Building patient capacity to participate in care during hospitalisation: a scoping review

ObjectivesTo map the existing literature and describe interventions aimed at building the capacity of patients to participate in care during hospitalisation by: (1) describing and categorising the aspects of care targeted by these interventions and (2) identifying the behaviour change techniques (BCTs) used in these interventions. A patient representative participated in all aspects of this project.DesignScoping review.Data sourcesMEDLINE, Embase and CINAHL (Inception −2017).Study selectionStudies reporting primary research studies on building the capacity of hospitalised adult patients to participate in care which described or included one or more structured or systematic interventions and described the outcomes for at least the key stakeholder group were included.Data extractionTitle and abstract screening and full text screening were conducted by pairs of trained reviewers. One reviewer extracted data, which were verified by a second reviewer. Interventions were classified according to seven aspects of care relevant to hospital settings. BCTs identified in the articles were assigned through consensus of three reviewers.ResultsDatabase searches yielded a total 9899 articles, resulting in 87 articles that met the inclusion criteria. Interventions directed at building patient capacity to participate in care while hospitalised were categorised as those related to improving: patient safety (20.9%); care coordination (5.7%); effective treatment (5.7%) and/or patient-centred care using: bedside nursing handovers (5.7%); communication (29.1%); care planning (14%) or the care environment (19.8%). The majority of studies reported one or more positive outcomes from the defined intervention. Adding new elements (objects) to the environment and restructuring the social and/or physical environment were the most frequently identified BCTs.ConclusionsThe majority of studies to build capacity for participation in care report one or more positive outcomes, although a more comprehensive analysis is warranted.

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Global neurosurgery: a scoping review detailing the current state of international neurosurgical outreach

Journal of Neurosurgery ◽

10.3171/2020.2.jns192517 ◽

2020 ◽

pp. 1-9

Author(s):

Anthony T. Fuller ◽

Ariana Barkley ◽

Robin Du ◽

Cyrus Elahi ◽

Ali R. Tafreshi ◽

...

Keyword(s):

Scoping Review ◽

Data Extraction ◽

Medical Personnel ◽

The United States ◽

Middle Income ◽

Middle Income Countries ◽

Gray Literature ◽

Current State ◽

Study Selection ◽

Research And Education

OBJECTIVEGlobal neurosurgery is a rapidly emerging field that aims to address the worldwide shortages in neurosurgical care. Many published outreach efforts and initiatives exist to address the global disparity in neurosurgical care; however, there is no centralized report detailing these efforts. This scoping review aims to characterize the field of global neurosurgery by identifying partnerships between high-income countries (HICs) and low- and/or middle-income countries (LMICs) that seek to increase neurosurgical capacity.METHODSA scoping review was conducted using the Arksey and O’Malley framework. A search was conducted in five electronic databases and the gray literature, defined as literature not published through traditional commercial or academic means, to identify studies describing global neurosurgery partnerships. Study selection and data extraction were performed by four independent reviewers, and any disagreements were settled by the team and ultimately the team lead.RESULTSThe original database search produced 2221 articles, which was reduced to 183 final articles after applying inclusion and exclusion criteria. These final articles, along with 9 additional gray literature references, captured 169 unique global neurosurgery collaborations between HICs and LMICs. Of this total, 103 (61%) collaborations involved surgical intervention, while local training of medical personnel, research, and education were done in 48%, 38%, and 30% of efforts, respectively. Many of the collaborations (100 [59%]) are ongoing, and 93 (55%) of them resulted in an increase in capacity within the LMIC involved. The largest proportion of efforts began between 2005–2009 (28%) and 2010–2014 (17%). The most frequently involved HICs were the United States, Canada, and France, whereas the most frequently involved LMICs were Uganda, Tanzania, and Kenya.CONCLUSIONSThis review provides a detailed overview of current global neurosurgery efforts, elucidates gaps in the existing literature, and identifies the LMICs that may benefit from further efforts to improve accessibility to essential neurosurgical care worldwide.

