scholarly journals Practice of Telehealth in Otolaryngology: A Scoping Review in the Era of COVID-19

2021 ◽  
pp. 019459982110137
Author(s):  
Joseph N. Gonzalez ◽  
Lucas G. Axiotakis ◽  
Victoria X. Yu ◽  
David A. Gudis ◽  
Jonathan B. Overdevest

Objective The COVID-19 pandemic has spurred widespread adoption and advancement in telehealth activities, representing a marked change in otolaryngology practice patterns. The present study undertakes a scoping review of research focused on telehealth in otolaryngology (teleotolaryngology) to identify key themes and commonly utilized outcome measures that will assist future development in this growing field. Data Sources PubMed, Embase, and Cochrane databases and reference review. Review Methods Per guidelines of the PRISMA Extension for Scoping Reviews, we performed database queries using a comprehensive search strategy developed in collaboration with research librarians at the Columbia University Irving Medical Center. We identified 596 unique references to undergo title and abstract review by 2 independent reviewers, leaving 439 studies for full-text review. Results We included 285 studies for extraction of notable findings, leaving 262 unique studies after accounting for content overlap. We identified core outcome measures, including patient and provider satisfaction, costs and benefits, quality of care, feasibility, and access to care. Publication volume increased markedly over time, though only 4% of studies incorporated randomized study group assignment. Using an iterative approach to thematic development, we organized article content across 5 main themes: (1) exploration of teleotolaryngology evolution, (2) role in virtual clinical encounters, (3) applications in interdisciplinary care and educational initiatives, (4) emerging and innovative technologies, and (5) barriers to implementation. Conclusion This scoping review of teleotolaryngology documents its evolution and identifies current use cases, limitations, and emerging applications, providing a foundation from which to build future studies, inform policy decision making, and facilitate implementation where appropriate.

Author(s):  
Mary J. Sandage ◽  
Elizabeth S. Ostwalt ◽  
Lauren H. Allison ◽  
Grace M. Cutchin ◽  
Mariah E. Morton ◽  
...  

Purpose The primary aim of this review was to identify environmental irritants known to trigger chronic cough through the life span and develop a comprehensive clinically useful irritant checklist. Method A scoping review was conducted using the Preferred Reporting Items for Systematic Review and Meta-Analysis Extension for Scoping Reviews, checklist, and explanation. English-language, full-text resources were identified through Medline, PsycINFO, SPORTDiscus, Web of Science, and ProQuest Dissertations and Theses Global. Results A total of 1,072 sources were retrieved; of these, 109 were duplicates. Titles of abstracts of 963 articles were screened, with 295 selected for full-text review. Using the exclusion and inclusion criteria listed, 236 articles were considered eligible and 214 different triggers were identified. Triggers were identified from North America, Europe, Africa, Asia, and Australia. Occupational exposures were also delineated. Conclusions A clinically useful checklist of both frequently encountered triggers and idiosyncratic or rare triggers was developed. The clinical checklist provides a unique contribution to streamline and standardize clinical assessment of irritant-induced chronic cough. The international scope of this review extends the usefulness of the clinical checklist to clinicians on most continents.


Author(s):  
Monique de Wit ◽  
Nicola Ann Plastow

Poor quality preschool teacher training is a significant contributor to children not achieving school readiness. With technological development, electronic and mobile learning offer accessible and affordable options for this training, however, there is a lack of design evidence for the African context. This interdisciplinary education- and computer-science study aims to provide evidence-based recommendations for improving the usability of mLearning modules for preschool teachers in Africa. A scoping review guided by Arksey and O’Malley’s framework, the PRISMA reporting guidelines for scoping reviews, and Levac et al. guidelines, was conducted. Databases searched included Africa Wide Information, ERIC, CIHNAL, and Academic Search Premier. Two researchers completed a blind-review process for article inclusion and framework analysis, using 10 usability attributes with inductive grouping of data under each attribute to form sub-categories. Overlapping themes were coded to formulate usability recommendations within WeftQDA. The search yielded 909 articles and, after title and abstract screening, 123 were selected for full text review. Seventeen articles (n=17) met the inclusion criteria and were included in the final review. All studies included an African partner, and largely included part-time learning for degree purposes and professional development using mLearning, eLearning, and videos. Nineteen recommendations were developed to improve the usability of mLearning training applications for preschool teachers in Africa, with contextual relevance emerging as a new usability attribute. Development of mLearning training modules for preschool teachers in Africa should include user centred design, heuristic evaluation and usability assessment, to ensure the sustainability of both mLearning and change in classroom teaching practices.


