Upload File

bmj open 2016 puts

7
Interventions to prevent or reduce the level of frailty in community-dwelling older adults: a protocol for a scoping review of the literature and international policies Martine T E Puts, 1 Samar Toubasi, 1 Esther Atkinson, 2 Ana Patricia Ayala, 3 Melissa Andrew, 4 Maureen C Ashe, 5 Howard Bergman, 6 Jenny Ploeg, 7 Katherine S McGilton 1,8 To cite:  Puts MTE, Toubasi S, Atkinson E,  et al . Interventions to prevent or reduce the level of frailty in community-d welling older adults: a protocol for a scoping review of the literatur e and internatio nal policies. BMJ Open  2016;6: e010959. doi:10.1136/ bmjopen-2015-010959 ▸  Prepublica tion history and additional material is available. To view please visit the journal (http://dx.doi.org/ 10.1136/bmjopen-2015- 010959). Received 22 December 2015 Accepted 11 February 2016 For numbered affiliations see end of article. Correspondence to Dr Martine TE Puts; [email protected] ABSTRACT Introduction: With ageing comes increased vulnerability such that older adults  ability to recover from acute illnesses, fall-related injuries and other stresses related to the physical ageing processes declines. This increased vulnerability, also known as frailty, is common in older adults and associated with increased healthcare service use and adverse health outcomes. Currently, there is no overview of available interventions to prevent or reduce the level of frailty (as defined by study s authors) which will help healthcare providers in community settings caring for older adults. We will address this gap by reviewing interventions and international polices that are designed to prevent or reduce the level of frailty in community-dwelling older adults. Methods and analysis: We will conduct a scoping review using the updated guidelines of Arksey and O Malley to systematically search the peer-reviewed journal articles to identify interventions that aimed to prevent or reduce the level of frailty. We will search grey literature for international policies. The 6-stage scoping review model involves: (1) identifying the research question; (2) identifying relevant studies; (3) selecting studies; (4) charting the data; (5) collating, summarising and reporting the results and (6) consulting with key stakeholders. Ethics and dissemination: Our scoping review will use robust methodology to search for available interventions focused on preventing or reducing the level of frailty in community-dwelling older adults. We will consult with stakeholders to find out whether they find the frailty interventions/policies useful and to identify the barriers and facilitators to their implementation in Canada. We will disseminate our findings to relevant stakeholders at local, national and international levels by presenting at relevant meetings and publishing the findings. Our review will identify gaps in research and provide healthcare providers and policymakers with an overview of interventions that can be implemented to prevent or postpone frailty. INTRODUCTION  As in most countries, Canada ’s population is ageing —in 2013, 15% of the population was ag ed 65 and ov er , and th is is ex pe cted to inc rea se to 27% by 206 3. 1  As older adults age, they are more vulnerable to poor health outcomes and are less able to recover from an acute stress as a result of phy sio log ica l changes, that is, declines in muscle mass and kidney, lung and cardiovascular organ func- tionin g. Thi s increased vuln erab ilit y is also know n as fra ilty . 2 3 Fr ail older adults ar e mor e at risk for adve rse hea lth out comes, such as falls, mobility decline,  hospitalisation, institutionalisation and death. 2 4–24 There is no consensus on the de nition of frailty, but it is consistently seen as a multidimensional concept wi th various indi ca tors such as  weight loss, lack of physical activity and lack Strengths and limitations of this study ▪  Systemati c summa risa tion of the evide nce will identi fy the evidence avai lable from qualitative and quantitative studies and policies; it will also identify gaps in current evidence on interventions ai med at pr ev enti ng or re duci ng the leve l of frailty in community-dwelling older adults. ▪  We will include all studies published in any lan- guage that have measured the level of frailty pre- intervention and postintervention. ▪  Although many intervention studies ha ve focused on the frail elderly, there has been no review of interventi ons that used leve l of fr ailty as an outcome, making it impossible to compare dif- ferent study populations and interventions. ▪  The review will help inform policies to facilitate acquisit ion or implementa ti on of re sources needed by frail older adults. Puts MTE,  et al .  BMJ Open  2016;6:e010959. doi:10.1136/bmjopen-2015-010959  1 Open Acc e s s Proto c ol group.bmj.com on March 6, 2016 - Published by  http://bmjopen.bmj.com/ Downloaded from