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Exploration of implementation, financial and technical considerations within allied health professional (AHP) telehealth consultation guidance: a scoping review including UK AHP professional bodies’ guidance

BMJ Open ◽

10.1136/bmjopen-2021-055823 ◽

2021 ◽

Vol 11 (12) ◽

pp. e055823

Author(s):

Enza Leone ◽

Nicola Eddison ◽

Aoife Healy ◽

Carolyn Royse ◽

Nachiappan Chockalingam

Keyword(s):

Scoping Review ◽

Allied Health ◽

Data Extraction ◽

Collaborative Work ◽

Occupational Therapists ◽

Legal Aspects ◽

Future Research ◽

Allied Health Professionals ◽

Study Selection ◽

The Uk

ObjectivesThe COVID-19 pandemic has resulted in a shift to remote consultations, but telehealth consultation guidelines are lacking or inconsistent. Therefore, a scoping review was performed to chart the information in the articles exploring telehealth for the UK allied health professionals (AHPs) and compare them with the UK AHP professional bodies’ guidelines.DesignScoping review following Aksey and O’ Malley methodological framework.Data sourcesCINHAL and MEDLINE were searched from inception to March 2021 using terms related to ‘telehealth’, ‘guidelines’ and ‘AHPs’. Additionally, the UK AHP professional bodies were contacted requesting their guidelines.Study selectionArticles exploring telehealth for patient consultations, written in English and published in peer-reviewed journal or guidelines available from UK AHP professional bodies/their websites were considered eligible for review.Data extractionOne reviewer extracted data concerning three overarching domains: implementation, financial and technological considerations.Results2632 articles were identified through database searches with 21 articles eligible for review. Eight guidelines were obtained from the UK AHP professional bodies with a total of 29 included articles/guidelines. Most articles were published in the last two years; there was variety in telehealth terminology, and most were developed for occupational therapists, physiotherapists and speech and language therapists. Information was lacking about the assessment of telehealth use and effectiveness, barriers and limitations, the logistical management, the family’s and caregiver’s roles and the costs. There was lack of clarity on the AHPs’ registration requirements, costs and coverage, and legal aspects.ConclusionThis study identified gaps in current guidelines, which showed similarities as well as discrepancies with the guidance for non-AHP healthcare professionals and revealed that the existing guidelines do not adequately support AHPs delivering telehealth consultations. Future research and collaborative work across AHP groups and the world’s leading health institutions are suggested to establish common guidelines that will improve AHP telehealth services.

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A protocol for a scoping review of equity measurement in mental health care for children and youth

Systematic Reviews ◽

10.1186/s13643-020-01495-3 ◽

2020 ◽

Vol 9 (1) ◽

Author(s):

William Gardner ◽

Stuart G. Nicholls ◽

Graham J. Reid ◽

Brian Hutton ◽

Candyce Hamel ◽

...

Keyword(s):

