Sivakumaran Sarmitha, Kebede Tsione, Yuzwa Kirstin E, Wong Ella C N, Sheppard Christine L, Guilcher Sara J T, Athanasopoulos Peter, Best Krista L, Kaiser Anita, Noonan Vanessa K, Hitzig Sander L
Rehabilitation Sciences Institute, Temerty Faculty of Medicine, University of Toronto, Toronto, ON M5G 1V7, Canada.
St. John's Rehab Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, North York, ON M2M 2G1, Canada.
Healthcare (Basel). 2024 Dec 16;12(24):2537. doi: 10.3390/healthcare12242537.
BACKGROUND/OBJECTIVES: Despite the growing recognition of housing as a significant concern for individuals with a spinal cord injury/dysfunction (SCI/D), there is limited research available on this topic. This scoping review aimed to identify and describe the literature on housing across the continuum for people with an SCI/D.
This review utilized Arksey and O'Malley's scoping review framework. Five databases were searched including MEDLINE (Ovid), Embase (Ovid), CINAHL Plus (EBSCO), PsycINFO (Ovid), and Web of Science (Core Collection). In addition, Google's Advanced Search function was used to search the gray literature, and reference lists from the included studies were scanned. A preliminary assessment of the Theory of Access (TOA) constructs and their relationships was conducted using Penchansky and Thomas' Theory of Access and Saurman's additional updates. An adapted version of this theory was developed by the research team to identify the types of studies that assess the TOA's six constructs and was used to identify knowledge gaps to advance research in this field.
The search yielded 25,861 records, with 36 studies meeting the inclusion criteria. Data analysis revealed the participants' sociodemographic and impairment characteristics, as well as essential information pertaining to housing across the continuum for individuals with an SCI/D, both of which were inconsistently reported across the studies. Several studies ( = 18) reported on the influence of home adaptations on the health and well-being of individuals with an SCI/D. When framed within the TOA, issues of accessibility presented the most substantial barriers for the SCI/D community, followed by acceptability and availability.
The findings of this scoping review suggest that housing is an understudied topic and that further research is required to generate evidence to better support the housing needs of individuals with an SCI/D globally.
背景/目的：尽管住房问题日益被视为脊髓损伤/功能障碍（SCI/D）患者的一个重要关切点，但关于这一主题的研究仍然有限。本范围综述旨在识别和描述有关SCI/D患者整个病程中住房情况的文献。
本综述采用了阿克西和奥马利的范围综述框架。检索了五个数据库，包括MEDLINE（Ovid）、Embase（Ovid）、CINAHL Plus（EBSCO）、PsycINFO（Ovid）和Web of Science（核心合集）。此外，还使用了谷歌的高级搜索功能来检索灰色文献，并对纳入研究的参考文献列表进行了筛选。使用彭钱斯基和托马斯的可及性理论以及索尔曼的进一步更新内容，对可及性理论（TOA）的构建及其关系进行了初步评估。研究团队开发了该理论的一个改编版本，以识别评估TOA六个构建的研究类型，并用于识别知识空白，以推动该领域的研究。
检索共获得25,861条记录，其中36项研究符合纳入标准。数据分析揭示了参与者的社会人口统计学和损伤特征，以及与SCI/D患者整个病程中住房相关的基本信息，这两方面在各项研究中的报告都不一致。几项研究（n = 18）报告了家庭改造对SCI/D患者健康和福祉的影响。当从TOA的角度进行阐述时，可及性问题对SCI/D群体构成了最重大的障碍，其次是可接受性和可得性。
本范围综述的结果表明，住房是一个研究不足的主题，需要进一步开展研究以生成证据，从而更好地支持全球SCI/D患者的住房需求。
