Cochrane · systematic review · CD013610
Interventions for improving adherence to airway clearance treatment and exercise in people with cystic fibrosis
Jones, M, Moffatt, F, Harvey, A, et al. · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library
Cystic Fibrosis and Genetic DisordersAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
28
current version
GRADE rated
11
No studies
17
Included studies
NR
No studies 17 · 60.7%Ungraded 0 · 0%Very low 11 · 39.3%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Motivational interventions to improve adherence to airway clearance treatment for people with CF ‐ specifically‐composed music versus no music
Population: people with CF
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Adherence to treatment Morisky‐Green questionnaire (number of participants showing full adherence) Motivational interventions to improve adherence to airway clearance treatment for people with CF ‐ specifically‐composed music vs no music | RR 1.56 [1.01, 2.4] | 1 study · 30 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Frequency of hospitalisation for respiratory infection Motivational interventions to improve adherence to airway clearance treatment for people with CF ‐ specifically‐composed music vs no music | RR 0.17 [0.02, 1.22] | 1 study · 30 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Frequency of non‐hospitalised respiratory infection Motivational interventions to improve adherence to airway clearance treatment for people with CF ‐ specifically‐composed music vs no music | no estimate extracted | NR | No studies |
FEV1 % predicted (change from baseline) Motivational interventions to improve adherence to airway clearance treatment for people with CF ‐ specifically‐composed music vs no music | no estimate extracted | NR | No studies |
FVC % predicted (change from baseline) Motivational interventions to improve adherence to airway clearance treatment for people with CF ‐ specifically‐composed music vs no music | no estimate extracted | NR | No studies |
QoL (change from baseline) Motivational interventions to improve adherence to airway clearance treatment for people with CF ‐ specifically‐composed music vs no music | no estimate extracted | NR | No studies |
Exercise capacity (change from baseline) Motivational interventions to improve adherence to airway clearance treatment for people with CF ‐ specifically‐composed music vs no music | no estimate extracted | NR | No studies |
Motivational interventions to improve adherence to airway clearance treatment for people with CF ‐ self‐selected music versus no music
Population: people with CF
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Adherence to treatment Morisky‐Green questionnaire (number of participants showing full adherence) Motivational interventions to improve adherence to airway clearance treatment for people with CF ‐ self‐selected music vs no music | RR 1.03 [0.57, 1.86] | 1 study · 28 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Frequency of hospitalisation for respiratory infection Motivational interventions to improve adherence to airway clearance treatment for people with CF ‐ self‐selected music vs no music | RR 0.58 [0.18, 1.86] | 1 study · 28 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Frequency of non‐hospitalised respiratory infection Motivational interventions to improve adherence to airway clearance treatment for people with CF ‐ self‐selected music vs no music | no estimate extracted | NR | No studies |
FEV1 % predicted (change from baseline) Motivational interventions to improve adherence to airway clearance treatment for people with CF ‐ self‐selected music vs no music | no estimate extracted | NR | No studies |
FVC % predicted (change from baseline) Motivational interventions to improve adherence to airway clearance treatment for people with CF ‐ self‐selected music vs no music | no estimate extracted | NR | No studies |
QoL (change from baseline) Motivational interventions to improve adherence to airway clearance treatment for people with CF ‐ self‐selected music vs no music | no estimate extracted | NR | No studies |
Exercise capacity (change from baseline) Motivational interventions to improve adherence to airway clearance treatment for people with CF ‐ self‐selected music vs no music | no estimate extracted | NR | No studies |
Motivational interventions to improve adherence to airway clearance treatment for people with CF ‐ specifically‐composed music versus self‐selected music
Population: people with CF
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Adherence to treatment Morisky‐Green questionnaire (number of participants showing full adherence) Motivational interventions to improve adherence to airway clearance treatment for people with CF ‐ specifically‐composed music vs self‐selected music | RR 1.52 [0.97, 2.38] | 1 study · 28 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Frequency of hospitalisation for respiratory infection Motivational interventions to improve adherence to airway clearance treatment for people with CF ‐ specifically‐composed music vs self‐selected music | RR 0.29 [0.03, 2.45] | 1 study · 28 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Frequency of non‐hospitalised respiratory infection Motivational interventions to improve adherence to airway clearance treatment for people with CF ‐ specifically‐composed music vs self‐selected music | no estimate extracted | NR | No studies |
FEV1 % predicted (change from baseline) Motivational interventions to improve adherence to airway clearance treatment for people with CF ‐ specifically‐composed music vs self‐selected music | no estimate extracted | NR | No studies |
FVC % predicted (change from baseline) Motivational interventions to improve adherence to airway clearance treatment for people with CF ‐ specifically‐composed music vs self‐selected music | no estimate extracted | NR | No studies |
QoL (change from baseline) Motivational interventions to improve adherence to airway clearance treatment for people with CF ‐ specifically‐composed music vs self‐selected music | no estimate extracted | NR | No studies |
Exercise capacity (change from baseline) Motivational interventions to improve adherence to airway clearance treatment for people with CF ‐ specifically‐composed music vs self‐selected music | no estimate extracted | NR | No studies |
Educational interventions to improve adherence to exercise for people with CF
Population: people with CF
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Adherence to treatment (number of participants undertaking physical activity) | RR 3.67 [1.24, 10.85] | 1 study · 34 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Frequency of hospitalisation for respiratory infection | no estimate extracted | NR | No studies |
Frequency of non‐hospitalised respiratory infection | no estimate extracted | NR | No studies |
FEV1 % predicted (change from baseline) | no estimate extracted | 1 study · 34 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
FVC % predicted (change from baseline) | no estimate extracted | 1 study · 34 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
QoL (change from baseline) | no estimate extracted | 1 study · 34 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Exercise capacity (change from baseline) VO2 peak | no estimate extracted | 1 study · 34 participants | Very low Downgraded: risk of bias, imprecision, indirectness |