the number of structures built before 1950. A predictive model was selected to generalize the population of articles using time-periods 1990-95, environmental subtopic, and structures built before 1950. The locations with the most research production for this topic were California and New York. The locations with the least research production for this topic were Alaska, Hawaii, Nevada, Wyoming, North Dakota, South Dakota, Mississippi, Delaware, and New Hampshire. Conclusion: If the trend for R&D is to make fast decisions, more human bias will be introduced into the decision-making process. Analytical tools that enable researchers to identify trends and ask more questions about their field will mitigate these biases. This hypothesis testing and predictive modeling methodology provide researchers and other decision makers with analytical tools they can use to quickly identify research trends and narrow their field of research. Additionally, this analysis potentially captures the impact of discovered ideas, as a social return spillover, for this topic.

Adapting an Environmental Scan for 'Insights Reporting': Learnings from an Online Brain Cancer Peer Support Platform.

When developing a digital health solution, product owners, healthcare professionals, researchers, IT teams, and consumers require timely, accurate contextual information to inform solution development. Insights Reporting can rapidly draw together information from literature, end users and existing technology to inform the development process. This was the case when creating an online brain cancer peer support platform where solution development was conducted in parallel with contextual information synthesis. This paper discusses the novel adaptation of an environmental scan methodology using codesign and multiple layers of qualitative rigor, to create Insights Reporting. This seven-step process can be completed in two months and results in salient points of knowledge that can rapidly inform the design of a solution, creating a shared understanding of a digital health phenomenon. Project members noted that Insights Reporting surfaces previously inaccessible knowledge, catalyzes decision-making and allows all stakeholders to influence the report agenda, affirming principles of digital health equity.

Scoping review search practices in the social sciences: A scoping review.

A thorough literature search is a key feature of scoping reviews. We investigated the search practices used by social science researchers as reported in their scoping reviews. We collected scoping reviews published between 2015 and 2021 from Social Science Citation Index. In the 2484 included studies, we observed a 58% average annual increase in published reviews, primarily from clinical and applied social science disciplines. Bibliographic databases comprised most of the information sources in the primary search strategy (n = 9565, 75%), although reporting practices varied. Most scoping reviews (n = 1805, 73%) included at least one supplementary search strategy. A minority of studies (n = 713, 29%) acknowledged an LIS professional and few listed one as a co-author (n = 194, 8%). We conclude that to improve reporting and strengthen the impact of the scoping review method in the social sciences, researchers should consider (1) adhering to PRISMA-S reporting guidelines, (2) employing more supplementary search strategies, and (3) collaborating with LIS professionals.

Co-production of a systematic review on decision coaching: a mixed methods case study within a review.

BACKGROUND: Co-production is a collaborative approach to prepare, plan, conduct, and apply research with those who will use or be impacted by research (knowledge users). Our team of knowledge users and researchers sought to conduct and evaluate co-production of a systematic review on decision coaching. METHODS: We conducted a mixed-methods case study within a review to describe team co-production of a systematic review. We used the Collaborative Research Framework to support an integrated knowledge translation approach to guide a team through the steps in co-production of a systematic review. The team agreed to conduct self-study as a study within a review to learn from belonging to a co-production research team. A core group that includes a patient partner developed and conducted the study within a review. Data sources were surveys and documents. The study coordinator administered surveys to determine participant preferred and actual levels of engagement, experiences, and perceptions. We included frequency counts, content, and document analysis. RESULTS: We describe co-production of a systematic review. Of 17 team members, 14 (82%) agreed to study participation and of those 12 (86%) provided data pre- and post-systematic review. Most participants identified as women (n = 9, 75.0%), researchers (n = 7, 58%), trainees (n = 4, 33%), and/or clinicians (n = 2, 17%) with two patient/caregiver partners (17%). The team self-organized study governance with an executive and Steering Committee and agreed on research co-production actions and strategies. Satisfaction for engagement in the 11 systematic review steps ranged from 75 to 92%, with one participant who did not respond to any of the questions (8%) for all. Participants reported positive experiences with team communication processes (n = 12, 100%), collaboration (n = 12, 100%), and negotiation (n = 10-12, 83-100%). Participants perceived the systematic review as co-produced (n = 12, 100%) with collaborative (n = 8, 67%) and engagement activities to characterize co-production (n = 8, 67%). Participants indicated that they would not change the co-production approach (n = 8, 66%). Five participants (42%) reported team logistics challenges and four (33%) were unaware of challenges. CONCLUSIONS: Our results indicate that it is feasible to use an integrated knowledge translation approach to conduct a systematic review. We demonstrate the importance of a relational approach to research co-production, and that it is essential to plan and actively support team engagement in the research lifecycle.

The Potential of Exercise on Lifestyle and Skin Function: Narrative Review.