2017 ◽  
Vol 31 (9) ◽  
pp. 1249-1256 ◽  
Author(s):  
Heather L Colquhoun ◽  
Tiago S Jesus ◽  
Kelly K O’Brien ◽  
Andrea C Tricco ◽  
Adora Chui ◽  
...  

Introduction: Scoping reviews are increasingly popular in rehabilitation. However, significant variability in scoping review conduct and reporting currently exists, limiting potential for the methodology to advance rehabilitation research, practice and policy. Our aim is to conduct a scoping review of rehabilitation scoping reviews in order to examine the current volume, yearly distribution, proportion, scope and methodological practices involved in the conduct of scoping reviews in rehabilitation. Key areas of methodological improvement will be described. Methods and analysis: We will undertake the review using the Arksey and O’Malley scoping review methodology. Our search will involve two phases. The first will combine a previously conducted scoping review of scoping reviews (not distinct to rehabilitation, with data current to July 2014) together with a rehabilitation keyword search in PubMed. Articles found in the first phase search will undergo a full text review. The second phase will include an update of the previously conducted scoping review of scoping reviews (July 2014 to current). This update will include the search of nine electronic databases, followed by title and abstract screening as well as a full text review. All screening and extraction will be performed independently by two authors. Articles will be included if they are scoping reviews within the field of rehabilitation. A consultation exercise with key targets will inform plans to improve rehabilitation scoping reviews. Ethics and dissemination: Ethics will be required for the consultation phase of our scoping review. Dissemination will include peer-reviewed publication and conferences in rehabilitation-specific contexts.


BMJ Open ◽  
2017 ◽  
Vol 7 (11) ◽  
pp. e018633 ◽  
Author(s):  
Kahlia McCausland ◽  
Bruce Maycock ◽  
Jonine Jancey

IntroductionElectronic cigarettes have become increasingly popular over the last 10 years. These devices represent a new paradigm for tobacco control offering smokers an opportunity to inhale nicotine without inhaling tobacco smoke. To date there are no definite conclusions regarding the safety and long-term health effects of electronic cigarettes; however, there is evidence that they are being marketed online as a healthier alternative to traditional cigarettes. This scoping review aims to identify and describe the breadth of messages (eg, health, smoking-cessation and price related claims) presented in online electronic cigarette promotions and discussions.Methods and analysisA scoping review will be undertaken adhering to the methodology outlined in The Joanna Briggs Institute Manual for Scoping Reviews. Six key electronic databases will be searched to identify eligible studies. Studies must be published in English between 2007 and 2017, examine and/or analyse content captured from online electronic cigarette promotions or discussions and report results for electronic cigarettes separately to other forms of tobacco delivery. Studies will be screened initially by title and abstract, followed by full-text review. Results of the search strategy will be reported in a PRISMA flow diagram and presented in tabular form with accompanying narrative summary.Ethics and disseminationThe methodology consists of reviewing and collecting data from publicly available studies, and therefore does not require ethics approval. Results will be published in a peer reviewed journal and be presented at national/international conferences. Additionally, findings will be disseminated via social media and online platforms. Advocacy will be key to informing policy makers of regulatory and health issues that need to be addressed.Registration detailsThe review was registered prospectively with The Joanna Briggs Institute Systematic Reviews database.


2021 ◽  
Author(s):  
Heitor S. Ribeiro ◽  
Francini P. Andrade ◽  
Diogo V. Leal ◽  
Juliana Souza de Oliveira ◽  
Kenneth Wilund ◽  
...  

Objective: The objective of this scoping review is to describe how exercise has been prescribed for hemodialysis patients. Introduction: Exercise interventions have received more attention from the nephrology community in the last few years. Despite some limitations in the findings, there is currently robust evidence suggesting that exercise is clinically important and provides benefits to hemodialysis patients. Even so, there is little evidence precisely detailing and describing how exercise can be prescribed and delivered for this population. Inclusion criteria: Based on the PCC framework, we will review and include evidence from hemodialysis patients (Participants); describing exercise interventions (Concept); in all settings and designs (Context). The evidence that included any other kidney replacement therapy other than hemodialysis will be excluded. Methods: This review will follow the JBI methodology for scoping reviews and the PRISMA-ScR. We will perform a comprehensive literature search using MEDLINE, EMBASE, SPORTDiscuss, CINAHL, and LILACS databases without date or language restrictions from inception until December 2021. Websites, books, and guidelines from prominent societies and associations will also be searched. Experimental, quasi-experimental, observational, and protocol evidence from adults with chronic kidney disease (≥18 years) undergoing hemodialysis that prescribed exercise as an intervention will be considered. Two independent reviewers will screen title and abstract and perform the full-text review. Data extraction will be done by the main reviewer and checked by a second reviewer. Data characterizing the exercise interventions (e.g., type, setting, frequency, duration, intensity, volume, progression, periodization, professionals involved, etc.) will be extracted from selected evidence. The qualitative and quantitative results will be synthesized and presented in tables and figures along with a narrative summary.


