Protocol for a scoping review on rehabilitation among individuals who experience homelessness and traumatic brain injury

IntroductionRehabilitation is key to improving outcomes and quality of life after traumatic brain injury (TBI). However, individuals experiencing homelessness are rarely represented in research that informs evidence-based rehabilitation guidelines even though TBI is disproportionately prevalent among this population. This protocol is for a scoping review to explore the extent to which rehabilitation, including the types of rehabilitation interventions, is available to, or used by, individuals who experience homelessness and TBI to inform (1) opportunities to integrate rehabilitation for individuals experiencing homelessness and TBI, (2) considerations for existing clinical and practice guidelines for rehabilitation and (3) recommendations for future research.Methods and analysisThe scoping review will be guided by six stages described in scoping review methodology frameworks. Electronic databases (MEDLINE, Embase and Embase Classic, Cochrane CENTRAL Register of Clinical Trials, CINAHL, APA PsycINFO, Applied Social Sciences Index and Abstracts, and Nursing and Allied Health), reference list of included articles and scoping or systematic reviews identified from the search and grey literature, defined as reports from relevant brain injury, housing and rehabilitation organisations, will be searched. Two reviewers will independently screen all articles based on predetermined inclusion and exclusion criteria. A descriptive numerical summary of data items will be provided and qualitative content analytic techniques will be used to identify and report common themes. Preliminary findings will be shared with stakeholders to seek feedback on the implications of the results.Ethics and disseminationEthics review will not be required, as only publicly available data will be analysed. Findings from the scoping review will be published in a peer-reviewed journal and presented at scientific meetings and to stakeholders, defined as service providers in the housing and TBI sectors; health professionals who provide care for individuals with TBI and/or homelessness; health administrators, decision-makers and policy-makers; researchers; and caregivers or family members of individuals with lived experience of TBI and homelessness.

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Predictors of discharge destination from acute care in patients with traumatic brain injury

BMJ Open ◽

10.1136/bmjopen-2017-016694 ◽

2017 ◽

Vol 7 (8) ◽

pp. e016694 ◽

Cited By ~ 3

Author(s):

Sareh Zarshenas ◽

Laetitia Tam ◽

Angela Colantonio ◽

Seyed Mohammad Alavinia ◽

Nora Cullen

Keyword(s):

Systematic Review ◽

Traumatic Brain Injury ◽

Brain Injury ◽

Acute Care ◽

English Language ◽

Healthcare Providers ◽

Trial Registration ◽

Future Research ◽

Reference List ◽

Registration Number

IntroductionMany studies have assessed the predictors of morbidity/mortality of patients with traumatic brain injury (TBI) in acute care. However, with the increasing rate of survival after TBI, more attention has been given to discharge destinations from acute care as an important measure of clinical priorities. This study describes the design of a systematic review compiling and synthesising studies on the prognostic factors of discharge settings from acute care in patients with TBI.Methods and analysisThis systematic review will be conducted on peer-reviewed studies using seven databases including Medline/Medline in-Process, Embase, Cochrane Database of Systematic Reviews, Cochrane CENTRAL, PsycINFO, CINAHL and Supplemental PubMed. The reference list of selected articles and Google Scholar will also be reviewed to determine other relevant articles. This study will include all English language observational studies that focus on adult patients with TBI in acute care settings. The quality of articles will be assessed by the Quality in Prognostic Studies tool.Ethics and disseminationThe results of this review will provide evidence that may guide healthcare providers in making more informed and timely discharge decisions to the next level of care for patient with TBI. Also, this study will provide valuable information to address the gaps in knowledge for future research.Trial registration numberTrial registration number (PROSPERO) is CRD42016033046.

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What Are the Client, Organisational and Employee-Related Outcomes of High Quality Leadership in the Allied Health Professions? A scoping review.

