Pouliot-Laforte Annie, Dubé Evemie, Kairy Dahlia, Levac Danielle E
Department of Physical Activity Sciences, Faculté des sciences, Université du Québec à Montréal, Montreal, Quebec, Canada
Azrieli Research Center UHC Sainte-Justine, Montreal, Quebec, Canada.
BMJ Open. 2025 Jan 21;15(1):e094119. doi: 10.1136/bmjopen-2024-094119.
Precision health can be described as the right intervention, at the right time, for the right person, with a focus on monitoring and maintaining health in a longitudinal approach. Despite an increasing focus on precision approaches in medicine, their application in a rehabilitation context remains unexplored. As such, a greater understanding of the current state of the literature is required, in combination with clinician, researcher and healthcare manager perspectives regarding barriers and facilitators to the practical implementation of precision rehabilitation in clinical practice.
Describe and map the current state of knowledge regarding precision rehabilitation to identify gaps in knowledge and inform future research directions and clinical implementation strategies.
A scoping study will be conducted following current methodological recommendations (Peters , 2021) and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses-Scoping Review Extension guidelines. A convergent mixed-methods design will combine quantitative and qualitative findings. A search in Medline, CINAHL, Embase, Scopus, Web of Science and PsycINFO databases will be conducted for articles published between 2010 and 2023 referring to the concept of precision rehabilitation. Two reviewers will complete an abstract and full-text review based on eligibility criteria; data will be extracted from accepted papers using a data extraction framework. Results will be aggregated and synthesised using descriptive and thematic analyses. The consultation phase will involve a purposeful sampling of key stakeholders (clinicians, researchers and managers) in large North American rehabilitation centres. Semi-structured individual interviews will be conducted and analysed using deductive thematic analysis. Convergent mixed-methods data analyses will combine quantitative and qualitative datasets to highlight similarities and differences between the current literature on the subject and the understanding of stakeholders.
Ethical approval has been obtained from the Research Ethics Board of the Sainte-Justine University Health Centre (no. 2024-6324). Results will be disseminated through professional networks, conference presentations and publications in scientific journals.
精准健康可被描述为在正确的时间，针对正确的人进行正确的干预，重点是以纵向方式监测和维持健康。尽管医学领域对精准方法的关注日益增加，但其在康复背景下的应用仍未得到探索。因此，需要更深入地了解当前文献的现状，并结合临床医生、研究人员和医疗保健管理人员对于精准康复在临床实践中实际应用的障碍和促进因素的看法。
描述并梳理关于精准康复的现有知识状态，以识别知识空白，并为未来的研究方向和临床实施策略提供信息。
将按照当前的方法学建议（彼得斯等人，2021年）进行一项范围综述研究，并根据系统评价和Meta分析扩展版的首选报告项目指南进行报告。采用收敛性混合方法设计，将定量和定性研究结果相结合。将在Medline、CINAHL、Embase、Scopus、科学引文索引和PsycINFO数据库中检索2010年至2023年期间发表的提及精准康复概念的文章。两名评审员将根据纳入标准完成摘要和全文评审；将使用数据提取框架从入选论文中提取数据。结果将通过描述性分析和主题分析进行汇总和综合。咨询阶段将涉及对北美大型康复中心的关键利益相关者（临床医生、研究人员和管理人员）进行有目的的抽样。将进行半结构化的个人访谈，并采用演绎主题分析进行分析。收敛性混合方法数据分析将结合定量和定性数据集突出该主题当前文献与利益相关者理解之间的异同。
已获得圣贾斯汀大学健康中心研究伦理委员会的伦理批准（编号2024 - 6324）。研究结果将通过专业网络、会议报告和科学期刊发表进行传播。
