Frailty in the context of rehabilitation interventions for adults: protocol for a scoping review

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Abstract

Introduction

Although a growing number of frail adults can benefit from rehabilitation services, few are included in rehabilitation services, and reasons for their exclusion are not well understood. To inform research directions in rehabilitation for all adults (aged 18 years and older), we will conduct a scoping review to describe (1) the characteristics of frail adult individuals included in rehabilitation interventions (eg, age range, inclusion and exclusion criteria that are applied), (2) the type of rehabilitation interventions that are used for individuals who are considered frail and (3) the commonly reported outcome measures used for these rehabilitation interventions.

Methods

This scoping review will be guided by Arksey and O’Malley’s methodological framework. Ageline, Cochrane CINAHL, Embase, MEDLINE, Pubmed, OTSeeker, PeDRO, PsycINFO and Scopus databases will be systematically searched for articles relevant to rehabilitation interventions and health services. To be eligible for inclusion, studies must report on the outcomes from an intervention that involves all individuals (aged 18 and older) who are considered frail. Only English-language, peer-reviewed publications between 1990 and 2018 will be included. A two-step screening process will consist of (1) a title and abstract review and (2) full-text review. In both levels of screening, a minimum of two investigators will independently screen the title and abstract of all retrieved citations for inclusion against a set of minimum inclusion criteria.

Analysis

Results will be presented as a narrative synthesis to facilitate the integration of diverse evidence.

Ethics and dissemination

This study does not require ethics approval. By examining the current state of rehabilitation interventions for frail adults, this scoping review can offer insight into rehabilitation needs and models of care. It can also guide future rehabilitation research for frail adults. We will share our results with frail adults during a consultation meeting and publish a manuscript in a peer-reviewed rehabilitation journal.

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Most cited references 15

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The levels of evidence and their role in evidence-based medicine.

Patricia B Burns, Rod J Rohrich, Kevin C Chung (2011)

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Integrated knowledge translation (IKT) in health care: a scoping review

Anna R Gagliardi, Whitney Berta, Anita Kothari … (2016)

Background Integrated knowledge translation (IKT) refers to collaboration between researchers and decision-makers. While advocated as an approach for enhancing the relevance and use of research, IKT is challenging and inconsistently applied. This study sought to inform future IKT practice and research by synthesizing studies that empirically evaluated IKT and identifying knowledge gaps. Methods We performed a scoping review. We searched MEDLINE, EMBASE, and the Cochrane Library from 2005 to 2014 for English language studies that evaluated IKT interventions involving researchers and organizational or policy-level decision-makers. Data were extracted on study characteristics, IKT intervention (theory, content, mode, duration, frequency, personnel, participants, timing from initiation, initiator, source of funding, decision-maker involvement), and enablers, barriers, and outcomes reported by studies. We performed content analysis and reported summary statistics. Results Thirteen studies were eligible after screening 14,754 titles and reviewing 106 full-text studies. Details about IKT activities were poorly reported, and none were formally based on theory. Studies varied in the number and type of interactions between researchers and decision-makers; meetings were the most common format. All studies reported barriers and facilitators. Studies reported a range of positive and sub-optimal outcomes. Outcomes did not appear to be associated with initiator of the partnership, dedicated funding, partnership maturity, nature of decision-maker involvement, presence or absence of enablers or barriers, or the number of different IKT activities. Conclusions The IKT strategies that achieve beneficial outcomes remain unknown. We generated a summary of IKT approaches, enablers, barriers, conditions, and outcomes that can serve as the basis for a future review or for planning ongoing primary research. Future research can contribute to three identified knowledge gaps by examining (1) how different IKT strategies influence outcomes, (2) the relationship between the logic or theory underlying IKT interventions and beneficial outcomes, and (3) when and how decision-makers should be involved in the research process. Future IKT initiatives should more systematically plan and document their design and implementation, and evaluations should report the findings with sufficient detail to reveal how IKT was associated with outcomes. Electronic supplementary material The online version of this article (doi:10.1186/s13012-016-0399-1) contains supplementary material, which is available to authorized users.

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Burden of frailty in the elderly population: perspectives for a public health challenge

Fanny Buckinx, Yves Rolland, Jean-Yves Reginster … (2015)

Frailty is a major health condition associated with ageing. Although the concept is almost universally accepted, its operational definition remains controversial. Anyway, this geriatric condition represents a huge potential public health issue at both the patient and the societal levels because of its multiple clinical, societal consequences and its dynamic nature. Here, we review existing definitions and assessment tools for frailty, we highlight consequences of this geriatric condition and we discuss the importance of its screening and prevention to limit its public health burden.

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Author and article information

Journal

Journal ID (nlm-ta): BMJ Open

Journal ID (iso-abbrev): BMJ Open

Journal ID (hwp): bmjopen

Journal ID (publisher-id): bmjopen

Title: BMJ Open

Publisher: BMJ Publishing Group (BMA House, Tavistock Square, London, WC1H 9JR )

ISSN (Electronic): 2044-6055

Publication date Collection: 2019

Publication date (Electronic): 15 February 2019

Volume: 9

Issue: 2

Electronic Location Identifier: e024838

Affiliations

[1 ] departmentRehabiliation Sciences Institute , University of Toronto , Toronto, Ontario, Canada

[2 ] Toronto Rehabilitation Institute - University Health Network , Toronto, Ontario, Canada

[3 ] departmentLIFEspan Service , Toronto Rehabilitation Institute , Toronto, Ontario, Canada

[4 ] departmentFaculty of Nursing , University of Toronto , Toronto, Ontario, Canada

[5 ] departmentInstitute of Health Policy Management and Evaluation , University of Toronto , Toronto, Ontario, Canada

[6 ] departmentDepartment of Physical Therapy , University of Toronto , Toronto, Ontario, Canada

[7 ] departmentDalla Lana School of Public Health , University of Toronto , Toronto, Ontario, Canada

[8 ] Toronto Rehabilitation Institution, University Health Network , departmentCardiac Rehabilitation and Prevention Program , Toronto, Ontario, Canada

[9 ] departmentDepartment of Occupational Science and Occupational Therapy , University of Toronto , Toronto, Ontario, Canada

Author notes

[Correspondence to ] Jill I Cameron; jill.cameron@ 123456utoronto.ca

Author information

Jill I Cameron http://orcid.org/0000-0003-4161-1572

Article

Publisher ID: bmjopen-2018-024838

DOI: 10.1136/bmjopen-2018-024838

PMC ID: 6398710

PubMed ID: 30772856

SO-VID: 6bb70f33-c0db-4d8d-9d25-4968edc2f952

License:

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

History

Date received : 16 June 2018

Date revision received : 05 October 2018

Date accepted : 16 October 2018

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ScienceOpen disciplines: Medicine

Keywords: frailty,scoping review,rehabilitation medicine

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ScienceOpen disciplines: Medicine

Keywords: frailty, scoping review, rehabilitation medicine

Frailty in the context of rehabilitation interventions for adults: protocol for a scoping review

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Abstract

Introduction

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Analysis

Ethics and dissemination

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JMIR: Research Protocols

Most cited references 15

The levels of evidence and their role in evidence-based medicine.

Integrated knowledge translation (IKT) in health care: a scoping review

Burden of frailty in the elderly population: perspectives for a public health challenge

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