Assefa Yohannes Awoke, Demeke Zelalem Dessalegn, Wolde Sara, Guadie Yisak Girma
Occupational Therapy Department, School of Medicine, University of Gondar, Gondar, Ethiopia.
Occupational Therapy Student, Queen's University, Kingston, ON, Canada.
Front Rehabil Sci. 2023 May 23;4:1136742. doi: 10.3389/fresc.2023.1136742. eCollection 2023.
In this review, we aimed to determine the environmental factors that are influencing the participation of stroke survivors in Africa.
Four electronic databases were systematically searched from inception to August 2021, and identified articles were screened by the two authors of this review based on predetermined criteria. No date restrictions were imposed, and we included any type of paper, including gray literature. We followed the scoping review framework by Arksey and O'Malley, which was later revised by Levac et al. The whole finding is reported using the preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews (PRISMA-ScR).
A total of 584 articles were generated by the systematic search, and one article was added manually. After eliminating the duplicates, the titles and abstracts of 498 articles were screened. From the screening, 51 articles were selected for full article review, of which 13 met the criteria to be included. In total, 13 articles were reviewed and analyzed based on the international classification of functioning, disability, and health (ICF) framework of the environmental determinants. Products and technology; natural environment and human-made changes to environment; and services, systems, and policies were found to be barriers for stroke survivors to participate in their community. Conversely, stroke survivors are getting good support from their immediate family and health professionals.
This scoping review sought to identify the environmental barriers and the facilitators that are determining the participation of stroke survivors in Africa. The results of this study can serve as a valuable resource for policymakers, urban planners, health professionals, and other stakeholders involved in disability and rehabilitation. Nonetheless, additional research is necessary to validate the identified facilitators and barriers.
在本综述中，我们旨在确定影响非洲中风幸存者参与度的环境因素。
从数据库建立至2021年8月，系统检索了四个电子数据库，本综述的两位作者根据预定标准对检索到的文章进行筛选。未设日期限制，纳入任何类型的论文，包括灰色文献。我们遵循了Arksey和O'Malley的范围综述框架，该框架后来由Levac等人修订。使用系统评价和Meta分析扩展版的范围综述的首选报告项目（PRISMA-ScR）报告整个研究结果。
通过系统检索共获得584篇文章，手动添加了1篇文章。去除重复项后，筛选了498篇文章的标题和摘要。经筛选，选取51篇文章进行全文审查，其中13篇符合纳入标准。总共根据环境决定因素的国际功能、残疾和健康分类（ICF）框架对13篇文章进行了审查和分析。发现产品与技术、自然环境和人为环境变化以及服务、系统和政策是中风幸存者参与社区活动的障碍。相反，中风幸存者从其直系亲属和卫生专业人员那里得到了良好的支持。
本范围综述旨在确定影响非洲中风幸存者参与度的环境障碍和促进因素。本研究结果可为政策制定者、城市规划者、卫生专业人员以及其他参与残疾和康复工作的利益相关者提供宝贵资源。尽管如此，仍需进一步研究以验证已确定的促进因素和障碍。
