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社区居住老年人预防跌倒运动计划的可持续性:一项范围综述方案

Sustainability of fall prevention exercise programmes for community-dwelling older adults: a scoping review protocol.

作者信息

Abel-Adegbite Ifedayo, Sibley Kathryn, Bouchard Danielle, Kehler D Scott

机构信息

Department of Health, Dalhousie University, Halifax, Nova Scotia, Canada

University of Manitoba, Winnipeg, Manitoba, Canada.

出版信息

BMJ Open. 2025 Apr 22;15(4):e095157. doi: 10.1136/bmjopen-2024-095157.

DOI:10.1136/bmjopen-2024-095157
PMID:40262953
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12015706/
Abstract

INTRODUCTION

Falls have financial, emotional and physical implications for ageing individuals and the healthcare system. Evidence-based exercise programmes have been one of the most effective ways of preventing falls in community dwellings for older adults. However, more research is needed to understand how to sustain these programmes. This scoping review protocol describes our plan to investigate the factors influencing the sustainability of community-based fall prevention exercise programmes.

METHODS AND ANALYSIS

Our scoping review will use the Joanna Briggs Institute methodology and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews framework. The studies will have no restrictions, including publication date, language or geographic location. Key search terms concerning programme sustainability and exercise falls prevention will be conducted in Medline, EMBASE, Cumulative Index to Nursing and Allied Health Literature, Academic Search Premier, APA PsycINFO and SPORTDiscus in consultation with an experienced librarian. Once duplicates have been removed, two independent reviewers will conduct title and abstract screening, full-text screening and data extraction. Data from eligible articles will be collated and charted to summarise data into three categories: (1) study description, including publication date, author(s), study location, paper's aim/purpose, study participants, study design and conclusion; (2) data regarding the type of exercise programme will be used using the 16-point checklist Consensus on Exercise Reporting Template; and (3) data regarding sustainability will be organised using domains from the Program Sustainability Assessment Tool. Our results will be charted through the use of Covidence to identify patterns across the studies. Additionally, narrative synthesis will be employed to articulate the study findings.

ETHICS AND DISSEMINATION

As this is a scoping review, we do not require ethics approval. We intend to share our report findings with scientists, healthcare professionals and decision-makers. We will publish our results in reputable scientific journals and present them at relevant conferences.

摘要

引言

跌倒对老年人以及医疗保健系统会产生经济、情感和身体方面的影响。基于证据的运动计划一直是预防老年人在社区住所跌倒的最有效方法之一。然而,需要更多研究来了解如何维持这些计划。本范围综述方案描述了我们调查影响社区跌倒预防运动计划可持续性的因素的计划。

方法与分析

我们的范围综述将采用乔安娜·布里格斯研究所的方法以及系统评价和元分析扩展的首选报告项目用于范围综述框架。研究将不受限制,包括出版日期、语言或地理位置。将与经验丰富的图书管理员协商,在医学文献数据库(Medline)、荷兰医学文摘数据库(EMBASE)、护理及相关健康文献累积索引数据库(Cumulative Index to Nursing and Allied Health Literature)、学术搜索大全数据库(Academic Search Premier)、美国心理学会心理学文摘数据库(APA PsycINFO)和体育与运动科学数据库(SPORTDiscus)中搜索有关计划可持续性和运动跌倒预防的关键检索词。去除重复项后,两名独立的评审人员将进行标题和摘要筛选、全文筛选以及数据提取。符合条件的文章的数据将进行整理和制表,以便将数据总结为三类:(1)研究描述,包括出版日期、作者、研究地点、论文目的、研究参与者、研究设计和结论;(2)关于运动计划类型的数据将使用16点清单《运动报告模板共识》;(3)关于可持续性的数据将使用计划可持续性评估工具的领域进行整理。我们的结果将通过使用Covidence软件进行制表,以确定各项研究中的模式。此外,将采用叙述性综合分析来阐述研究结果。

伦理与传播

由于这是一项范围综述,我们无需伦理批准。我们打算与科学家、医疗保健专业人员和决策者分享我们的报告结果。我们将在知名科学期刊上发表我们的结果,并在相关会议上展示。

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