Asia Pacific Journal of Health Management ◽

10.24083/apjhm.v14i2.257 ◽

2019 ◽

Vol 14 (2) ◽

pp. 19-30 ◽

Cited By ~ 1

Author(s):

Janice McKeever ◽

Ted Brown

Keyword(s):

Scoping Review ◽

Allied Health ◽

Grey Literature ◽

Future Research ◽

Reference List ◽

High Quality ◽

Allied Health Professionals ◽

Consumer Expectation ◽

Professional Groups ◽

Modern Health Care

Background: Leadership is viewed as the panacea the complex problems in modern health care where chronic disease, contracting budgets and rising consumer expectation are challenging care provision. As the second largest workforce in Australia, Allied Health Professionals (AHP) are core contributors to health teams however they are largely absent from leadership positions and there is little evidence of their impact on client outcomes. Aim: A scoping review was carried out to synthesise evidence on the client, organisational and employee-related outcomes of high quality leadership in Allied Health. Method: A search of grey literature, peer and non-peer reviewed literature was undertaken using Embase, Emcare, SCOPUS and Psychinfo from 2010-2017. Data were sourced from journals, government reports, conference presentations and other grey literature. The reference list of key articles were hand searched for relevant research. Results: A total of 5880 articles were identified and after screening 35 articles were included for in depth review. Leadership contributed towards positive outcomes in all three domains and had influence across professional groups and services. Leaders are highly valued and respected by their teams. Allied Health leaders did not feature in any of the articles and AHP were the focus of only seven studies. The majority of articles were conference papers or case reviews that provided little robust data making it difficult to draw substantive conclusions on the outcome of AHP leadership. Conclusion: There was a lack of robust data specific to AHP leaders. Future research should attempt to gather evidence of the outcomes of AHP leadership through qualitative and quantitative means to substantiate the anecdotal evidence for high quality AHP leaders.

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Mapping evidence on access to healthcare information by women of reproductive age in low-and-middle-income countries: scoping review protocol

Systematic Reviews ◽

10.1186/s13643-019-1203-5 ◽

2019 ◽

Vol 8 (1) ◽

Author(s):

Joyce T. Shatilwe ◽

Tivani P. Mashamba-Thompson

Keyword(s):

Scoping Review ◽

Full Text ◽

Grey Literature ◽

Relevant Literature ◽

Access To Healthcare ◽

Reproductive Age ◽

Future Research ◽

Reference List ◽

Women Of Reproductive Age ◽

Healthcare Information

Abstract Background Research shows that there are inadequate interventions in resource-limited settings that could enable women of reproductive age to access and use health services in those settings. The main objective of this scoping review is to map the evidence on access to healthcare information by women of reproductive age in LMICs. Method and analysis The primary search will include Google Scholar, Science Direct, PubMed, EBSCOhost (Academic search complete, CINAHL with full text, MEDLINE with full text, MEDLINE), Emerald, Embase, CDSR, PsycINFO, published and peer review journals, organisational projects, conference papers, reference list, grey literature sources, as well as reports related to this objective will be included in the study. Identified keywords will be used to search articles from the studies. The articles and abstracts will be screened by two independent reviewers (JS and TPMT). Inclusion and exclusion criteria will be considered to guide the screening. A thematic content analysis will be used to present the narrative account of the reviews, using NVivo computer software (version 11). Discussions The scoping review will focus on women of reproductive age in LMICs. We anticipate finding relevant literature on the interventions aimed at accessing health care services in LMICs. The study findings will help reveal research gaps to guide future research. Scoping review registration Not registered with PROSPERO (not needed). Protocol and registration This scoping review was not registered.

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Women’s Gendered Experiences of Traumatic Brain Injury

Qualitative Health Research ◽

10.1177/1049732319900163 ◽

2020 ◽

Vol 30 (7) ◽

pp. 1033-1044

Author(s):

Alexis M. Fabricius ◽

Andrea D’Souza ◽

Vanessa Amodio ◽

Angela Colantonio ◽

Tatyana Mollayeva

Keyword(s):