Mental Health ◽

Scoping Review ◽

Full Text ◽

Data Extraction ◽

Open Science ◽

Children And Youth ◽

Eligibility Criteria ◽

Study Selection ◽

Study Characteristics ◽

Two Stages

Abstract Background Mental health (MH) problems are among the most important causes of morbidity and mortality for children and youth. Problems of lack of equity in child and youth MH services (CYMHS)—including, but not limited to, problems in inaccessibility and quality of services—are widespread. Characterizing the nature of equity in CYMHS is an ongoing challenge because the field lacks a consistent approach to conceptualizing equity. We will conduct a scoping review of how equity in MH services for children and youth has been defined, operationalized, and measured. Our objectives are to discover: (1) What conceptual definitions of equity are used by observational studies of CYMHS?; (2) What service characteristics of CYMHS care do indices of equity cover?; (3) What population dimensions have been used to operationalize equity?; (4) What statistical constructs have been used in indices that measure CYMHS equity?; and (5) What were the numerical values of those indices? Methods The following databases will be searched: Medline, Embase, PsycINFO, Cochrane Controlled Register of Trials, CINAHL, EconLit, and Sociological Abstracts. Searches will be conducted from the date of inception to the end of the last full calendar year (December 2019). Studies will be included if they include an evaluation of a mental health service for children or youth (defined as those under 19 years of age) and which quantify variation in some aspect of child or youth mental health services (e.g., accessibility, volume, duration, or quality) as a function of socio-demographic and/or geographic variables. Study selection will occur over two stages. Stage one will select articles based on title and abstract using the liberal-accelerated method. Stage two will review the full texts of selected titles. Two reviewers will work independently on full-text reviewing, with each study screened twice using pre-specified eligibility criteria. One reviewer will chart study characteristics and indices to be verified by a second reviewer. Reviewers will resolve full-text screening and data extraction disagreements through discussion. Synthesis of the collected data will focus on compiling and mapping the types and characteristics of the indices used to evaluate MH services equity. Discussion The planned, systematic scoping review will survey the literature regarding how equity in MH services for children and youth has been operationalized and help inform future studies of equity in CYMHS. Systematic review registration Open Science Foundation ID SYSR-D-19-00371, https://osf.io/58srv/.

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Using social marketing for the promotion of cognitive health: a scoping review protocol

BMJ Open ◽

10.1136/bmjopen-2021-049947 ◽

2021 ◽

Vol 11 (10) ◽

pp. e049947

Author(s):

Mathilde Barbier ◽

Caroline Schulte ◽

Anna Kornadt ◽

Carine Federspiel ◽

Jean-Paul Steinmetz ◽

...

Keyword(s):

Social Marketing ◽

Scoping Review ◽

Data Extraction ◽

Scientific Journal ◽

Grey Literature ◽

Marketing Strategies ◽

Cochrane Library ◽

Cognitive Health ◽

The Social ◽

Scoping Reviews

IntroductionThe use of social marketing strategies to induce the promotion of cognitive health has received little attention in research. The objective of this scoping review is twofold: (i) to identify the social marketing strategies that have been used in recent years to initiate and maintain health-promoting behaviour; (ii) to advance research in this area to inform policy and practice on how to best make use of these strategies to promote cognitive health.Methods and analysisWe will use the five-stage methodological framework of Arksey and O’Malley. Articles in English published since 2010 will be searched in electronic databases (the Cochrane Library, DoPHER, the International Bibliography of the Social Sciences, PsycInfo, PubMed, ScienceDirect, Scopus). Quantitative and qualitative study designs as well as reviews will be considered. We will include those articles that report the design, implementation, outcomes and evaluation of programmes and interventions concerning social marketing and/or health promotion and/or promotion of cognitive health. Grey literature will not be searched. Two independent reviewers will assess in detail the abstracts and full text of selected citations against the inclusion criteria. A Preferred Reporting Items for Systematic Reviews and Meta-Analyses flowchart for Scoping Reviews will be used to illustrate the process of article selection. We will use a data extraction form, present the results through narrative synthesis and discuss them in relation to the scoping review research questions.Ethics and disseminationEthics approval is not required for conducting this scoping review. The results of the review will be the first step to advance a conceptual framework, which contributes to the development of interventions targeting the promotion of cognitive health. The results will be published in a peer-reviewed scientific journal. They will also be disseminated to key stakeholders in the field of the promotion of cognitive health.

