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Methodologies and methods for the development, evaluation and implementation of psychosocial interventions for dementia: protocol for a scoping review

Por: DAndrea · F. · Bartels · S. L. · Markaryan · M. · Masterson-Algar · P. · Bernal · A. N. · De Bruin · S. R. · Chirico · I. · Flynn · A. · Garcia · L. · Gebhard · D. · Handley · M. · Janssen · N. · Roes · M. · Stephens · N. · Teesing · G. · Van den Block · L. · Windle · K. · Moniz-Cook · E.
Introduction

Research on psychosocial interventions for dementia demonstrates increased rigour and robustness. However, if we are to influence practice, beyond results from randomised controlled trials, a variety of types and sources of evidence is needed. The Medical Research Council (MRC) framework offers a valuable guide for developing, evaluating and implementing complex interventions, to facilitate integration of research into practice. There is limited knowledge of how researchers design, evaluate and implement psychosocial intervention studies in dementia, using the MRC framework. This scoping review aims to: (1) identify the methodological and methods trends, use and gaps in the development, evaluation and implementation of psychosocial interventions for dementia, and (2) determine if and how the MRC six core elements were considered and applied in studies.

Methods and analysis

Six databases (Ovid MEDLINE, Embase, PsycINFO, CINAHL, Web of Science, Cochrane Library) will be searched for studies published from 2015 (when MRC process guidance was published) to 2025. Identified deduplicated citations will be imported into Covidence software, where up to 40% of title/abstracts will be double screened by independent reviewers. ASReview will be used to rank articles by relevance, with a stopping criterion of 250 consecutive irrelevant articles. Full texts will be reviewed by a single reviewer and those excluded will be checked by a second reviewer. Data extraction will include study aim/objective (ie, to develop/adapt; test feasibility/pilot; evaluate; implement); methodology and methods applied; information on which MRC six core elements were considered (yes/no), and if so, how they were addressed (ie, qualitative details). A narrative synthesis, alongside graphical representations (eg, table/bar charts/histograms), will be used to synthesise findings on methodologies and methods mapped onto the MRC framework.

Ethics and dissemination

This secondary analysis scoping review does not require ethics approval. Results will be disseminated through peer-reviewed publication(s), seminars, webinars, conferences, postgraduate dementia programmes, blogs, commissioner briefings and social media. The findings will provide a state-of-the-art overview of current practices; advance methods/methodology such as informing a Delphi consensus study on appropriate research approaches; and guide researchers in application of the MRC framework to widen the scope of dementia care evidence for practice improvements.

Registration

Submitted to Open Science Framework https://doi.org/10.17605/OSF.IO/S56NQ.

Associations between age, gender and health deterioration in caregivers aged 75 and older in Spain: an observational study

Por: Bernal-Alonso · A. · Ayala · A. · Kirvalidze · M. · Calderon-Larranaga · A. · Forjaz · M. J. · Rodriguez-Blazquez · C.
Objective

This study aims to explore how age and gender are associated with health deterioration related to caregiving among caregivers aged 75 and older in Spain.

Design

Observational, descriptive, cross-sectional study.

Setting

Nationwide survey in Spain: 2020 Survey on Disability, Personal Autonomy and Situations of Dependency.

Participants

All non-professional caregivers identified by the survey (3746): 3166 caregivers younger than 75 (CG75–) and 580 caregivers 75 years old or older (CG75+).

Primary outcome measure

Self-reported caregivers’ health deterioration, as a categorical variable (present or absent).

Results

The majority of caregivers in both groups were women (63.2% of CG75– and 57.0% of CG75+, p=0.011). CG75+ provided care 16 hours/day (vs 14.1 hours/day of CG75–, p=0.032). Over half of CG75+ reported health deterioration (53.0%), compared with 43.5% of CG75– (p

Conclusions

In Spain, older caregivers have a specific socio-demographic profile, provide high-intensity care and report a higher caregiving-related health deterioration. However, the association between older age and health deterioration was found only in women. Public health interventions must prioritise older female caregivers.

Invisible Inequities: Gender in Nursing and the Leadership Paradox

ABSTRACT

Purpose

To examine the paradox of representation without power in nursing leadership and to highlight how gendered hierarchies persist in academic, clinical, and policy arenas despite nursing's predominantly female composition.

