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Home-modification interventions addressing falls and participation in activities of daily living among older adults: a scoping review protocol
  1. Gifty M Georlee1,
  2. Abiram U1,
  3. Pham Ngoc Dat2,
  4. Nguyen Khac Tuan3,
  5. Shashank Mehrotra4
  1. 1Former Intern, Department of Occupational Therapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Udupi, Karnataka, India
  2. 2Occupational Therapist, Faculty of Nursing and Medical Technology, Ho Chi Minh City University of Medicine and Pharmacy, Ho Chi Minh City, Viet Nam
  3. 3Assistant lecturer, Department of Rehabilitation, Hai Duong Medical Technical University, Hai Duong, Viet Nam
  4. 4Assistant Professor- Senior Scale, Department of Occupational Therapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Udupi, Karnataka, India
  1. Correspondence to Shashank Mehrotra; shashank.mehrotra{at}manipal.edu

Abstract

Introduction Falls are the second leading reason for incidental or unexpected deaths worldwide. Many older adults who fall, regardless of whether they are injured or not, tend to experience fear of fall and this can lead to decreased participation in activities of daily living (ADLs). Subsequent falls lead to weakness, a decline in physical functioning, increased chances of falling and a negative impact on the instrumental ADLs. Here, we present our scoping review protocol to appraise the literature to describe and explain the home-modification interventions used by occupational therapists to address falls and participation in ADLs among community-dwelling older adults. We are aiming to review the available home-modification intervention protocols, facilitators and barriers to such interventions, and the experiences of occupational therapists and clients after receiving these interventions.

Methods and analysis This scoping review protocol follows existing guidelines for scoping reviews with a particular attention on Arksey and O’Malley (2005) and Colquhoun et al (2014). We will include the following databases: Scopus, Web of Science, PubMed, ProQuest, Cumulative Index to Nursing and Allied Health Literature and Google Scholar. We plan to conduct the literature search from August 16, 2020 to September 15, 2020. Two reviewers will independently screen eligible studies for inclusion. We will extract the bibliographic data, study design, details of the intervention provided, outcomes and experiences of occupational therapists and clients, and further organise them for better understanding.

Ethics and dissemination As secondary data analysis, this scoping review does not require ethics approval. Results will summarise and disseminate the existing literature related to home-modification interventions provided by occupational therapists addressing falls and participation in ADLs among community-dwelling older adults. We plan to disseminate the results through peer-reviewed journals and conferences, targeting occupational therapists, other rehabilitation workers, researchers and policy makers.

  • geriatric medicine
  • public health
  • rehabilitation medicine
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Footnotes

  • Contributors All authors have made substantive intellectual contributions to the development of this protocol. SM conceived the idea of this research, followed by a discussion that contributed to finalising the research idea. AU and NKT drafted the methodology. GMG and PND further revised it. GMG and SM worked on preparing the draft of this protocol.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.