Georlee Gifty M, U Abiram, Dat Pham Ngoc, Tuan Nguyen Khac, Mehrotra Shashank
Former Intern, Department of Occupational Therapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Udupi, Karnataka, India.
Occupational Therapist, Faculty of Nursing and Medical Technology, Ho Chi Minh City University of Medicine and Pharmacy, Ho Chi Minh City, Viet Nam.
BMJ Open. 2020 Sep 10;10(9):e039742. doi: 10.1136/bmjopen-2020-039742.
Falls are the second leading reason for incidental or unexpected deaths worldwide. Many older adults who fall, regardless of whether they are injured or not, tend to experience fear of fall and this can lead to decreased participation in activities of daily living (ADLs). Subsequent falls lead to weakness, a decline in physical functioning, increased chances of falling and a negative impact on the instrumental ADLs. Here, we present our scoping review protocol to appraise the literature to describe and explain the home-modification interventions used by occupational therapists to address falls and participation in ADLs among community-dwelling older adults. We are aiming to review the available home-modification intervention protocols, facilitators and barriers to such interventions, and the experiences of occupational therapists and clients after receiving these interventions.
This scoping review protocol follows existing guidelines for scoping reviews with a particular attention on Arksey and O'Malley (2005) and Colquhoun (2014). We will include the following databases: Scopus, Web of Science, PubMed, ProQuest, Cumulative Index to Nursing and Allied Health Literature and Google Scholar. We plan to conduct the literature search from August 16, 2020 to September 15, 2020. Two reviewers will independently screen eligible studies for inclusion. We will extract the bibliographic data, study design, details of the intervention provided, outcomes and experiences of occupational therapists and clients, and further organise them for better understanding.
As secondary data analysis, this scoping review does not require ethics approval. Results will summarise and disseminate the existing literature related to home-modification interventions provided by occupational therapists addressing falls and participation in ADLs among community-dwelling older adults. We plan to disseminate the results through peer-reviewed journals and conferences, targeting occupational therapists, other rehabilitation workers, researchers and policy makers.
跌倒是全球意外或非预期死亡的第二大主要原因。许多跌倒的老年人，无论是否受伤，往往都会产生跌倒恐惧，这可能导致他们参与日常生活活动（ADL）的积极性下降。随后的跌倒会导致身体虚弱、身体功能衰退、跌倒几率增加，并对工具性ADL产生负面影响。在此，我们展示我们的范围综述方案，以评估文献，描述并解释职业治疗师为解决社区居住老年人跌倒问题及促进其参与ADL而采用的家庭改造干预措施。我们旨在综述现有的家庭改造干预方案、此类干预措施的促进因素和障碍，以及职业治疗师和客户在接受这些干预后的体验。
本范围综述方案遵循范围综述的现有指南，特别关注阿克西和奥马利（2005年）以及科尔昆（2014年）的指南。我们将纳入以下数据库：Scopus、科学网、PubMed、ProQuest、护理及相关健康文献累积索引和谷歌学术。我们计划在2020年8月16日至2020年9月15日进行文献检索。两名评审员将独立筛选符合条件的研究以纳入其中。我们将提取书目数据、研究设计、所提供干预措施的细节、职业治疗师和客户的结果及体验，并进一步进行整理以便更好地理解。
作为二次数据分析，本范围综述无需伦理批准。结果将总结并传播与职业治疗师提供的家庭改造干预措施相关的现有文献，这些措施涉及社区居住老年人的跌倒问题及参与ADL的情况。我们计划通过同行评审期刊和会议传播结果，目标受众为职业治疗师、其他康复工作者、研究人员和政策制定者。
