农村社区老年人跌倒预防：一项范围综述的方案
Falls Prevention Among Older Adults in Rural Communities: Protocol for a Scoping Review.
作者信息
Funk Megan, Bacsu Juanita-Dawne, D'Souza Melba Sheila, Virani Anila, Rahemi Zahra, Smith Matthew Lee
机构信息
Population Health and Aging Rural Research Centre, School of Nursing, Thompson Rivers University, Kamloops, BC, Canada.
School of Nursing, Clemson University, Clemson, SC, United States.
出版信息
JMIR Res Protoc. 2025 Jul 21;14:e63716. doi: 10.2196/63716.
BACKGROUND
Falls are a critical source of injury and hospitalization and leave many older adults unable to return home, especially in rural communities with limited access to health care and support services. Studying falls prevention among rural older adults is essential because they may face an increased risk of falls due to unique environmental factors, geography, and outdoor activities. Moreover, rural older adults may have limited awareness regarding fall-related risks and preventive activities.
OBJECTIVE
The objective of this scoping review is to explore the literature about falls prevention from the perspectives of older adults living within a rural context. This review protocol aims to identify the search parameters and methodology that will be used in the scoping review.
METHODS
This scoping review will be guided by Arksey and O'Malley's 5-step methodological framework. We will search for relevant peer-reviewed English language literature from 5 databases: CINAHL, PubMed, Academic Search Complete, PsycINFO, and Scopus. The reference lists of relevant studies will be hand-searched to identify papers. Inclusion criteria (English language, peer-reviewed journal papers, original research, focusing on rural perspectives to support falls prevention, and published from January 2013 to December 31, 2023) will be used to determine the eligibility of the journal papers. The data from the included papers will be extracted using a standardized table and analyzed using thematic analysis.
RESULTS
This protocol was registered with the Open Science Framework on June 26, 2024. The scoping review's data collection and analysis were conducted from September to December 2024. Results from the review will be distributed through publication in a peer-reviewed journal paper, conference presentation, webinar, and a rural community workshop.
CONCLUSIONS
Understanding rural older adults' perspectives of falls prevention is critical to supporting independence and healthy aging in rural communities. This review's findings about falls prevention may have important implications for rural community leaders, policy makers, and health practitioners working to support falls prevention in rural communities.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/63716.
背景
跌倒 是受伤和住院的一个关键原因，导致许多老年人无法回家，尤其是在获得医疗保健和支持服务机会有限的农村社区。研究农村老年人的跌倒预防至关重要，因为他们可能因独特的环境因素、地理位置和户外活动而面临更高的跌倒风险。此外，农村老年人对跌倒相关风险和预防活动的认识可能有限。
目的
本范围综述的目的是从农村地区老年人的角度探索有关跌倒预防的文献。本综述方案旨在确定将在范围综述中使用的检索参数和方法。
方法
本范围综述将以阿克西和奥马利的五步方法框架为指导。我们将从5个数据库中检索相关的同行评审英文文献：护理学与健康领域数据库（CINAHL）、医学期刊数据库（PubMed）、学术搜索完整版数据库（Academic Search Complete）、心理学文摘数据库（PsycINFO）和Scopus数据库。将人工检索相关研究的参考文献列表以识别论文。纳入标准（英文、同行评审期刊论文、原创研究、关注农村视角以支持跌倒预防且发表于2013年1月1日至2023年12月31日）将用于确定期刊论文的合格性。将使用标准化表格提取纳入论文的数据，并使用主题分析法进行分析。
结果
本方案于2024年6月26日在开放科学框架平台注册。范围综述的数据收集和分析于2024年9月至12月进行。综述结果将通过发表在同行评审期刊论文、会议报告、网络研讨会和农村社区研讨会上进行传播。
结论
了解农村老年人对跌倒预防的看法对于支持农村社区的独立性和健康老龄化至关重要。本综述关于跌倒预防的研究结果可能对致力于支持农村社区跌倒预防工作的农村社区领导者、政策制定者和卫生从业者具有重要意义。
国际注册报告识别号（IRRID）：PRR1-10.2196/63716 。
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