Upload: malik003

Post on 07-Aug-2018

213 views

Category:

Documents


0 download

Report

TRANSCRIPT

Page 1: BMJ Open 2016 Puts

8/20/2019 BMJ Open 2016 Puts

http://slidepdf.com/reader/full/bmj-open-2016-puts 1/7

http://group.bmj.com/
http://bmjopen.bmj.com/
http://bmjopen.bmj.com/
http://crossmark.crossref.org/dialog/?doi=10.1136/bmjopen-2015-010959&domain=pdf&date_stamp=2016-03-01
http://dx.doi.org/10.1136/bmjopen-2015-010959
http://dx.doi.org/10.1136/bmjopen-2015-010959
http://dx.doi.org/10.1136/bmjopen-2015-010959
Page 2: BMJ Open 2016 Puts

8/20/2019 BMJ Open 2016 Puts

http://slidepdf.com/reader/full/bmj-open-2016-puts 2/7

http://group.bmj.com/
http://bmjopen.bmj.com/
Page 3: BMJ Open 2016 Puts

8/20/2019 BMJ Open 2016 Puts

http://slidepdf.com/reader/full/bmj-open-2016-puts 3/7

http://group.bmj.com/
http://bmjopen.bmj.com/
Page 4: BMJ Open 2016 Puts

8/20/2019 BMJ Open 2016 Puts

http://slidepdf.com/reader/full/bmj-open-2016-puts 4/7

http://group.bmj.com/
http://bmjopen.bmj.com/
Page 5: BMJ Open 2016 Puts

8/20/2019 BMJ Open 2016 Puts

http://slidepdf.com/reader/full/bmj-open-2016-puts 5/7

http://group.bmj.com/
http://bmjopen.bmj.com/
http://dx.doi.org/10.1016/j.jacc.2014.12.042
http://dx.doi.org/10.2147/CIA.S78365
http://dx.doi.org/10.1111/ggi.12403
http://dx.doi.org/10.1007/s12439-015-0126-4
http://dx.doi.org/10.5770/cgj.18.131
http://dx.doi.org/10.1016/j.berh.2014.07.005
http://dx.doi.org/10.1002/cncr.29211
http://dx.doi.org/10.1136/bmjopen-2014-006645
http://dx.doi.org/10.1016/j.hlc.2014.11.024
http://dx.doi.org/10.1159/000368952
http://dx.doi.org/10.1136/bmjopen-2014-007091
http://dx.doi.org/10.1097/CCM.0000000000000860
http://dx.doi.org/10.1093/ageing/afs163
http://dx.doi.org/10.1111/j.1447-0594.2011.00797.x
http://dx.doi.org/10.1186/1741-7015-10-4
http://dx.doi.org/10.1093/ageing/afu138
http://dx.doi.org/10.1093/annonc/mdu540
http://dx.doi.org/10.1093/ageing/afu157
http://dx.doi.org/10.1093/qjmed/hcv066
http://dx.doi.org/10.1016/j.ygyno.2015.01.532
http://dx.doi.org/10.1016/j.amjsurg.2011.08.012
http://dx.doi.org/10.1016/j.arr.2012.03.001
http://dx.doi.org/10.1016/j.amjsurg.2011.06.017
http://dx.doi.org/10.1111/j.1532-5415.2005.53008.x
http://dx.doi.org/10.1111/j.1532-5415.2005.53008.x
http://dx.doi.org/10.1016/j.critrevonc.2009.10.006
http://dx.doi.org/10.1016/j.critrevonc.2010.04.003
http://dx.doi.org/10.1016/j.critrevonc.2010.04.003
http://dx.doi.org/10.1634/theoncologist.2014-0237
http://dx.doi.org/10.1016/j.jgo.2011.09.002
http://dx.doi.org/10.1016/j.archger.2005.01.002
http://dx.doi.org/10.1093/geront/gnr135
http://dx.doi.org/10.1177/2151458514537272
http://dx.doi.org/10.1177/2151458514537272
http://dx.doi.org/10.1093/gerona/gls161
http://dx.doi.org/10.1016/j.ygyno.2012.04.019
http://dx.doi.org/10.1093/gerona/62.7.731
http://dx.doi.org/10.1007/s12630-014-0273-z
http://dx.doi.org/10.1177/0898264314558202
http://dx.doi.org/10.1017/S0714980811000511
http://dx.doi.org/10.1093/ageing/afq121
http://dx.doi.org/10.1002/bjs.9785
http://dx.doi.org/10.1016/S0025-7125(05)70157-7
http://dx.doi.org/10.1093/gerona/56.3.M146
http://creativecommons.org/licenses/by-nc/4.0/
http://creativecommons.org/licenses/by-nc/4.0/
http://twitter.com/apayala
Page 6: BMJ Open 2016 Puts