Traumatic Brain Injury ◽

Brain Injury ◽

Lived Experience ◽

Thematic Analysis ◽

Past Research ◽

Future Research ◽

Doing Gender ◽

Gender Influences ◽

Insight Into ◽

Critical Injury

Despite recognizing that women have worse outcomes after traumatic brain injury (TBI), little is known about how gender influences their experiences of this critical injury. Past research has been dominated by androcentrism and quantitative approaches, leaving the lived experience of women with TBI insufficiently examined. To gain insight into their experiences, this qualitative study interviewed 19 Canadian women with mild and moderate-to-severe TBIs. Applying a thematic analysis, we discerned three themes: Gender prevails considers choosing to do gender over complying with physician advice; Consequences of TBI impeding performativity explores how women frame themselves as terrible people for being unable to do gender post-TBI; and Perceptions of receiving care looks at gendered caregiving expectations. These results broadly align with research on how doing gender influences recovery and health outcomes. We discuss the implications of our findings for knowledge translation, future research on women’s TBI recovery, and clinical practice.

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Systematic review protocol for facilitators and barriers to integrating health services for traumatic brain injury and mental health or addictions

BMJ Open ◽

10.1136/bmjopen-2018-027534 ◽

2019 ◽

Vol 9 (7) ◽

pp. e027534 ◽

Cited By ~ 2

Author(s):

Vincy Chan ◽

Danielle Toccalino ◽

Angela Colantonio

Keyword(s):

Mental Health ◽

Systematic Review ◽

Traumatic Brain Injury ◽

Brain Injury ◽

Health Services ◽

Healthcare Access ◽

Barriers And Facilitators ◽

Cochrane Central Register ◽

Registration Number ◽

Scientific Meetings

IntroductionIn the most populous province of Canada, one in five adults and one in six students report a lifetime history of traumatic brain injury (TBI). These individuals were also more likely to report elevated psychological distress and use illicit substances compared with those without TBI. The need for integrated health services has been recognised globally, yet efforts to develop more comprehensive and effective care for TBI and mental health and/or addictions (MHA) continue to be challenged by the siloing of the two systems. This protocol is for a systematic review that describes the current types of integrated care for TBI and MHA and identifies the barriers and facilitators to integrating healthcare for these populations.Methods and analysisThis review will systematically search MEDLINE, EMBASE, PsycINFO, CINAHL, Cochrane Central Register of Controlled Trials, Sociological Abstracts, and Dissertations & Theses Global. References of eligible articles will also be searched for additional relevant studies. The search strategy will include the use of text words and subject headings relevant to the concepts ‘TBI,’ ‘substance abuse, gambling, or mental health,’ ‘integrated healthcare,’ ‘barriers and facilitators,’ and ‘healthcare access.’ Two reviewers will independently screen all articles based on predetermined inclusion and exclusion criteria and perform quality assessment on eligible studies. A narrative synthesis will be conducted using the data abstracted by the two reviewers.Ethics and disseminationFindings from the systematic review will be published in peer-reviewed journals, presented at scientific meetings, and summarised for key stakeholders in the field of TBI and/or MHA. This protocol will form a systematic review that holds the potential to impact policy and planning in the development of integrated person-centred care for TBI and MHA and addresses a recognised gap in TBI care.Trial registration numberCRD42018108343

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Research to Integrate Services for Individuals with Traumatic Brain Injury, Mental Health, and Addictions: Proceedings of a MultiDisciplinary Workshop

Canadian Journal of Community Mental Health ◽

10.7870/cjcmh-2020-001 ◽

2020 ◽

Vol 39 (1) ◽

pp. 133-150

Author(s):

Catherine Wiseman-Hakes ◽

Angela Colantonio ◽

Hyun Ryu ◽

Danielle Toccalino ◽

Robert Balogh ◽

...

Keyword(s):

Mental Health ◽

Traumatic Brain Injury ◽

Brain Injury ◽

Lived Experience ◽

Partner Violence ◽

Service Providers ◽

Knowledge Exchange ◽

Translation Research ◽

Knowledge To Action ◽

Services And Supports

We present the findings from a one-day, multidisciplinary meeting to gather feedback for an integrated knowledge translation research project addressing the integration of health services and supports for individuals with traumatic brain injury, mental health, and/or addictions; especially those who experience homelessness/vulnerably housed, intersect with the criminal justice system, and are survivors of intimate partner violence. This meeting brought together persons with lived experience, service providers, decision makers, and researchers, who provided feedback that further refined the research methodology and highlighted existing gaps. This event was successful in inviting collaboration, knowledge exchange and dissemination, and advancing an important knowledge-to-action cycle for this research.

