Systematic scoping review of frameworks used to develop rehabilitation interventions for older adults

Booth, Vicky; Hood-Moore, Victoria; Hancox, Jennie; Logan, P.; Robinson, K.

doi:10.1136/bmjopen-2018-024185

Cited by 8 publications

(4 citation statements)

References 51 publications

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“…Our review was guided by the standard principles of systematic scoping review,18–20 and the protocol for the review was published in the website of Centre for Primary Health Care and Equity, UNSW Sydney (https://cphce.unsw.edu.au/research/health-system-integration-and-primary-health-care-development/community-health-workers). It has been recognised that social problems and public health interventions are complex.…”

Section: Methodsmentioning

confidence: 99%

Community health workers involvement in preventative care in primary healthcare: a systematic scoping review

et al. 2019

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ObjectivesTo review effective models of community health worker (CHW) involvement in preventive care for disadvantaged culturally and linguistically diverse (CALD) patients in primary healthcare (PHC) that may be applicable to the Australian context.DesignSystematic scoping review.Data sourcesThe studies were gathered through searching Medline, EMBASE, EMCARE, PsycINFO, CINAHL and online portals of relevant organisations.Eligibility criteriaAll selected studies were original research studies which essentially evaluated preventive intervention undertake by CHWs in PHC. The intervened population were adults with or without diagnosed chronic health disease, culturally and linguistically diverse, or vulnerable due to geographic, economic and/or cultural characteristics that impede or compromise their access to healthcare.Data extraction and synthesisData extraction was undertaken systematically in an excel spreadsheet while the findings were synthesised in a narrative manner. The quality appraisal of the selected studies was performed using effective public health practice project quality assessment tool.ResultsA total of 1066 articles were identified during the initial search of six bibliographic databases. After screening the title, abstract and full text, 37 articles met the selection and methodological criteria and underwent data extraction. A high-quality evidence-base supporting the positive impact of CHWs supporting patients’ access to healthcare and influencing positive behaviour change was found. Positive impacts of CHW interventions included improvements in clinical disease indicators, screening rates and behavioural change. Education-focused interventions were more effective in improving patient behaviour, whereas navigation interventions were most effective in improving access to services. Implementation was enhanced by cultural and linguistic congruence and specific training of CHWs in the intervention but reduced by short duration interventions, dropouts and poor adherence of patients.ConclusionThe evidence generated from this systematic scoping review demonstrates the contribution of CHWs to improving access to preventive care for patients from CALD and disadvantaged backgrounds by providing both education and navigational interventions. More research is needed on CHW training and the incorporation of CHWs into primary health care (PHC) teams.

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Section: Methodsmentioning

confidence: 99%

Community health workers involvement in preventative care in primary healthcare: a systematic scoping review

et al. 2019

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“…In healthcare for people with disabilities, the objective is to ensure that the patient maintains mobility, orientation and independence by adapting and evolving skills and functions relevant to her or his everyday life, while simultaneously considering the patient's developmental stage ( 10 ). Interventions in disability healthcare pose a particular challenge, since they frequently must be tailored to specific individual needs, have multiple outcomes and are influenced by a number of interacting contextual factors ( 11 – 14 ). Hence, interventions in disability healthcare are often more complex than those in other areas of healthcare ( 14 , 15 ).…”

Section: Introductionmentioning

confidence: 99%

The influence of contextual factors on an intervention for people with disabilities from support persons’ and health personnel's perspectives: a focus group study

Granberg,

Lundqvist,

Duberg

et al. 2024

Front. Rehabil. Sci.

