Freeman Laura, Smith Ainslee, Ku Nai-Wen, Ayala Ana Patricia, Bennie Fay, Berger Arielle, Chesney Tyler R, Desforges Ploa, Haase Kristen, Jones Jennifer, Lacerte Annie, Mariano Caroline, Mehta Rajin, Menjak Ines, Monette Johanne, Norman Richard, Legacy Nicholas, Antonio Maryjo, Pitters Eric, Stephens Anne, Stephens Douglas, Wan-Chow-Wah Doreen, Wong Camilla L, Alibhai Shabbir M H, Puts Martine
Lawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada.
Gerstein Information Science Centre, University of Toronto, Toronto, Ontario, Canada.
PLoS One. 2025 Jan 24;20(1):e0317177. doi: 10.1371/journal.pone.0317177. eCollection 2025.
The world population is aging. Comprehensive Geriatric assessment (CGA) has been proven to improve the well-being of older adults. However, evidence suggests not all clinicians implement these recommendations in their practice; nor do all patients adhere to them. Currently, there is no up-to-date review of interventions that can improve older adults' adherence to CGA recommendations and health care provider/clinician implementation of those recommendations. The objective of this scoping review protocol is to describe the methodology of the scoping review with the aim to identify interventions that have been tested to improve adherence to CGA recommendations. We will use the Arksey and O'Malley framework and subsequent extension by Levac and colleagues to complete the scoping review. We searched OVID MEDLINE, OVID Embase, EBSCO CINAHL, APA PsychInfo, and Cochrane CENTRAL databases from inception to November 14, 2024, and will include a review of reference lists of included studies. Studies eligible for inclusion are studies of any design that examined one or more interventions aiming to improve clinician implementation of and patient adherence to CGA in any clinical setting. We will use standard methods for study selection, data abstraction, assessment of methodological quality of individual studies, and data synthesis. Results will be analyzed and reported using descriptive numerical summaries and narrative analysis. Findings from the scoping review will be published in a manuscript and presented at scientific conferences.
世界人口正在老龄化。综合老年评估（CGA）已被证明能改善老年人的福祉。然而，有证据表明并非所有临床医生在实践中都执行这些建议；也并非所有患者都遵循这些建议。目前，对于能够提高老年人对CGA建议的依从性以及医疗保健提供者/临床医生对这些建议的执行情况的干预措施，尚无最新的综述。本范围综述方案的目的是描述范围综述的方法，旨在确定已进行测试以提高对CGA建议依从性的干预措施。我们将使用阿克西和奥马利框架以及莱瓦克及其同事随后的扩展框架来完成范围综述。我们检索了从数据库建立至2024年11月14日的OVID MEDLINE、OVID Embase、EBSCO CINAHL、APA PsychInfo和Cochrane CENTRAL数据库，并将对纳入研究的参考文献列表进行综述。纳入的合格研究是任何设计的研究，这些研究在任何临床环境中检验了一种或多种旨在提高临床医生对CGA的执行情况以及患者对CGA的依从性的干预措施。我们将使用标准方法进行研究选择、数据提取、评估单个研究的方法学质量以及数据综合。结果将使用描述性数值摘要和叙述性分析进行分析和报告。范围综述的结果将发表在一份手稿中，并在科学会议上展示。
