Exploring Representation of Diverse Samples in fMRI Studies Conducted in Patients With Cardiac-Related Chronic Illness: A Focused Systematic Review
Introduction/Purpose: Cardiovascular disease (CVD) is the leading cause of death worldwide, and in the United States alone, CVD causes nearly 840,000 deaths annually. Using functional magnetic resonance imaging (fMRI), a tool to assess brain activity, researchers have identified some brain-behavior...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2020-05-01
|
| Series: | Frontiers in Human Neuroscience |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/article/10.3389/fnhum.2020.00108/full |
| _version_ | 1828872593599365120 |
|---|---|
| author | Lenette M. Jones Emily Ginier Joseph Debbs Jarrod L. Eaton Catherine Renner Jaclynn Hawkins Rosanna Rios-Spicer Emily Tang Catherine Schertzing Bruno Giordani |
| author_facet | Lenette M. Jones Emily Ginier Joseph Debbs Jarrod L. Eaton Catherine Renner Jaclynn Hawkins Rosanna Rios-Spicer Emily Tang Catherine Schertzing Bruno Giordani |
| author_sort | Lenette M. Jones |
| collection | DOAJ |
| description | Introduction/Purpose: Cardiovascular disease (CVD) is the leading cause of death worldwide, and in the United States alone, CVD causes nearly 840,000 deaths annually. Using functional magnetic resonance imaging (fMRI), a tool to assess brain activity, researchers have identified some brain-behavior connections and predicted several self-management behaviors. The purpose of this study was to examine the sample characteristics of individuals with CVD who participated in fMRI studies.Methods: A literature search was conducted in PubMed, CINAHL, and Scopus. No date or language restrictions were applied and research methodology filters were used. In October 2017, 1659 titles and abstracts were identified. Inclusion criteria were: (1) utilized an empirical study design, (2) used fMRI to assess brain activity, and (3) focused on patients with CVD-related chronic illness. Articles were excluded if they: were theory or opinion articles, focused on mental or neuropathic illness, included non-human samples, or were not written in English. After duplicates were removed (230), 1,429 titles and abstracts were reviewed based on inclusion criteria; 1,243 abstracts were then excluded. A total of 186 studies were reviewed in their entirety; after additional review, 142 were further excluded for not meeting the inclusion criteria. Forty-four articles met criteria and were included in the final review. An evidence table was created to capture the demographics of each study sample.Results: Ninety eight percent of the studies did not report the racial or ethnic composition of their sample. Most studies (66%) contained more men than women. Mean age ranged from 38 to 78 years; 77% reported mean age ≥50 years. The most frequently studied CVD was stroke (86%), while hypertension was studied the least (2%).Conclusion: Understanding brain-behavior relationships can help researchers and practitioners tailor interventions to meet specific patient needs. These findings suggest that additional studies are needed that focus on populations historically underrepresented in fMRI research. Researchers should thoughtfully consider diversity and purposefully sample groups by including individuals that are: women, from diverse backgrounds, younger, and diagnosed with a variety of CVD-related illnesses. Identifying and addressing these gaps by studying more representative samples will help healthcare providers reduce disparities and tailor interventions for all CVD populations. |
| first_indexed | 2024-12-13T06:57:42Z |
| format | Article |
| id | doaj.art-2b4bb93906444d4ea1b64596a16186b1 |
| institution | Directory Open Access Journal |
| issn | 1662-5161 |
| language | English |
| last_indexed | 2024-12-13T06:57:42Z |
| publishDate | 2020-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Human Neuroscience |
| spelling | doaj.art-2b4bb93906444d4ea1b64596a16186b12022-12-21T23:56:00ZengFrontiers Media S.A.Frontiers in Human Neuroscience1662-51612020-05-011410.3389/fnhum.2020.00108482043Exploring Representation of Diverse Samples in fMRI Studies Conducted in Patients With Cardiac-Related Chronic Illness: A Focused Systematic ReviewLenette M. Jones0Emily Ginier1Joseph Debbs2Jarrod L. Eaton3Catherine Renner4Jaclynn Hawkins5Rosanna Rios-Spicer6Emily Tang7Catherine Schertzing8Bruno Giordani9School of Nursing, University of Michigan, Ann Arbor, MI, United StatesTaubman Health Sciences Library, University of Michigan, Ann Arbor, MI, United StatesSchool of Nursing, University of Michigan, Ann Arbor, MI, United StatesSchool of Nursing, University of Michigan, Ann Arbor, MI, United StatesSchool of Nursing, University of Michigan, Ann Arbor, MI, United StatesSchool of Social Work, University of Michigan, Ann Arbor, MI, United StatesSchool of Nursing, University of Michigan, Ann Arbor, MI, United StatesSchool of Nursing, University of Michigan, Ann Arbor, MI, United StatesSchool of Nursing, University of Michigan, Ann Arbor, MI, United StatesPsychiatry, Neurology, Psychology, and Nursing, University of Michigan, Ann Arbor, MI, United StatesIntroduction/Purpose: Cardiovascular disease (CVD) is the leading cause of death worldwide, and in the United States alone, CVD causes nearly 840,000 deaths annually. Using functional magnetic resonance imaging (fMRI), a tool to assess brain activity, researchers