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      What is the impact of sensory practices on the quality of life of long-term care residents? A mixed-methods systematic review protocol


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          With age, the acuity of the five senses (i.e., hearing, sight, taste, smell, touch) is reduced. These types of sensory changes can affect day-to-day activities, making it more difficult for individuals to communicate and to interact with the world around them. The five senses allow us to receive information from the environment in the form of sound, light, smell, taste, and touch. As an older person’s senses decline, they need more stimulation to be aware of these sensations. In long-term care settings, appropriate sensory practices are needed to address the diminishing senses of older adults. The objective of this mixed-methods systematic review is to examine the relationship between the sensory practices and the quality of life of residents living in long-term care settings and to develop an aggregated synthesis of mixed-methods studies to derive recommendations for policy, practice, and research.


          We will conduct a mixed-methods systematic review in accordance with the Cochrane Handbook. A search strategy has been developed with an expert health sciences librarian and peer reviewed using Peer Review for Electronic Search Strategies (PRESS). Seven databases: MEDLINE (Ovid), PubMed (non-MEDLINE—Ovid), CINAHL (EBSCO), Embase (Ovid), Ageline, PsycINFO (Ovid), and Cochrane Central Register of Controlled Trials (CENTRAL) will be searched for studies that meet the inclusion criteria. Two reviewers will independently screen the results of the literature search using a two-step process. Eligible studies will undergo a quality assessment and data extraction. Disagreements will be resolved through consultation with a third reviewer. We will assess the quality of individual studies using the Mixed Methods Appraisal Tool (MMAT). The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) will be used to summarize the strength of the quantitative evidence, and the Confidence in the Evidence from Reviews of Qualitative research (CERQual) tool to assess confidence in the qualitative syntheses.


          This systematic review will summarize evidence-based knowledge for sensory practices, identify gaps in the literature, and inform an audit program for assessing the presence of sensory practices in the long-term care setting. The results will be relevant to policy makers, decision-makers, clinicians, and residents/families in long-term care settings.

          Systematic review registration

          PROSPERO registration # CRD42017032330.

          Electronic supplementary material

          The online version of this article (10.1186/s13643-018-0783-9) contains supplementary material, which is available to authorized users.

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          Most cited references36

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          Qualitative data analysis for applied policy research

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            Age-specific prevalence and causes of blindness and visual impairment in an older population: the Rotterdam Study.

            To study the prevalence and causes of blindness and visual impairment in various age categories of a large population-based study. For the study, 6775 subjects aged 55 years or older underwent an extensive ophthalmologic screening examination, including measurements of visual acuity and the visual field and fundus photography. The causes of blindness or visual impairment were determined using all screening information and medical records. The prevalence of blindness, according to World Health Organization criteria, ranged from 0.1% in subjects aged 55 to 64 years to 3.9% in subjects aged 85 years or older; the prevalence of visual impairment ranged from 0.1% to 11.8%. For persons younger than 75 years, myopic degeneration and optic neuropathy were the most important causes of impaired vision. For persons aged 75 years or older, age-related macular degeneration was the major cause of the increased prevalence of blindness, whereas age-related cataract predominantly caused the increased prevalence of visual impairment. The hierarchy of causes of blindness and visual impairment is highly determined by age. As yet, little can be done to reduce the exponential increase of blindness; however, adequate implementation of surgery to treat cataract could reduce visual impairment by one third. Underuse of ophthalmologic care is a prominent cause of the high frequency of untreated cataracts among the elderly.
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              Incorporating considerations of resources use into grading recommendations.


                Author and article information

                613-562-5800 , chantal.backman@uottawa.ca
                Syst Rev
                Syst Rev
                Systematic Reviews
                BioMed Central (London )
                4 August 2018
                4 August 2018
                : 7
                : 115
                [1 ]ISNI 0000 0001 2182 2255, GRID grid.28046.38, School of Nursing, Faculty of Health Sciences, , University of Ottawa, ; 451, Smyth Road, RGN 3239, Ottawa, ON K1H 8M5 Canada
                [2 ]ISNI 0000 0001 2182 2255, GRID grid.28046.38, School of Nursing, Faculty of Health Sciences, , University of Ottawa, ; 451, Smyth Road, Ottawa, ON K1J 8M5 Canada
                [3 ]ISNI 0000 0001 2182 2255, GRID grid.28046.38, School of Epidemiology and Public Health, , University of Ottawa, ; 501, Smyth Road, Ottawa, ON K1H 8L6 Canada
                Author information
                © The Author(s). 2018

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                : 4 September 2017
                : 19 July 2018
                Funded by: Sodexo
                Award ID: n/a
                Award Recipient :
                Custom metadata
                © The Author(s) 2018

                Public health
                senses,quality of life,long-term care,systematic review
                Public health
                senses, quality of life, long-term care, systematic review


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