Evidence-based practice: extending the search to find material for the systematic review

BACKGROUND: Cochrane-style systematic reviews increasingly require the participation of librarians. Guidelines on the appropriate search strategy to use for systematic reviews have been proposed. However, research evidence supporting these recommendations is limited. OBJECTIVE: This study investigates the effectiveness of various systematic search methods used to uncover randomized controlled trials (RCTs) for systematic reviews. Effectiveness is defined as the proportion of relevant material uncovered for the systematic review using extended systematic review search methods. The following extended systematic search methods are evaluated: searching subject-specific or specialized databases (including trial registries), hand searching, scanning reference lists, and communicating personally. METHODS: Two systematic review projects were prospectively monitored regarding the method used to identify items as well as the type of items retrieved. The proportion of RCTs identified by each systematic search method was calculated. RESULTS: The extended systematic search methods uncovered 29.2% of all items retrieved for the systematic reviews. The search of specialized databases was the most effective method, followed by scanning of reference lists, communicating personally, and hand searching. Although the number of items identified through hand searching was small, these unique items would otherwise have been missed. CONCLUSIONS: Extended systematic search methods are effective tools for uncovering material for the systematic review. The quality of the items uncovered has yet to be assessed and will be key in evaluating the value of the systematic search methods.     

Prediction of maximum oxygen consumption from walking, jogging, or running

The purpose of this study was to develop a submaximal, 1.5-mile endurance test for college-aged students using walking, jogging, or running exercise. College students (N = 101: 52 men, 47 women), ages 18-26years, successfully completed the 1.5-mile test twice, and a maximal graded exercise test. Participants were instructed to achieve a "somewhat hard" exercise intensity (rating of perceived exertion = 13) and maintain a steady pace throughout each 1.5-mile test. Multiple linear regression generated the following prediction equation: VO2 max = 65.404 + 7.707 x gender (1 = male; 0 =female) - 0.159 x body mass (kg) - 0.843 x elapsed exercise time (min; walking, jogging orrunning). This equation shows acceptable validity (R = .86, SEE = 3.37 ml x kg(-1) min(-1)) similar to the accuracy of comparable field tests, and reliability (ICC = .93) is also comparable to similar models. The statistical shrinkage is minimal (R(press) = 0.85, SEE(press) = 3.51 ml x kg(-) x min(-1)); hence, it should provide comparable results when applied to other similar samples. A regression model (R =.90, and SEE = 2.87 ml x kg(-1) min(-1)) including exercise heart rate was also developed: VO2 max = 100.162 +/- 7.301 x gender(1 = male; 0 =female) - 0.164 x body mass (kg) - 1.273 x elapsed exercise time -0.156 x exercise heart rate, for those who have access to electronic heart rate monitors. This submaximal 1.5-mile test accurately predicts maximal oxygen uptake (VO2max) without measuring heart rate and is similar to the 1.5-mile run in that it allowsfor mass testing and requires only a flat, measured distance and a stopwatch. Further, it can accommodate a wide range of fitness levels (from walkers to runners).     

Motivation for physical activity in young people: entity and incremental beliefs about athletic ability

Three studies are reported of children and youth aged 11-19 years (n = 3478) examining the nature of beliefs about athletic ability. Drawing on related research in academic, moral and stereotyping domains, development of a psychometric instrument assessing athletic ability beliefs is detailed. Support was found for a multidimensional hierarchical structure that is invariant across age and gender. Confirmatory factor analysis revealed a structure comprising two higher-order factors of entity and incremental beliefs underpinned by beliefs that athletic ability is stable and a gift (entity), and is open to improvement and can be developed through learning (incremental). Incremental beliefs, indirectly through a task goal orientation, and entity beliefs directly, predicted self-reported amotivation towards physical education and sport. On the other hand, enjoyment of physical activity in youth was predicted directly by task orientation and incremental beliefs. Predictions concerning the moderating role of perceived competence were not supported. Our findings highlight the importance of ability beliefs and goals in understanding the determinants of physical activity in children and youth.     

Comparing the pre- and post-impact ball and racquet kinematics of elite tennis players' first and second serves: a preliminary study

The aim of this study was to compare the pre- and post-impact three-dimensional kinematics of the ball and racquet during first and second serves performed by elite tennis players. Data were collected from four male and four female right-handed professional players during competition using two high-speed cameras (200 Hz). For each player, one first serve and one second serve from the 'deuce' or right service court that landed within the specified target area were analysed. To test for significant differences between the first and second serves, Wilcoxon tests (P < or = 0.05) were performed on selected parameters. The results indicate that the ball travelled forward and to the left during the flight phase of the toss in all but one trial. The average pre-impact ball forward location for the first serve was significantly more in front and had a higher associated forward ball velocity than the corresponding values for the second serve. On average, the decrease in post-impact ball speed from the first to the second serve was 24.1%. No significant differences between the first and second serves were found in the pre-impact racquet head speed and orientation, which was represented as a unit vector perpendicular to the racquet face. The major adjustments made by the players when going from the first to second serve were a decrease in pre-impact ball forward location (P < or = 0.01) and an increase in the pre-impact racquet vertical and lateral velocities (both P < or = 0.05). This implies that the players tossed the ball closer to the body and imparted topspin and sidespin on the ball by changing the racquet vertical and lateral velocities when going from the first to the second serve.     

First-year medical students' impressions of the Internet

Physicians are becoming aware of the World Wide Web as a resource for medical information. In spring 1999, first-year students at the University of Louisville's School of Medicine were given an assignment to review and evaluate Internet search engines and directories, medicine-specific search engines and meta lists, and health-related Web sites. Students found that general search engines were easier to learn and use and produced better results than either meta medical sites or medicine-specific search engines. Students were very severe in judging the quality of health-related Web sites. Our students' impressions are compared to those of physicians in similar studies. Solutions to the problems of searching the Web for health information are reviewed.