老年手动轮椅使用者的助力附加装置：一项范围综述的方案
Power-Assist Add-Ons for Older Adult Manual Wheelchair Users: Protocol for a Scoping Review.
作者信息
Atoyebi Oladele, Wister Andrew, Mattie Johanne, Gutman Gloria, Chaudhury Habib, Sparrey Carolyn, Jones O Yvette, Mortenson W Ben, O'Dea Eireann, Hosseini Sogol Haji, Borisoff Jaimie
机构信息
Gerontology Research Center, Simon Fraser University, Vancouver, BC, Canada.
Department of Gerontology, Simon Fraser University, Vancouver, BC, Canada.
出版信息
JMIR Res Protoc. 2025 May 16;14:e56375. doi: 10.2196/56375.
BACKGROUND
Manual wheelchairs promote independence among older adult users. However, the user's level of disability, strength, and stamina, and the environmental conditions in which the wheelchair is used, may limit the functionality of manual wheelchairs and their impact on independence and active aging. The use of power-assist add-ons may mitigate these limitations and allow an individual to age in place.
OBJECTIVE
We propose to conduct a scoping review of scientific and gray literature to examine the use of power-assist add-ons by older adults who use manual wheelchairs, as well as their advantages, limitations, and potential benefits in promoting independence and active aging.
METHODS
The review will be guided by the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews checklist, and we will use the Arksey and O'Malley scoping review methodology. The literature search will use a comprehensive approach and will be carried out in two phases: (1) a keyword and Medical Subject Headings search of electronic databases, proceedings, and symposia for relevant titles and abstracts and (2) a search of Google and Google Scholar. Articles will be selected based on predefined inclusion and exclusion criteria. We will include studies of power-assist add-ons for older manual wheelchair users (aged ≥65 years) across any health condition or setting. We will exclude studies not focused on power-assist add-ons or older adults. Data will be synthesized through thematic analysis (attitudes and efficacy) and directed content analysis (limitations and gaps). Results will be summarized narratively and in tables. The findings will be disseminated in peer-reviewed publications and conferences focused on rehabilitation or gerontology.
RESULTS
We will synthesize data on power-assist add-ons by compiling a list of devices, analyzing attitudes toward their use, identifying limitations, and highlighting gaps in the literature. We expect to publish the results in 2025.
CONCLUSIONS
The information obtained through this review could inform future research involving wheelchair producers, suppliers, and prescribers.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/56375.
背景
手动轮椅有助于老年使用者实现自理。然而，使用者的残疾程度、力量和耐力，以及使用轮椅的环境条件，可能会限制手动轮椅的功能及其对自理和积极老龄化的影响。使用助力附加装置可能会减轻这些限制，并使个人能够原地养老。
目的
我们建议对科学文献和灰色文献进行范围综述，以研究使用手动轮椅的老年人对助力附加装置的使用情况，以及这些装置在促进自理和积极老龄化方面的优势、局限性和潜在益处。
方法
本综述将遵循系统评价和Meta分析扩展版的范围综述清单中的首选报告项目进行指导，并将采用阿克西和奥马利的范围综述方法。文献检索将采用综合方法，分两个阶段进行：（1）对电子数据库、会议记录和研讨会进行关键词和医学主题词检索，以查找相关标题和摘要；（2）在谷歌和谷歌学术上进行检索。将根据预先定义的纳入和排除标准选择文章。我们将纳入针对任何健康状况或环境下的老年手动轮椅使用者（年龄≥65岁）的助力附加装置研究。我们将排除不关注助力附加装置或老年人的研究。数据将通过主题分析（态度和疗效）和定向内容分析（局限性和差距）进行综合。结果将以叙述和表格形式进行总结。研究结果将在专注于康复或老年医学的同行评审出版物和会议上发布。
结果
我们将通过编制设备清单、分析对其使用的态度、确定局限性并突出文献中的差距，来综合有关助力附加装置的数据。我们预计在2025年公布结果。
结论
通过本次综述获得的信息可为未来涉及轮椅生产商、供应商和开处方者的研究提供参考。
国际注册报告识别号（IRRID）：PRR1-10.2196/56375。
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