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Protocol for a Scoping Review of Research Practices in the Investigation of Bilingual Effects on Inhibition and Attentional Function in Young People

Social Science Protocols ◽

10.7565/ssp.v4.5760 ◽

2021 ◽

Vol 4 ◽

pp. 1-7

Author(s):

Adam John Privitera

Keyword(s):

Young People ◽

Scoping Review ◽

Fixed Effects ◽

Data Extraction ◽

Research Practices ◽

Bilingual Advantage ◽

Attentional Function ◽

Study Selection ◽

Work Supports ◽

A Current

Background: While there is evidence in support of a bilingual advantage in executive function in children and adults, little work supports these effects in young people. This lack of support may result as consequence of a developmental ceiling effect on task performance in this age group. An alternative explanation can be found in the treatment of bilingualism as a categorical variable, and the use of exclusively fixed-effects methods of analysis. These methods treat bilinguals as a homogenous group, ignoring nontrivial differences between participants, and may contribute to this lack of evidence. This scoping review aims is to identify and summarize research practices in the investigation of bilingual effects in inhibition and attentional function in young people. Methods: The proposed scoping review will follow the five-stage framework proposed by Arksey and O’Malley (2005). Searches will be conducted across five databases using inclusive search strings. Study selection will follow the guidance of the PRISMA-ScR checklist. This review will include both published and unpublished work. A standardized data extraction spreadsheet will be used and data will be presented in tabular and graphic format in alignment with the objectives of the review. Discussion: This review aims to provide a current understanding of research practices in the investigation of bilingual effects in young people as well as identify gaps in the literature. This review may also draw attention to methodological trends in the current literature that limit the conclusions researchers can draw.

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Patient race, ethnicity, and care in the emergency department: A scoping review

CJEM ◽

10.1017/cem.2019.458 ◽

2020 ◽

Vol 22 (2) ◽

pp. 245-253 ◽

Cited By ~ 2

Author(s):

Allison Owens ◽

Brian R. Holroyd ◽

Patrick McLane

Keyword(s):

Emergency Department ◽

Scoping Review ◽

Race And Ethnicity ◽

Research Question ◽

The United States ◽

Subjective Experiences ◽

Patient Race ◽

Abstract Screening ◽

The Impact ◽

Full Text Screening

ABSTRACTObjectivesHealth disparities between racial and ethnic groups have been documented in Canada, the United States, and Australia. Despite evidence that differences in emergency department (ED) care based on patient race and ethnicity exist, there are no comprehensive literature reviews in this area. The objective of this review is to provide an overview of the literature on the impact of patient ethnicity and race on the processes of ED care.MethodsA scoping review was conducted to capture the broad nature of the literature. A database search was conducted in MEDLINE/PubMed, EMBASE, CINAHL Plus, Social Sciences Citation Index, SCOPUS, and JSTOR. Five journals and reference lists of included articles were hand searched. Inclusion and exclusion criteria were defined iteratively to ensure literature captured was relevant to our research question. Data were extracted using predetermined variables, and additional extraction variables were added as familiarity with the literature developed.ResultsSearching yielded 1,157 citations, reduced to 153 following removal of duplicates, and title and abstract screening. After full-text screening, 83 articles were included. Included articles report that, in EDs, patient race and ethnicity impact analgesia, triage scores, wait times, treatments, diagnostic procedure utilization, rates of patients leaving without being seen, and patient subjective experiences. Authors of included studies propose a variety of possible causes for these disparities.ConclusionsFurther research on the existence of disparities in care within EDs is warranted to explore the causes behind observed disparities for particular health conditions and population groups in specific contexts.

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Pediatric Hand Fracture Referring Practices: A Scoping Review

Plastic Surgery ◽

10.1177/2292550319876659 ◽

2019 ◽

Vol 27 (4) ◽

pp. 340-347 ◽

Cited By ~ 1

Author(s):

Rebecca L. Hartley ◽

Anna R. Todd ◽

Alan R. Harrop ◽

Frankie O. G. Fraulin

Keyword(s):