8/20/2019 BMJ Open 2016 Puts

http://slidepdf.com/reader/full/bmj-open-2016-puts 6/7

http://group.bmj.com/
http://bmjopen.bmj.com/
http://dx.doi.org/10.1007/s11606-014-2878-x
http://dx.doi.org/10.1016/j.ijnurstu.2011.07.002
http://dx.doi.org/10.1016/j.ijnurstu.2014.08.010
http://dx.doi.org/10.1136/bmj.g7647
http://dx.doi.org/10.1186/1471-2288-13-48
http://dx.doi.org/10.1016/j.jclinepi.2014.03.013
http://dx.doi.org/10.1186/1748-5908-5-69
http://dx.doi.org/10.1080/1364557032000119616
http://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42014010370
http://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42014010370
http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD010494/pdf
http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD010494/pdf
http://dx.doi.org/10.1016/j.apmr.2013.11.007
http://dx.doi.org/10.1016/j.mcna.2011.02.008
http://dx.doi.org/10.1016/j.maturitas.2012.10.010
http://dx.doi.org/10.2174/13816128113196660705
http://dx.doi.org/10.1016/j.pcad.2014.07.005
http://dx.doi.org/10.1016/j.pcad.2014.07.004
http://dx.doi.org/10.1016/j.pcad.2014.07.004
http://dx.doi.org/10.1016/j.amjmed.2015.06.017
http://dx.doi.org/10.1007/s11606-013-2494-1
http://dx.doi.org/10.1007/s11606-013-2494-1
http://dx.doi.org/10.1136/openhrt-2013-000033
http://dx.doi.org/10.1097/01.JAA.0000455648.12048.7b
http://dx.doi.org/10.1111/ajt.12992
http://dx.doi.org/10.1093/ageing/afu161
http://dx.doi.org/10.1097/BCR.0000000000000190
http://dx.doi.org/10.1007/s11605-015-2760-0
http://dx.doi.org/10.1007/s11605-015-2760-0
http://dx.doi.org/10.2174/1381612821666150130120747
http://dx.doi.org/10.1136/heartjnl-2014-307167
http://dx.doi.org/10.1007/s11904-014-0247-3
http://dx.doi.org/10.1097/TA.0000000000000551
http://dx.doi.org/10.1097/TA.0000000000000551
http://dx.doi.org/10.1111/coa.12409
http://dx.doi.org/10.1093/ageing/afv016
http://dx.doi.org/10.5527/wjn.v4.i1.1
http://dx.doi.org/10.1016/j.mcna.2014.11.008
http://dx.doi.org/10.1111/j.1447-0594.2011.00776.x
http://dx.doi.org/10.1111/j.1447-0594.2011.00776.x
http://dx.doi.org/10.1097/HJH.0000000000000555
http://dx.doi.org/10.1016/j.juro.2014.12.007
Page 7: BMJ Open 2016 Puts

