Global and Women's Health, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Department of Human Centred Computing, Monash University, Clayton, Victoria, Australia.
BMJ Open. 2024 Aug 12;14(8):e085304. doi: 10.1136/bmjopen-2024-085304.
Older adults can face challenges when seeking care from emergency departments (EDs) due to presenting with multiple comorbidities and non-specific symptoms. Psychosocial care is a possible target to help improve ED care for this population. It is possible that digital health technologies can be implemented within emergency settings to improve the provision of psychosocial care. However, it is unclear what the barriers and facilitators are to implementing digital psychosocial interventions for older adults presenting to the ED. Therefore, the scoping review aims to determine what are these barriers and facilitators.
The scoping review will be conducted in line with the Joanna Briggs Institute guidelines and will use the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist. The databases Medline, Embase, PsycINFO and Scopus will be searched. The search strategy will be developed in consultation with a specialist research librarian and will cover three key concepts: EDs, digital health technologies and older adults. Additionally, the first 100 hits of a Google Scholar search will be screened for inclusion. We will include both qualitative and quantitative studies that investigate ED digital interventions for psychosocial care where the primary focus is the views, attitudes, experiences and perceptions of patients, families and staff. After extracting all data, analysis and synthesis will follow the 'best-fit framework synthesis' approach and the Theoretical Domains Framework will be used to identify barriers and facilitators.
Ethics approval is not required for this scoping review since only publicly available data will be analysed and appraised. The findings of the scoping review will be disseminated through peer-reviewed publications and conference presentations.
由于老年人常患有多种合并症且症状不典型，在前往急诊科就诊时可能会面临各种挑战。心理社会护理是改善该人群急诊护理的一个可能目标。在急诊环境中实施数字心理健康技术以改善心理社会护理的提供情况是可行的。但是，对于为前往急诊科就诊的老年人实施数字心理社会干预的障碍和促进因素尚不清楚。因此，本范围综述旨在确定这些障碍和促进因素。
本范围综述将根据乔安娜·布里格斯研究所的指南进行，并将使用《系统评价和荟萃分析扩展的首选报告项目（PRISMA-ScR）清单》。将检索 Medline、Embase、PsycINFO 和 Scopus 数据库。检索策略将与专业研究图书馆员协商制定，将涵盖三个关键概念：急诊科、数字健康技术和老年人。此外，还将对 Google Scholar 搜索的前 100 个结果进行筛选，以纳入研究。我们将纳入调查急诊科数字干预心理社会护理的定性和定量研究，其主要重点是患者、家属和工作人员的观点、态度、经验和看法。在提取所有数据后，将根据“最佳拟合框架综合”方法进行分析和综合，并使用理论领域框架来确定障碍和促进因素。
由于仅分析和评估公开可用的数据，因此本次范围综述不需要伦理批准。范围综述的结果将通过同行评审的出版物和会议报告进行传播。