Primary Care ◽

Scoping Review ◽

Data Extraction ◽

Grey Literature ◽

Cross Sectional ◽

Hand Fractures ◽

Study Selection ◽

Primary Care Education ◽

Hand Fracture ◽

Study Designs

Background: Pediatric hand fractures are common, but few require surgery; therefore, these fractures are often perceived to be overreferred. Our objective is to systematically identify and describe pediatric hand fracture referring practices. Method: A scoping review was performed, searching electronic databases and grey literature up to January 2018 to identify referring practices for children (17 years and younger) with hand fractures (defined as radiographically confirmed fractures distal to the carpus) to hand surgeons. All study designs were included, and study selection and data extraction were independently performed in duplicate by 2 reviewers. Outcomes included referring rates, necessity of referral, referring criteria, and management of fractures. Results: Twenty (10 cross-sectional, 7 prospective cohorts, and 3 narrative reviews) studies reporting on referring practices or management of 21,624 pediatric hand fractures were included. Proportion of pediatric hand fractures referred to hand surgeons ranged from 6.5% to 100%. Unnecessary referral, defined as those fractures within the scope of primary care management, ranged from 27% to 78.1%. Ten studies reported referring criteria, with 14 unique criteria identified. The most common referring criteria were displacement (36.4%), loss of joint congruity (36.4%), and instability (36.4%). The most common justification for these criteria was increased likelihood of requiring surgery. The most common initial management was immobilization (66%-100%). Final management was provided by orthopedic or plastic hand surgeons with 0% to 32.9% of fractures requiring surgery. Conclusion: Referring practices vary widely in the literature. Major gaps in the literature include objective measures and justification for referring criteria and primary care education on hand fracture referring practices.

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Unleashing the literature: a scoping review of canine zoonotic and vectorborne disease research in Canis familiaris in North America

Animal Health Research Reviews ◽

10.1017/s1466252320000237 ◽

2020 ◽

pp. 1-14

Author(s):

Danielle A. Julien ◽

Jan M. Sargeant ◽

Catherine Filejski ◽

Ali M. Versluis ◽

Victoria Waind ◽

...

Keyword(s):

North America ◽

Scoping Review ◽

Canis Familiaris ◽

Influenza Viruses ◽

Domestic Dogs ◽

Human Beings ◽

Main Research ◽

The Usa ◽

Abstract Screening ◽

Full Text Screening

Abstract Domestic dogs (Canis familiaris) provide important benefits to human beings but can also transmit pathogens. Information on the breadth of canine zoonoses and vectorborne research in North America is scarce. A scoping review was conducted to examine (1) the number and type of canine zoonoses and vectorborne studies in domestic dogs conducted in North America since the start of the 21st century; (2) the main research methods reported; (3) the Inequality-adjusted Human Development Index (IHDI) countries in which research was conducted; and (4) whether collaborative integrated terminology was reported in objectives or methods sections. Title/abstract screening, full-text screening, and data-charting were completed by two reviewers. We identified 507 publications evaluating 43 zoonotic or vectorborne pathogens in domestic dogs. Most studies (n = 391 of 512 (76.37%)) were conducted in the USA. The five most frequently researched pathogens were Ehrlichia spp. (n = 81 of 507 (15.98%)), Borrelia burgdorferi (n = 64 of 507 (12.62%)), Leptospira spp. (n = 54 of 507 (10.65%)), Rabies virus (n = 42 of 507 (8.28%)), and Influenza viruses (n = 41 of 507 (8.09%)). These pathogens can cause moderate to severe health outcomes in human beings and in dogs irrespective of IHDI ranking; our review highlights important counts of research conduct among North American countries.