BACKGROUND: The skin is an important organ of the human body and has moisturizing and barrier functions. Factors such as sunlight and lifestyle significantly affect these skin functions, with sunlight being extremely damaging. The effects of lifestyle habits such as smoking, diet, and sleep have been studied extensively. It has been found that smoking increases the risk of wrinkles, while excessive fat and sugar intake leads to skin aging. Lack of sleep and stress are also dangerous for the skin's barrier function. In recent years, the impact of exercise habits on skin function has been a focus of study. Regular exercise is associated with increased blood flow to the skin, elevated skin temperature, and improved skin moisture. Furthermore, it has been shown to improve skin structure and rejuvenate its appearance, possibly through promoting mitochondrial biosynthesis and affecting hormone secretion. Further research is needed to understand the effects of different amounts and content of exercise on the skin. OBJECTIVE: This study aims to briefly summarize the relationship between lifestyle and skin function and the mechanisms that have been elucidated so far and introduce the expected effects of exercise on skin function. METHODS: We conducted a review of the literature using PubMed and Google Scholar repositories for relevant literature published between 2000 and 2022 with the following keywords: exercise, skin, and life habits. RESULTS: Exercise augments the total spectrum power density of cutaneous blood perfusion by a factor of approximately 8, and vasodilation demonstrates an enhancement of approximately 1.5-fold. Regular exercise can also mitigate age-related skin changes by promoting mitochondrial biosynthesis. However, not all exercise impacts are positive; for instance, swimming in chlorinated pools may harm the skin barrier function. Hence, the exercise environment should be considered for its potential effects on the skin. CONCLUSIONS: This review demonstrates that exercise can potentially enhance skin function retention.

Patient Adherence to Oral Anticancer Agents: A Mapping Review of Supportive Interventions.

The development and use of oral anticancer agents (OAAs) continue to grow, and supporting individuals on OAAs is now a priority as they find themselves taking these drugs at home with little professional guidance. This mapping review provides an overview of the current evidence concerning OAA-supportive adherence interventions, identifying potential gaps, and making recommendations to guide future work. Four large databases and the grey literature were searched for publications from 2010 to 2022. Quantitative, qualitative, mixed-method, theses/dissertations, reports, and abstracts were included, whereas protocols and reviews were excluded. Duplicates were removed, and the remaining publications were screened by title and abstract. Full-text publications were assessed and those meeting the inclusion criteria were retained. Data extracted included the year of publication, theoretical underpinnings, study design, targeted patients, sample size, intervention type, and primary outcome(s). 3175 publications were screened, with 435 fully read. Of these, 314 were excluded with 120 retained. Of the 120 publications, 39.2% (n = 47) were observational studies, 38.3% (n = 46) were quasi-experimental, and 16.7% (n = 20) were experimental. Only 17.5% (n = 21) were theory-based. Despite the known efficacy of multi-modal interventions, 63.7% (n = 76) contained one or two modalities, 33.3% (n = 40) included 3, and 3.3% (n = 4) contained four types of modalities. Medication adherence was measured primarily through self-report (n = 31) or chart review/pharmacy refills (n = 28). Given the importance of patient tailored interventions, future work should test whether having four intervention modalities (behavioral, educational, medical, and technological) guided by theory can optimize OAA-related outcomes.

Service-level barriers to and facilitators of accessibility to treatment for problematic alcohol use: a scoping review.

Introduction: Services to treat problematic alcohol use (PAU) should be highly accessible to optimize treatment engagement. We conducted a scoping review to map characteristics of services for the treatment of PAU that have been reported in the literature to be barriers to or facilitators of access to treatment from the perspective of individuals with PAU. Methods: A protocol was developed a priori, registered, and published. We searched MEDLINE®, Embase, the Cochrane Library, and additional grey literature sources from 2010 to April 2022 to identify primary qualitative research and surveys of adults with current or past PAU requiring treatment that were designed to identify modifiable characteristics of PAU treatment services (including psychosocial and pharmacologic interventions) that were perceived to be barriers to or facilitators of access to treatment. Studies of concurrent PAU and other substance use disorders were excluded. Study selection was performed by multiple review team members. Emergent barriers were coded and mapped to the accessibility dimensions of the Levesque framework of healthcare access, then descriptively summarized. Results: One-hundred-and-nine included studies reported an extensive array of unique service-level barriers that could act alone or together to prevent treatment accessibility. These included but were not limited to lack of an obvious entry point, complexity of the care pathway, high financial cost, unacceptably long wait times, lack of geographically accessible treatment, inconvenient appointment hours, poor cultural/demographic sensitivity, lack of anonymity/privacy, lack of services to treat concurrent PAU and mental health problems. Discussion: Barriers generally aligned with recent reviews of the substance use disorder literature. Ranking of barriers may be explored in a future discrete choice experiment of PAU service users. The rich qualitative findings of this review may support the design of new or modification of existing services for people with PAU to improve accessibility. Systematic Review Registration: Open Science Framework doi: 10.17605/OSF.IO/S849R.