2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Heidi Holmen ◽  
Anette Winger ◽  
Simen A. Steindal ◽  
Charlotte Castor ◽  
Lisbeth Gravdal Kvarme ◽  
...  

Abstract Background In pediatric palliative care (PPC), there is a need to involve the child’s voice in situations regarding their symptoms and care needs. Patient-reported outcome measures (PROMs) can be tools to systematically gather data reported from the child or a proxy if the child is not capable to self-report in order to provide the services they need. There has been a rapid development in PROM research the last decade, and there is a need for an overview of current knowledge and experiences in the field. Thus, we aim to explore and summarize what is known from the published research about PROMs in PPC. Methods We propose a scoping review following the framework by Arksey and O’Malley and the PRISMA Extension for Scoping Reviews checklist. A systematic search will be performed in the following databases: Medical Literature Analysis and Retrieval System Online (Medline), Excerpta Medica database (EMBASE), Cumulative Index to Nursing and Allied Health Literature (CINAHL), American Psychological Association (APA) PsycInfo, Health and Psychosocial Instruments (HaPI), and Allied and Complementary Medicine Database (AMED). The search will be followed by snowballing to identify key papers and significant researchers for additional citations. Covidence will facilitate the independent review of eligible citations, and data will be extracted and presented descriptively, and thematically analyzed using NVivo. Discussion The scoping review suggested in this protocol will identify PROMs which have been proposed in PPC and clarify the experiences with their use. The findings of this review will be relevant for researchers and healthcare personnel caring for children and adolescents in PPC. In addition, by highlighting knowledge gaps about the use of PROMs in PPC, this review will point out future needs within this field of research, which is crucial for improving quality of care in PPC. Systematic review registration https://osf.io/yfch2/.


2020 ◽  
Author(s):  
Dylan P Griswold ◽  
Laura Fernandez ◽  
Andres M Rubiano

BACKGROUND Sixty-nine million people suffer from traumatic brain injury (TBI) each year and TBI is the most common cause of subarachnoid hemorrhage (SAH). Traumatic SAH has been described as an adverse prognostic factor leading to progressive neurological deterioration and an increase in morbidity and mortality, but there are a limited number of studies which evaluate recent trends in the diagnostic and management of SAH in the context of trauma. OBJECTIVE The objective of this scoping review is to understand the extent and type of evidence in relation to the diagnostic criteria and management of traumatic subarachnoid hemorrhage. METHODS This scoping review will be conducted in accordance with the JBI methodology for scoping reviews. A three-step search strategy (initial limited search in PubMed and Scopus databases, a main search of EMBASE, Web of Science, EBSCO, MEDLINE, and manual searches of reference lists of included articles) will be utilized. The search will be limited to studies with human participants and published in English, Spanish, and French between 2005-2020. This review will consider studies of adolescent and adult patients who have suffered from SAH secondary to trauma. Study selection will be performed by two authors in a two-phase process; if any disagreement arises, a third author will be consulted. Data to be extracted from each study will include population, intervention, comparator and outcome measures and a summary of findings. Citation screening, full-text review, risk of bias assessment, and extraction of study characteristics and outcomes will be carried out using a web-based software platform that streamlines the production of scoping reviews. RESULTS Ethics approval is not required for this systematic review, as there will be no patient involvement. The search for this systematic review commenced in December 2020, and we expect to publish the findings in early 2021. The plan for dissemination is to publish review findings in a peer-reviewed journal and present findings at conferences that engage the most pertinent stakeholders. CONCLUSIONS This scoping review will serve as an initial step in providing more evidence for healthcare professionals, economists and policymakers in order that they might devote more resources towards this significant problem affecting both health and economic outcomes worldwide.


BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e044765
Author(s):  
Alain Lescoat ◽  
David Roofeh ◽  
Whitney Townsend ◽  
Michael Hughes ◽  
Robert D Sandler ◽  
...  