8/20/2019 BMJ Open 2016 Puts

http://slidepdf.com/reader/full/bmj-open-2016-puts 7/7

http://group.bmj.com/
http://bmjopen.bmj.com/
http://group.bmj.com/subscribe/
http://journals.bmj.com/cgi/reprintform
http://group.bmj.com/group/rights-licensing/permissions
http://bmjopen.bmj.com//cgi/collection/bmj_open_geriatric_medicine
http://bmjopen.bmj.com//cgi/collection/bmj_open_general_practice_family_practice
http://bmjopen.bmj.com//cgi/collection/bmj_open_epidemiology
http://creativecommons.org/licenses/by-nc/4.0/
http://bmjopen.bmj.com/content/6/3/e010959#BIBL
http://bmjopen.bmj.com/content/6/3/e010959

BMJ Open | A leading multidisciplinary medical journal - BMJ ......distributed as the published version of this manuscript. BMJ Open is an open access journal and the full, final,

Open Access Research Antitubercular specific ... - BMJ

BMJ Open 2014 Scholes

Open access Protocol Counselling-based psychosocial ... - BMJ

Protocol Book Page No 1to54 2 - BMJ Open

Tricco copd bmj open 2015 supplementary

BMJ Open 2014 Iyngkaran

BMJ Paediatrics Open is committed to open peer …bmjpaedsopen.bmj.com/content/bmjpo/1/1/e000136.draft...BMJ Paediatrics Open is committed to open peer review. As part of this commitment

BMJ Paediatrics Open is committed to open peer review. As

BMJ Open 2015 Van Dijk de Vries

Inclusion Exclusion - BMJ Open Sport & Exercise Medicine

BMJ Open Current Treatments in Diabetic Macular Oedema

BMJ Open 2013 Kamarudin

bmjqir-5-u210274-w4363-s1 - BMJ Open Quality

BMJ Open 2013 Nezu

BMJ Open€¦ · For peer review only 23 Author’s signatures

Inline Supplementary Material - BMJ Open

Comparison of staff and resident health ... - BMJ Open Quality

BMJ Paediatrics Open is committed to open peer …...BMJ Paediatrics Open is committed to open peer review. As part of this commitment we make the peer review history of every article

BMJ Open 2011 Finlay

BMJ Open 2016 Kataoka

BMJ Open 2014 Dick

BMJ Paediatrics Open is committed to open peer review. As ...BMJ Paediatrics Open is an open access journal and the full, final, typeset and author-corrected version of record of the

Partnering with patients to improve ... - BMJ Open Quality

BMJ Paediatrics Open is committed to open peer review. As ...bmjpaedsopen.bmj.com/content/bmjpo/1/1/e000082.draft-revisions.pdf · BMJ Paediatrics Open is committed to open peer

Passmedicine questions - BMJ Open

Tricco copd bmj open 2015

BMJ Open 2015 Song

BMJ Open 2012 Beswick

BMJ Open is an open access journal and the full, final

BMJ Open · BMJ Open: first published as 10.1136/bmjopen-2015-010184 on 1 March 2016. Downloaded from . For peer review only 6

Supplementary material - BMJ Open

Open Access Original article BMJ Effect of the …Ono A et˜al BMJ Paediatrics Open 20172e000229 doi101136bmjpo2017000229 1 BMJ Paediatrics Open Open Access Effect of the Fukushima

BMJ Report (Open) - Cigarette India

BMJ Open › content › bmjopen › 4 › 7 › e005005...Interstitial Fibrosis and Tubular Atrophy after Kidney Transplantation Journal: BMJ Open Manuscript ID: bmjopen-2014-005005