have identified some brain-behavior connections and predicted several self-management behaviors. The purpose of this study was to examine the sample characteristics of individuals with CVD who participated in fMRI studies.Methods: A literature search was conducted in PubMed, CINAHL, and Scopus. No date or language restrictions were applied and research methodology filters were used. In October 2017, 1659 titles and abstracts were identified. Inclusion criteria were: (1) utilized an empirical study design, (2) used fMRI to assess brain activity, and (3) focused on patients with CVD-related chronic illness. Articles were excluded if they: were theory or opinion articles, focused on mental or neuropathic illness, included non-human samples, or were not written in English. After duplicates were removed (230), 1,429 titles and abstracts were reviewed based on inclusion criteria; 1,243 abstracts were then excluded. A total of 186 studies were reviewed in their entirety; after additional review, 142 were further excluded for not meeting the inclusion criteria. Forty-four articles met criteria and were included in the final review. An evidence table was created to capture the demographics of each study sample.Results: Ninety eight percent of the studies did not report the racial or ethnic composition of their sample. Most studies (66%) contained more men than women. Mean age ranged from 38 to 78 years; 77% reported mean age ≥50 years. The most frequently studied CVD was stroke (86%), while hypertension was studied the least (2%).Conclusion: Understanding brain-behavior relationships can help researchers and practitioners tailor interventions to meet specific patient needs. These findings suggest that additional studies are needed that focus on populations historically underrepresented in fMRI research. Researchers should thoughtfully consider diversity and purposefully sample groups by including individuals that are: women, from diverse backgrounds, younger, and diagnosed with a variety of CVD-related illnesses. Identifying and addressing these gaps by studying more representative samples will help healthcare providers reduce disparities and tailor interventions for all CVD populations.https://www.frontiersin.org/article/10.3389/fnhum.2020.00108/fullfMRIcardiovascular diseasesample demographicshealth disparitieschronic illness |
| spellingShingle | Lenette M. Jones Emily Ginier Joseph Debbs Jarrod L. Eaton Catherine Renner Jaclynn Hawkins Rosanna Rios-Spicer Emily Tang Catherine Schertzing Bruno Giordani Exploring Representation of Diverse Samples in fMRI Studies Conducted in Patients With Cardiac-Related Chronic Illness: A Focused Systematic Review Frontiers in Human Neuroscience fMRI cardiovascular disease sample demographics health disparities chronic illness |
| title | Exploring Representation of Diverse Samples in fMRI Studies Conducted in Patients With Cardiac-Related Chronic Illness: A Focused Systematic Review |
| title_full | Exploring Representation of Diverse Samples in fMRI Studies Conducted in Patients With Cardiac-Related Chronic Illness: A Focused Systematic Review |
| title_fullStr | Exploring Representation of Diverse Samples in fMRI Studies Conducted in Patients With Cardiac-Related Chronic Illness: A Focused Systematic Review |
| title_full_unstemmed | Exploring Representation of Diverse Samples in fMRI Studies Conducted in Patients With Cardiac-Related Chronic Illness: A Focused Systematic Review |
| title_short | Exploring Representation of Diverse Samples in fMRI Studies Conducted in Patients With Cardiac-Related Chronic Illness: A Focused Systematic Review |
| title_sort | exploring representation of diverse samples in fmri studies conducted in patients with cardiac related chronic illness a focused systematic review |
| topic | fMRI cardiovascular disease sample demographics health disparities chronic illness |
| url | https://www.frontiersin.org/article/10.3389/fnhum.2020.00108/full |
| work_keys_str_mv | AT lenettemjones exploringrepresentationofdiversesamplesinfmristudiesconductedinpatientswithcardiacrelatedchronicillnessafocusedsystematicreview AT emilyginier exploringrepresentationofdiversesamplesinfmristudiesconductedinpatientswithcardiacrelatedchronicillnessafocusedsystematicreview AT josephdebbs exploringrepresentationofdiversesamplesinfmristudiesconductedinpatientswithcardiacrelatedchronicillnessafocusedsystematicreview AT jarrodleaton exploringrepresentationofdiversesamplesinfmristudiesconductedinpatientswithcardiacrelatedchronicillnessafocusedsystematicreview AT catherinerenner exploringrepresentationofdiversesamplesinfmristudiesconductedinpatientswithcardiacrelatedchronicillnessafocusedsystematicreview AT jaclynnhawkins exploringrepresentationofdiversesamplesinfmristudiesconductedinpatientswithcardiacrelatedchronicillnessafocusedsystematicreview AT rosannariosspicer exploringrepresentationofdiversesamplesinfmristudiesconductedinpatientswithcardiacrelatedchronicillnessafocusedsystematicreview AT emilytang exploringrepresentationofdiversesamplesinfmristudiesconductedinpatientswithcardiacrelatedchronicillnessafocusedsystematicreview AT catherineschertzing exploringrepresentationofdiversesamplesinfmristudiesconductedinpatientswithcardiacrelatedchronicillnessafocusedsystematicreview AT brunogiordani exploringrepresentationofdiversesamplesinfmristudiesconductedinpatientswithcardiacrelatedchronicillnessafocusedsystematicreview |