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Utility of fibrin sealants and the road ahead in plastic surgery: a scoping review

10.31219/osf.io/mbv6r ◽

2021 ◽

Author(s):

Mohammadali Saffarzadeh ◽

Taylor Kandler ◽

Safal Parhar

Keyword(s):

Plastic Surgery ◽

Scoping Review ◽

Grey Literature ◽

Age Groups ◽

Future Research ◽

Cochrane Central Register ◽

The Road ◽

Fibrin Sealants ◽

Ovid Medline ◽

Cochrane Database

Objective:The objective of this scoping review is to examine the extent of literature on the utility and safety of various types of fibrin sealants in plastic surgery. Considerations such as consent, and cost profile will also be reviewed and identified as future research opportunities.Introduction:Since the approval of fibrin sealants in Europe in the 1970s, they have found their niche in various types of surgical operations, and their utility has led to a rise in popularity. However, the clinical applications of fibrin sealants are not fully synthesized, and important ethical and financial considerations are rarely discussed.Inclusion criteria:Studies reporting the application of commercially available fibrin sealants in plastic surgery procedures on humans of all age groups were included in this review. Additionally, published abstracts and all opinion pieces including commentaries and narrative reviews were exempt.Methods:The key information sources that will be searched are the following: Ovid MEDLINE, Cochrane Central Register of Controlled Trials (CENTRAL), Cochrane Database of Systematic Reviews, Embase, Web of Science Core Collection, and LILACS and grey literature sources. There are no limits placed on the searches. Each publication will be screened by two authors, and any conflict in the selection decision will be resolved by a third author to limit bias.

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Vision Evaluation Tools for Adults With Acquired Brain Injury: A Scoping Review

Canadian Journal of Occupational Therapy ◽

10.1177/00084174211042955 ◽

2021 ◽

pp. 000841742110429

Author(s):

Camille Dubé ◽

Yu Jin ◽

Brienne G. Powers ◽

Ginny Li ◽

Amélie Labelle ◽

...

Keyword(s):

Brain Injury ◽

Scoping Review ◽

Grey Literature ◽

Occupational Therapists ◽

Acquired Brain Injury ◽

Future Research ◽

Evaluation Tools ◽

Visual Deficits ◽

Visual Skills ◽

High Level

Background. Unrecognized visual deficits (VDs) following an acquired brain injury (ABI) may impact clients’ rehabilitation. Little is known about evaluation tools used in vision rehabilitation. Purpose. To systematically explore the literature describing evaluation tools used for VD on adults with ABI. Method. Using a scoping review methodology, we searched in MEDLINE(Ovid), Embase, CINAHL, PsycINFO, and the grey literature from inception to 2020. Quantitative and thematic analyses were performed. Findings. Of the 83 studies reporting on 86 evaluation tools, 47% used multiple tools to assess VD. Tools were mostly used by occupational therapists and psychologists to evaluate intermediate, intermediate to high, and high-level visual skills. Clinicians tend to select specific tools that focus on different levels of the hierarchy of visual skills. Implications. Future research should investigate the optimal timeframe for assessment of VD and the psychometric properties of tools to ensure comprehensive VD evaluation.

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Low-value clinical practices in adult traumatic brain injury: an umbrella review protocol

BMJ Open ◽

10.1136/bmjopen-2019-031747 ◽

2019 ◽

Vol 9 (10) ◽

pp. e031747 ◽

Cited By ~ 2

Author(s):

Pier-Alexandre Tardif ◽

Lynne Moore ◽

François Lauzier ◽

Imen Farhat ◽

Patrick Archambault ◽

...