IntroductionLimited cutaneous systemic sclerosis (lcSSc) is the most frequent subset of systemic sclerosis. Despite this, lcSSc is not the major focus of clinical studies. The lack of interventional studies in lcSSc is due, in part, to a paucity of relevant outcome measures to effectively evaluate this subset. A combined response index dedicated to lcSSc would facilitate development of well-designed trials and approval of new drugs. The objective of this scoping review is to perform a broad and comprehensive identification of the outcome measures (core set items) within relevant domains, which have been used so far to assess lcSSc.Methods and analysisThe planned scoping review will be based on the approach proposed by Arksey et al and further developed by Levac et al. Development and reporting will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses—Extension for Scoping Reviews checklist and guidelines. The development of the search strategy was guided by the concepts of domains and outcomes based on the Outcome Measures in Rheumatology approach and by the different names and definitions of SSc, with a specific emphasis on their occurrence in clinical trial studies. Two databases will be searched: MEDLINE and Embase. Studies in English, published from the year 1988 onwards, will be included, since 1988 corresponds to the publication of LeRoy’s first consensus definition of lcSSc. Data will be extracted and analysed using a standardised charting tool.Ethics and disseminationNo ethical approval is required for this study. The results will be submitted to an international peer-reviewed journal and scientific conferences, informing the discussion on which items should be included in a combined response index dedicated to lcSSc (the CRISTAL project: Combined Response Index for Scleroderma Trial Assessing lcSSc).


BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e055033
Author(s):  
Jay Evans ◽  
Elizabeth Grant ◽  
Anne Birgitta Pessi ◽  
Laura Evans ◽  
Silja Voolma

IntroductionThere is widespread agreement that medical care without compassion cannot be patient-centred, but patients still routinely cite that they feel a lack of compassion in the care environment. There is a dearth of research on how compassion is experienced in a non-hospital setting such as a care home, not just by residents but by staff and other key stakeholders. This scoping review aims to determine the body of existing, published research that explicitly refers to compassion or empathy in the context of care homes.Methods and analysisThis scoping review will follow the methodology described by Arksey and O’Malley and the PRISMAextension for scoping reviews guideline to adhere to an established methodological framework. Relevant publications will be searched on the EMBASE, MEDLINE, PubMed, CINAHL, EBM Reviews and PsycInfo databases. Peer-reviewed literature focusing on experiences of compassion or empathy in care home settings from the perspective of either staff, residents (or clients), family members or their combined perspectives will be included. We will focus on literature published from 2000 up to 1 November 2021, in English, Spanish, Portuguese Finnish and Estonian. The review process will consist of three stages: a title review to identify articles of interest, this will be followed by an abstract review and finally, a full-text review. These three stages will be conducted by two reviewers. Data will be extracted, collated and charted and a narrative synthesis of the results will be presented.Ethics and disseminationEthical approval is not required for this scoping review. This study supports the first part of a larger programme to understand the importance of technologies in care homes. The scoping review will examine data from publicly available documentation, reports and published papers. Dissemination will be achieved through engagement with stakeholder communities, and publishing results. Our team will include representatives from the different communities involved.


2020 ◽  
Author(s):  
Elly Park ◽  
Catherine Allyson Jones ◽  
Mary Forhan

BACKGROUND A growing interest has centred on digital storytelling in health research, a multi-media presentation of a story using technology. The use of digital storytelling in knowledge translation (KT) is emerging as technology and healthcare address approaches of disseminating and transferring knowledge to key stakeholders. OBJECTIVE We conducted a scoping review of the literature available on the use of digital storytelling as a tool in KT interventions. METHODS Six electronic databases were searched and screened for 4656 citations. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews (PRISMA-ScR) was used to guide the review process. Two reviewers screened all citations and completed the full text review. RESULTS One hundred fourteen full texts were reviewed and twenty-one publications were analyzed. The publications were from nine countries and focused on an array of physical and mental health conditions. A broad range of interpretations of digital storytelling and a variety of KT interventions were identified with educational material for healthcare professionals (HCP) and other patients being the most predominant form of digital storytelling. CONCLUSIONS Using digital storytelling for KT can contribute to shared decision-making in healthcare and increase awareness in patients’ health related experiences. Concerns centred on the accuracy and reliability of some of the information available online and the impact of digital storytelling on knowledge action and implementation.


Sign in / Sign up

Export Citation Format

Share Document