Wenje Sophie Mai, Calvert Sian, Henshaw Helen, Spriggs Ruth V, Dening Tom, Hendron Elizabeth, Heffernan Eithne
Hearing Sciences, Mental Health and Clinical Neurosciences, School of Medicine, University of Nottingham, Nottingham, UK.
National Institute for Health and Care Research (NIHR) Nottingham Biomedical Research Centre, Nottingham, UK.
BMJ Open. 2024 Dec 26;14(12):e087418. doi: 10.1136/bmjopen-2024-087418.
Both hearing loss and dementia are associated with ageing, and it is thought that many individuals living with dementia also live with hearing loss. Despite the large comorbidity between these two disorders, there remains a clear lack of established guidelines in audiological services for assessing and managing patients living with dementia. This scoping review aims to examine whether specialist clinical pathways exist in audiology services for people living with coexisting hearing loss and dementia and to describe the specific components and features of these pathways. This review will provide up-to-date information on clinical practice, identifying any gaps in care and in the literature to inform future research hypotheses and best practice guidelines.
The methods are reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. The following electronic databases will be searched: CINAHL, EMBASE, MEDLINE, PsycINFO, PubMed, Scopus and Web of Science. The eligibility criteria are defined according to the domains of the SPIDER (Sample, Phenomenon of Interest, Design, Evaluation and Research type) search strategy tool. Primary research studies and select grey literature sources (eg, practice guidelines) will be eligible if published within the last 15 years. Studies eligible for inclusion must contain adults living with suspected or confirmed dementia, their carers, or clinicians within audiology services. Initial searches were performed on 31 January 2024 and will be updated before completion and submission of the review. Article quality will be appraised using an established tool: the Mixed Methods Appraisal Tool. The results will be synthesised and reported in line with reflexive thematic analysis guidelines.
No ethical issues are foreseen as the review will collect secondary data only. Findings will be reported by peer-reviewed publication and by national and international academic conferences.
听力损失和痴呆症都与衰老相关，并且人们认为许多患有痴呆症的人也伴有听力损失。尽管这两种疾病的共病率很高，但在听力学服务中，对于评估和管理患有痴呆症的患者，仍然明显缺乏既定的指导方针。本范围综述旨在研究听力学服务中是否存在针对同时患有听力损失和痴呆症的人群的专业临床路径，并描述这些路径的具体组成部分和特征。本综述将提供有关临床实践的最新信息，识别护理和文献中的任何差距，以为未来的研究假设和最佳实践指南提供参考。
本方法是根据系统评价和Meta分析扩展的范围综述的首选报告项目进行报告的。将搜索以下电子数据库：CINAHL、EMBASE、MEDLINE、PsycINFO、PubMed、Scopus和Web of Science。 eligibility criteria是根据SPIDER（样本、感兴趣现象、设计、评估和研究类型）搜索策略工具的领域来定义的。如果在过去15年内发表，初级研究和选定的灰色文献来源（如实践指南）将符合条件。纳入的研究必须包含疑似或确诊患有痴呆症的成年人、他们的护理人员或听力学服务中的临床医生。初始搜索于2024年1月31日进行，并将在综述完成和提交前更新。文章质量将使用既定工具：混合方法评估工具进行评估。结果将根据反思性主题分析指南进行综合和报告。
由于本综述仅收集二手数据，预计不会出现伦理问题。研究结果将通过同行评审出版物以及国内和国际学术会议进行报告。