Keyword(s):

Traumatic Brain Injury ◽

Brain Injury ◽

Systematic Reviews ◽

Scoping Review ◽

Methodological Quality ◽

Healthcare Quality ◽

Cochrane Central Register ◽

Clinical Practices ◽

Umbrella Review

IntroductionTraumatic brain injury (TBI) leads to 50 000 deaths, 85 000 disabilities and costs $60 billion each year in the USA. Despite numerous interventions and treatment options, the outcomes of TBI have improved little over the last three decades. In a previous scoping review and expert consultation survey, we identified 13 potentially low-value clinical practices in acute TBI. The objective of this umbrella review is to synthesise the evidence on potentially low-value clinical practices in the care of acute TBI.Methods and analysisUsing umbrella review methodology, we will search Cochrane Central Register of Controlled Trials, Embase, Epistemonikos, International Prospective Register of Systematic Reviews (PROSPERO) and PubMed to identify systematic reviews evaluating the effect of potential intrahospital low-value practices using tailored population, intervention, comparator, outcome and study design questions based on the results of a previous scoping review. We will present data on the methodological quality of these reviews (Assessing the Methodological Quality of Systematic Reviews-2), reported effect sizes and strength of evidence (Grading of Recommendations, Assessment, Development and Evaluation).Ethics and disseminationEthics approval is not required as original data will not be collected. Knowledge users from five healthcare quality organisations and clinical associations are involved in the design and conduct of the study. Results will be disseminated in a peer-reviewed journal, at international scientific meetings and to clinical, healthcare quality and patient–partner associations. This work will support the development of metrics to measure the use of low-value practices, inform policy makers on potential targets for deimplementation and in the long term reduce the use of low-value clinical practices in acute TBI care.PROSPERO registration numberCRD42019132428.

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Community-Based Physical Activity Interventions for Individuals with Moderate to Severe Traumatic Brain Injury: Scoping Review Protocol (Preprint)

10.2196/preprints.24689 ◽

2020 ◽

Author(s):

Enrico Quilico ◽

Bonnie Swaine ◽

Christophe Alarie ◽

Angela Colantonio

Keyword(s):

Physical Activity ◽

Traumatic Brain Injury ◽

Brain Injury ◽

Severe Traumatic Brain Injury ◽

Scoping Review ◽

Current Evidence ◽

Future Research ◽

Sex And Gender ◽

Community Based ◽

Severe Tbi

BACKGROUND Long-term physical, cognitive, and psychosocial problems resulting from moderate to severe traumatic brain injury (TBI) can prevent individuals from returning to preinjury lifestyles because of significant challenges with employment, leisure, and relationships. While physical activity (PA) is proposed as a cost-effective method to alleviate problems after moderate to severe TBI, there is no review to date that synthesizes the evidence for PA in the community-based context. Further, although sex- and gender-based considerations in research are considered requisite to good science, there is no review on PA and TBI that has included this explicit focus. OBJECTIVE The purpose of this review is to map and synthesize the current evidence identified through a systematic search of community-based PA interventions for individuals of all ages with moderate to severe TBI and provide an overview of that evidence by asking the following research questions: (1) what are the characteristics of community-based PA programs for individuals with moderate to severe TBI, (2) what are the reported health-related outcomes and measurement tools used to evaluate them, and (3) what considerations have been given to sex and/or gender? METHODS Searches will be conducted of six academic databases for peer-reviewed articles. Two reviewers will independently screen the articles for inclusion and extract data for the analysis. The extracted data will be coded according to the Consensus on Exercise Reporting Template checklist and the Template for Intervention Description and Replication checklist to provide sufficient detail for replication. RESULTS The abstract screening was completed by two reviewers and the extracted data were analyzed. A qualitative synthesis and description of community-based PA interventions for individuals with moderate to severe TBI will be provided. CONCLUSIONS This scoping review will generate new knowledge from published and publicly available literature. Dissemination of the results will include activities related to knowledge transfer for community-based PA after moderate to severe TBI for future research and practice. Evidence-based recommendations, future directions, potential limitations, use of online/digital components, and the possible need for a systematic review will be discussed as well. INTERNATIONAL REGISTERED REPORT DERR1-10.2196/24689

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