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一项多领域范围综述的方案,旨在确定老年人群决策能力的衡量指标。

Protocol for a multi-domain scoping review to identify measures of decision-making ability in an ageing population.

作者信息

Ho Emily H, Ece Berivan, Novack Miriam A, Pila Sarah, Karpouzian-Rogers Tatiana, Mather Molly A, Dworak Elizabeth McManus, Hosseinian Zahra, Bucko Patricia, Kaat Aaron James, Han S Duke, Lichtenberg Peter, Hanmer Janel, Miller Corinne H, Gershon Richard, Weintraub Sandra

机构信息

Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA

Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.

出版信息

BMJ Open. 2024 Dec 22;14(12):e084178. doi: 10.1136/bmjopen-2024-084178.

Abstract

INTRODUCTION

Deficits in decision-making (DM) can lead to adverse outcomes across multiple domains such as financial management and medical care. By hindering such DM abilities, cognitive impairment (CI) often affects quality of life. Routine screening for CI, however, does not include systematic and comprehensive assessment of DM ability. While there are many DM measures, there is considerable heterogeneity in what constructs are measured and the populations in which they have been validated. This scoping review protocol details the proposed comprehensive examination of published literature on DM measures used in adults aged 45 years and older.

METHODS AND ANALYSIS

Arksey and O'Malley's (2005) scoping review methodology framework will guide the current scoping review. We will systematically search Embase (Elsevier), MEDLINE (Ovid), PsycINFO (Ebsco), Cochrane Library (Wiley), Web of Science (Clarivate) and Scopus (Elsevier) to identify the studies meeting our eligibility criteria. We will review literature published between January 2018 and November 2023. Following best practice recommendations, a two-stage study selection process will be applied. First, titles and abstracts will be independently reviewed by two reviewers based on our eligibility criteria. Second, full texts will be screened and data will be extracted only from the articles included after the full review. The results of the current scoping review will be reported in adherence to PRISMA-Scr guidelines.

ETHICS AND DISSEMINATION

This study does not require ethics approval as the scoping review methodology involves reviewing results from publicly available published materials. Results of the scoping review will be submitted for publication in a peer-reviewed journal.

TRIAL REGISTRATION NUMBER

NIA grant number 1U24AG082022-01.

摘要

引言

决策能力缺陷会在财务管理和医疗保健等多个领域导致不良后果。认知障碍会阻碍这些决策能力,进而常常影响生活质量。然而,认知障碍的常规筛查并不包括对决策能力的系统全面评估。虽然有许多决策测量方法,但在测量的结构和已验证的人群方面存在相当大的异质性。本范围综述方案详细介绍了拟对45岁及以上成年人决策测量的已发表文献进行的全面审查。

方法与分析

阿克西和奥马利(2005年)的范围综述方法框架将指导本次范围综述。我们将系统检索Embase(爱思唯尔)、MEDLINE(Ovid)、PsycINFO(Ebsco)、Cochrane图书馆(威利)、科学引文索引(科睿唯安)和Scopus(爱思唯尔),以识别符合我们纳入标准的研究。我们将回顾2018年1月至2023年11月发表的文献。遵循最佳实践建议,将应用两阶段的研究选择过程。首先,两位评审员将根据我们的纳入标准独立评审标题和摘要。其次,将筛选全文,仅从全面评审后纳入的文章中提取数据。本次范围综述的结果将按照PRISMA-Scr指南进行报告。

伦理与传播

本研究无需伦理批准,因为范围综述方法涉及审查公开可用的已发表材料的结果。范围综述的结果将提交至同行评审期刊发表。

试验注册号

美国国立衰老研究所资助号1U24AG082022-01。

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