Organizing Construct or Argument

Existing systems of evaluation and promotion often reproduce inequities by undervaluing relational and collaborative leadership styles—forms of leadership intrinsic to nursing practice. This commentary draws on global and contextual perspectives to advocate for accreditation and institutional metrics that integrate equity indicators and recognize inclusive leadership as a marker of excellence.

Conclusions

Advancing gender equity in leadership is both an ethical and strategic imperative. Embedding equity education and inclusive leadership development within nursing curricula from the earliest stages of professional formation is essential to reshape the future of nursing leadership.

Clinical Relevance

Promoting gender equity in leadership will strengthen nursing's contribution to health systems, enhance organizational resilience, and advance equitable patient care.

Feasibility of an AI-assisted transcranial duplex sonography protocol for early detection of intracerebral haemorrhage: the HYPER-AI-SCAN single-centre prospective study

Por: Simonetti · R. · Canals · P. · Gonzalez Riveros · J. D. · Alanis-Bernal · M. · Pancorbo · O. · Rodriguez-Luna · D.
Introduction

Intracerebral haemorrhage (ICH) is associated with high early mortality and morbidity. Early clinical deterioration is common and influenced by haematoma expansion, which can occur within the first hours after symptom onset. Transcranial duplex sonography (TCD) is a rapid, non-invasive tool that may aid in early ICH detection but is highly operator-dependent. Artificial intelligence (AI)-based analysis of ultrasound images has shown promise in other fields but has not yet been validated in acute ICH.

Methods and analysis

This is a single-centre, prospective feasibility study involving 500 patients with acute ischaemic and haemorrhagic stroke (

Ethics and dissemination

Ethical approval has been obtained. Informed consent will be collected. Data will be coded and stored securely. Results will be disseminated through peer-reviewed journals and conferences.

Trial registration number

Not applicable at this stage (observational AI study).

The Experience of Self‐Care in People With Osteoporosis: A Qualitative Descriptive Study

ABSTRACT

Introduction

Osteoporosis requires long-term self-care engagement, yet little is known about how individuals experience and manage self-care in everyday life. Understanding these experiences is essential to inform tailored nursing interventions. The objective of the study was to explore and describe the experience of self-care maintenance, monitoring, and management in people with osteoporosis.

Design

A qualitative descriptive study.

Methods

We conducted semi-structured interviews. Data were analyzed using Mayring's qualitative content analysis with a deductive approach based on Riegel's theory of self-care. We reported data in accordance with the Consolidated Criteria for Reporting Qualitative Studies (COREQ) checklist.

Results

Participants (1 Male, 19 Females; Aged 55–80) Identified Four Themes of self-care: maintenance (e.g., Medication Adherence, Physical Activity), monitoring (e.g., Symptom Recognition, Test Interpretation), management (e.g., Lifestyle Reflections, Prevention), and general self-care. Key factors included motivation, trust in healthcare professionals, and integration of health behaviors into daily life. Barriers were low self-efficacy, poor symptom recognition, and inconsistent adherence.

Conclusion

Self-care in osteoporosis is a multidimensional and dynamic process influenced by individual beliefs, contextual factors, and support from healthcare professionals. Recognizing the variability in patients' self-care behaviors is essential to develop personalized education and support. Strengthening general health behaviors may enhance disease-specific self-care. This understanding can guide healthcare professionals in designing more effective, tailored care strategies.

Percepción del liderazgo enfermero ejercido en instituciones de tercer nivel de atención en Armenia (Colombia)

Objetivo principal: conocer la percepción sobre el liderazgo de enfermería desarrollado durante el ejercicio profesional en un grupo de enfermeros vinculados a instituciones de salud públicas y privadas de tercer nivel de atención en un municipio de Colombia. Metodología: investigación cualitativa del tipo de estudio de casos; se realizó entrevistas semiestructuradas a enfermeros del área asistencial con dedicación exclusiva de tiempo completo. Para el análisis de los datos, se utilizó la técnica de análisis de contenido, mediante el Software IRaMuTeQ. Resultados principales: En total participaron 13 enfermeros, los datos analizados fueron clasificados en dos categorías temáticas, a saber: (a) Significados y características del liderazgo en enfermería, y (b) Roles y ámbitos del liderazgo. Conclusión principal: El concepto de liderazgo se relaciona con dinámicas de trabajo en equipo desde relaciones jerárquicas. Es necesario reflexionar sobre el objeto disciplinar, para el caso el acto de cuidado de enfermería para el desarrollo del liderazgo requerido y en congruencia con las visiones epistémicas actuales.

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