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IntroductionContextual factors influence interventions in healthcare and pose a particular challenge in interventions designed for people with profound intellectual and multiple disabilities (PIMD). Exploring support persons’ and health personnel’s experience of an intervention may improve our understanding of the influence of contextual factors. Such exploration is important for revealing areas and focus points for future implementations. Therefore, the aim of this study is to explore support persons’ and health personnel’s experience of contextual factors during involvement in an intervention for people with PIMD.MethodsThis focus group study includes eight groups, comprising a total of 34 support persons and health personnel, at habilitation centres at four regions in central Sweden. Data were analysed inductively using a content analysis approach.ResultsThree themes emerged from the analysis of the informants’ perspectives on the contextual factors: (1) structure and support enhances intervention feasibility; (2) an intervention’s benefit for people with PIMD increases its acceptability; and (3) being engaged and involved increases support persons’ and health personnel’s motivation. Our findings show that the implementation of an intervention for people with PIMD should focus on the recipients of the intervention in its context, forming a clear communication plan. A training programme should be provided for the recipients and providers of the intervention.DiscussionFinally, the implementation process can be facilitated by creating space for staff to contribute and by encouraging participation and ownership for everyone involved. Using a co-design strategy can enable a shared responsibility to solve the identified challenges, while contributing to the development and design of future interventions for people with disabilities.

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“…Neck pain in older adults is not extensively studied and this population is generally poorly represented in musculoskeletal research [10–12]. Many older adults are restricted in their pain medication use due to multiple co-morbidities and associated polypharmacy, and/or increased risk of harmful side effects due to age-related pharmacokinetic and pharmacodynamic changes [13, 14].…”

Section: Introductionmentioning

confidence: 99%

Chiropractic treatment of older adults with neck pain with or without headache or dizziness: analysis of 288 Australian chiropractors’ self-reported views

et al. 2019

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BackgroundNeck pain is a leading cause of individual and societal burden worldwide, affecting an estimated 1 in 5 people aged 70 years and older. The nature and outcomes of chiropractic care for older adults with neck pain, particularly those with co-morbid headaches, remains poorly understood. Therefore, we sought to ascertain: What proportion of Australian chiropractors’ caseload comprises older adults with neck pain (with or without headache); How are these conditions treated; What are the reported outcomes?MethodsAn online survey examining practitioner and practice characteristics, clinical patient presentations, chiropractic treatment methods and outcomes, and other health service use, was distributed to a random nationally representative sample of 800 Australian chiropractors. Quantitative methods were used to analyze the data.ResultsTwo hundred eighty-eight chiropractors (response rate = 36%) completed the survey between August and November 2017. Approximately one-third (M 28.5%, SD 14.2) of the chiropractors’ patients were older adults (i.e. aged ≥65 years), of which 45.5% (SD 20.6) presented with neck pain and 31.3% (SD 20.3) had co-morbid headache. Chiropractors reported to combine a range of physical and manual therapy treatments, exercises and self-management practices in their care of these patients particularly: manipulation of the thoracic spine (82.0%); activator adjustment of the neck (77.3%); and massage of the neck (76.5%). The average number of visits required to resolve headache symptoms was reported to be highest among those with migraine (M 11.2, SD 8.8). The majority of chiropractors (57.3%) reported a moderate response to treatment in reported dizziness amongst older adults with neck pain. Approximately 82% of older adult patients were estimated to use at least one other health service concurrently to chiropractic care to manage their neck pain.ConclusionThis is the first known study to investigate chiropractic care of older adults living with neck pain. Chiropractors report using well-established conservative techniques to manage neck pain in older adults. Our findings also indicate that this target group of patients may frequently integrate chiropractic care with other health services in order to manage their neck pain. Further research should provide in-depth investigation of older patients’ experience and other patient-reported outcomes of chiropractic treatment.

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Systematic scoping review of frameworks used to develop rehabilitation interventions for older adults

Cited by 8 publications

References 51 publications

Community health workers involvement in preventative care in primary healthcare: a systematic scoping review

Community health workers involvement in preventative care in primary healthcare: a systematic scoping review

The influence of contextual factors on an intervention for people with disabilities from support persons’ and health personnel's perspectives: a focus group study

Chiropractic treatment of older adults with neck pain with or without headache or dizziness: analysis of 288 Australian chiropractors’ self-reported views

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