Understanding distribution and survey gaps of Mammals from the Atlantic Forest and Cerrado Biomes / Compreendendo Lacunas na Distribuição e Amostragem de Mamíferos dos Biomas da Mata Atlântica e Cerrado

Abstract The Atlantic Forest and Cerrado (Brazilian Savannah) contain a large number of endemic species and high species diversity, particularly for medium and large-bodied mammals. However, there is no large-scale assessment of these animals and their spatial distribution. Our study synthesises the literature on medium and large-bodied mammal surveys in the Cerrado and Atlantic Forest to provide insights into their distributions across large spatial scales and identify knowledge gaps to guide future research. We synthesised papers published in three databases, focusing on mammals weighing more than 1kg. Of the 84 papers we found, the majority (57.14%) were on mammals in the Atlantic Forest, while 42.85% were on mammals found in the Cerrado. We gathered records for 116 species, the most common of which were Cerdocyon thous (Linnaeus, 1766), Procyon cancrivorus (Cuvier, 1798) and Chrysocyon brachyurus (Illiger, 1815) (Cerrado); Dasypus novemcinctus (Linnaeus, 1758), Cerdocyon thous (Linnaeus, 1766) and Nasua nasua (Linnaeus, 1766; Atlantic Forest). Our study allowed us to access, for the first time in the Atlantic Forest and Cerrado, the information available about medium and large-bodied mammals. We also highlight important sampling gaps, especially concerning the northern parts of both biomes that we need to address, as well as the differences in density of sampling points that are caused by a smaller concentration of sampling efforts in the Atlantic Forest than what we found in Cerrado. As a consequence, larger extensions of Cerrado present knowledge gaps concerning mammal surveys that need to be investigated in future research.

Resumo A Mata Atlântica e o Cerrado brasileiro abrigam uma enorme quantidade de espécies endêmicas e alta diversidade de espécies, especialmente de mamíferos de médio e grande porte. No entanto, não há uma avaliação em larga escala desses animais e de sua distribuição espacial. Nosso estudo sintetiza a literatura sobre levantamentos de mamíferos de médio e grande porte no Cerrado e na Mata Atlântica, com o objetivo de fornecer informações sobre suas distribuições em larga escala e identificar lacunas no conhecimento para guiar futuras pesquisas. Sintetizamos artigos publicados em três bases de dados, com foco em mamíferos com peso superior a 1 kg. Dos 84 artigos encontrados, a maioria (57,14%) tratava de mamíferos na Mata Atlântica, enquanto 42,85% abordavam mamíferos encontrados no Cerrado. Coletamos registros para 116 espécies, sendo as mais comuns Cerdocyon thous (Linnaeus, 1766), Procyon cancrivorus (Cuvier, 1798) e Chrysocyon brachyurus (Illiger, 1815) (Cerrado); Dasypus novemcinctus (Linnaeus, 1758), Cerdocyon thous (Linnaeus, 1766) e Nasua nasua (Linnaeus, 1766; Mata Atlântica). Nosso estudo também mostra as lacunas no levantamento especialmente em relação às distribuições ao norte dos biomas, que precisam ser resolvidas, assim como a diferença na densidade de pontos que é causada pela menor concentração de amostragens na Mata Atlântica do que o que encontramos no Cerrado. Como consequência, existem largas extensões do Cerrado que apresentam lacunas no levantamento de mamíferos que precisam ser investigados em pesquisas futuras.

Scoping review: a relevant methodological approach for knowledge synthesis in Brazil's health literature / Revisão de escopo: uma abordagem metodológica relevante para a síntese de evidências da literatura em saúde no Brasil

A methodologically robust approach to synthesize relevant knowledge in health literature is the scoping review, which is used to answer broader questions (e.g., "What is known about this concept?") and can be used to map evidence for research and practice decision-making. This paper discussed the importance of scoping reviews as a methodological approach for knowledge synthesis in Brazil's health literature. Definitions and methodological steps were discussed. We examined 45 scoping reviews that were published in Brazil's journals or available as thesis or dissertations to dis-cuss their content and methodological characteristics. Recommendations for authors were presented in order to improve the planning, executing and reporting of further scoping reviews in Brazil. This will help Brazilian researchers and health professionals to understand when and how scoping reviews can be helpful for knowledge synthesis on health topics, including for physical activity and health research area

Uma abordagem metodologicamente robusta para sintetizar a literatura relevante em saúde é a revisão de escopo, a qual é utilizada para responder questões abrangentes (por exemplo, "O que se conhece sobre um de-terminado conceito em saúde?") e pode ser utilizada para mapear evidências para a tomada de decisão prática e em pesquisa. Este artigo discutiu a importância de revisões de escopo como uma abordagem metodológica para síntese de conhecimento da literatura em saúde no Brasil. As definições e as etapas metodológicas foram discutidas. Um sumário das 45 revisões de escopo que foram publicadas em periódicos brasileiros ou como tese/dissertação foi apresentado para discutir seu conteúdo e suas características metodológicas. Recomendações para os autores foram apresentadas para melhorar o planejamento, execução e descrição de revisões de escopo a serem realizadas no Brasil. Este estudo pode ajudar pesquisadores e profissionais de saúde brasileiros a compreender quando e como revisões de escopo podem ser úteis na síntese de evidências, incluindo para o campo de pesquisas em atividade física e saúde