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Mapping instruments for assessing and stratifying frailty among community-dwelling older people: a scoping review

BMJ Open ◽

10.1136/bmjopen-2021-052301 ◽

2021 ◽

Vol 11 (12) ◽

pp. e052301

Author(s):

Luiz Eduardo Lima Andrade ◽

Beatriz Souza de Albuquerque Caciqu New York ◽

Rafaella Silva dos Santos Aguiar Gonçalves ◽

Sabrina Gabrielle Gomes Fernandes ◽

Álvaro Campos Cavalcanti Maciel

Keyword(s):

Older People ◽

Latin American ◽

Scoping Review ◽

Data Extraction ◽

Grey Literature ◽

Community Dwelling ◽

Frailty Phenotype ◽

Advantages And Disadvantages ◽

Study Selection ◽

Community Dwelling Older People

ObjectiveTo map in the current literature instruments for the assessment and stratification of frailty in community-dwelling older people, as well as to analyse them from the perspective of the Brazilian context.DesignScoping review.Study selectionThe selection of studies took place between March and April 2020. Includes electronic databases: Medline, Latin American and Caribbean Literature in Health Sciences, Scopus, Web of Science and Cumulative Index of Nursing and Literature Health Alliance, in addition to searching grey literature.Data extractionA data extraction spreadsheet was created to collect the main information from the studies involved, from the title to the type of assessment and stratification of frailty.ResultsIn summary, 17 frailty assessment and stratification instruments applicable to community-dwelling older people were identified. Among these, the frailty phenotype of Fried et al was the instrument most present in the studies (45.5%). The physical domain was present in all the instruments analysed, while the social, psychological and environmental domains were present in only 10 instruments.ConclusionsThis review serves as a guideline for primary healthcare professionals, showing 17 instruments applicable to the context of the community-dwelling older people, pointing out advantages and disadvantages that influence the decision of the instrument to be used. Furthermore, this scoping review was a guide for further studies carried out by the same authors, which aim to compare instruments.

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Vulnerability and informal caregiver: a scoping review

10.1101/2021.09.02.21263030 ◽

2021 ◽

Author(s):

Landoni Marta ◽

Petrovic Milica ◽

Ionio Chiara ◽

Gaggioli Andrea

Keyword(s):

Informal Care ◽

Scoping Review ◽

Data Extraction ◽

Informal Caregivers ◽

Experimental Studies ◽

Future Research ◽

List Type ◽

Human Beings ◽

Study Selection ◽

Emotional Vulnerability

AbstractObjectiveThis review paper examines the concept of vulnerability in the overall literature and its relation to informal caregivers.Vulnerability is frequently associated with the sense of being at risk of harm instead of being acknowledged as a human trait to embrace.Taking a cue from two well-known videos of Brené Brown on how to enact “vulnerability,” we aimed to see if emotional vulnerability - posed/explored as strength or weakness - exists in the informal care context, potentially acting as a powerful resource that teaches individuals to look inward and inspires them to work on themselves.DesignScoping reviewData sourcesFollowing PRISMA-ScR checklist for scoping review, the literature was searched in various databases, including PubMed, Scopus and ScienceDirect.Study selection and data extractionWe systematically searched for: 1) observational studies, experimental studies, and systematic reviews 2) that examined the topic of emotional vulnerability in a caregiving context 3) that were relevant to informal caregivers of older adults 4) that were published from 1976 to 2021 5) in English 6) that included populations ≥18 years old 7) and excluded conceptualization of vulnerability outside of the emotional perspective (i.e., environmental, financial, social, biological, genetic, medical). Two reviewers independently reviewed titles and abstracts, reviewed the full text of relevant articles, and extracted the dataResultsFrom 2502 articles, 21 were determined as eligible.ConclusionThe reviewed articles showed the complexity of the vulnerability construct and several different approaches taken to explore this topic. This research concludes the value of vulnerability for human beings. The paucity of literature on the concept of vulnerability for informal caregivers offers a promising avenue for future research in this field.Article summary: Strengths and limitations of this studyThis study reviews the conceptualization of vulnerability across literature from 1976 to date, which was never done beforeThis study draws a unique parallel between vulnerability in formal care settings and informal careThis study re-defines the concept of emotional vulnerability in informal careThe study lacks more concrete first-person perspectives on vulnerability shared by informal caregivers, hence more concrete involvement of informal caregivers would be desirable for representative understanding of the concept of emotional vulnerability in informal care.

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