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  1. Article ; Online: Feasibility of Compliant Flooring in Long-Term Care: Results from a Stakeholder Symposium.

    Lachance, Chantelle C / Mackey, Dawn C

    Canadian journal on aging = La revue canadienne du vieillissement

    2017  Volume 37, Issue 1, Page(s) 84–94

    Abstract: Compliant flooring aims to prevent fall-related injuries among high-risk older adults in long-term care, but uptake of compliant flooring in this setting is limited. We hosted a one-day stakeholder symposium to identify advantages and disadvantages of ... ...

    Abstract Compliant flooring aims to prevent fall-related injuries among high-risk older adults in long-term care, but uptake of compliant flooring in this setting is limited. We hosted a one-day stakeholder symposium to identify advantages and disadvantages of implementing compliant flooring in long-term care and the most pressing directions for future research from the perspective of key stakeholders. Twenty-three stakeholders representing health care, industry, and research attended the symposium. Attendees believed the most important advantages of compliant flooring were reducing injuries in residents who have fallen, potential benefits to care staff, and potential increases in quality of life for residents. Attendees perceived the most significant disadvantages of compliant flooring were financial considerations, lack of research evidence, and challenges with installation. Attendees indicated a need for additional research on cost-effectiveness and clinical effectiveness. While stakeholders perceived compliant flooring to add value to long-term care, there are significant informational and financial barriers to uptake.
    MeSH term(s) Accidental Falls ; Adult ; Aged ; Consensus ; Feasibility Studies ; Female ; Floors and Floorcoverings/economics ; Floors and Floorcoverings/standards ; Homes for the Aged/organization & administration ; Humans ; Long-Term Care/organization & administration ; Male ; Middle Aged ; Wounds and Injuries/prevention & control
    Language English
    Publishing date 2017-12-29
    Publishing country Canada
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 632851-9
    ISSN 1710-1107 ; 0714-9808
    ISSN (online) 1710-1107
    ISSN 0714-9808
    DOI 10.1017/S0714980817000551
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: The SAFEST review: a mixed methods systematic review of shock-absorbing flooring for fall-related injury prevention.

    Drahota, Amy / Felix, Lambert M / Raftery, James / Keenan, Bethany E / Lachance, Chantelle C / Mackey, Dawn C / Markham, Chris / Laing, Andrew C

    BMC geriatrics

    2022  Volume 22, Issue 1, Page(s) 32

    Abstract: Background: Shock-absorbing flooring may minimise impact forces incurred from falls to reduce fall-related injuries; however, synthesized evidence is required to inform decision-making in hospitals and care homes.: Methods: This is a Health ... ...

    Abstract Background: Shock-absorbing flooring may minimise impact forces incurred from falls to reduce fall-related injuries; however, synthesized evidence is required to inform decision-making in hospitals and care homes.
    Methods: This is a Health Technology Assessment mixed methods systematic review of flooring interventions targeting older adults and staff in care settings. Our search incorporated the findings from a previous scoping review, MEDLINE, AgeLine, and Scopus (to September 2019) and other sources. Two independent reviewers selected, assessed, and extracted data from studies. We assessed risk of bias using Cochrane and Joanna Briggs Institute tools, undertook meta-analyses, and meta-aggregation.
    Results: 20 of 22 included studies assessed our outcomes (3 Randomised Controlled Trials (RCTs); 7 observational; 5 qualitative; 5 economic), on novel floors (N = 12), sports floors (N = 5), carpet (N = 5), and wooden sub-floors (N = 1). Quantitative data related to 11,857 patient falls (9 studies), and 163 staff injuries (1 study). One care home-based RCT found a novel underlay produced similar injurious falls rates (high-quality evidence) and falls rates (moderate-quality evidence) to a plywood underlay with vinyl overlay and concrete sub-floors. Very low-quality evidence suggested that shock-absorbing flooring may reduce injuries in hospitals (Rate Ratio 0.55, 95% CI 0.36 to 0.84, 2 studies; 27.1% vs. 42.4%; Risk Ratio (RR) = 0.64, 95% CI 0.44 to 0.93, 2 studies) and care homes (26.4% vs. 33.0%; RR 0.80, 95% CI 0.70 to 0.91, 3 studies), without increasing falls. Economic evidence indicated that if injuries are fewer and falls not increased, then shock-absorbing flooring would be a dominant strategy. Fracture outcomes were imprecise; however, hip fractures reduced from 30 in 1000 falls on concrete to 18 in 1000 falls on wooden sub-floors (OR 0.59, 95% CI 0.45 to 0.78; one study; very low-quality evidence). Staff found moving wheeled equipment harder on shock-absorbing floors leading to workplace adaptations. Very low-quality evidence suggests staff injuries were no less frequent on rigid floors.
    Conclusion: Evidence favouring shock-absorbing flooring is uncertain and of very low quality. Robust research following a core outcome set is required, with attention to wider staff workplace implications.
    Trial registration: PROSPERO CRD42019118834 .
    MeSH term(s) Accidental Falls/prevention & control ; Aged ; Floors and Floorcoverings ; Fractures, Bone/prevention & control ; Hospitals ; Humans
    Language English
    Publishing date 2022-01-06
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review ; Systematic Review
    ZDB-ID 2059865-8
    ISSN 1471-2318 ; 1471-2318
    ISSN (online) 1471-2318
    ISSN 1471-2318
    DOI 10.1186/s12877-021-02670-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: A systematic review of the latent structure of the Center for Epidemiologic Studies Depression Scale (CES-D) amongst adolescents.

    Blodgett, Joanna M / Lachance, Chantelle C / Stubbs, Brendon / Co, Melissa / Wu, Yu-Tzu / Prina, Matthew / Tsang, Vivian W L / Cosco, Theodore D

    BMC psychiatry

    2021  Volume 21, Issue 1, Page(s) 197

    Abstract: Background: The Centre for Epidemiologic Studies Depression Scale (CES-D) is a commonly used psychometric scale of depression. A four-factor structure (depressed affect, positive affect, somatic symptoms, and interpersonal difficulties) was initially ... ...

    Abstract Background: The Centre for Epidemiologic Studies Depression Scale (CES-D) is a commonly used psychometric scale of depression. A four-factor structure (depressed affect, positive affect, somatic symptoms, and interpersonal difficulties) was initially identified in an American sample aged 18 to 65. Despite emerging evidence, a latent structure has not been established in adolescents. This review aimed to investigate the factor structure of the CES-D in adolescents.
    Methods: We searched Web of Science, PsychINFO and Scopus and included peer-reviewed, original studies assessing the factor structure of the 20-item CES-D in adolescents aged ≤18. Two independent researchers screened results and extracted data.
    Results: Thirteen studies met the inclusion criteria and were primarily from school-based samples in the USA or Asia. Studies that conducted confirmatory factor analysis (CFA; n = 9) reported a four-factor structure consistent with the original factor structure; these studies were primarily USA-based. Conversely, studies that conducted exploratory factor analysis (EFA) reported distinct two or three factor structures (n = 4) and were primarily based in Asia.
    Limitations: Studies in a non-English language and those that included individuals aged > 18 years were excluded. Ethnic or cultural differences as well as different analytical methods impacted generalisability of results. The use of CFA as the primary analysis may have biased towards a four-factor structure.
    Conclusions: A four-factor CES-D structure was an appropriate fit for adolescents in Western countries; further research is required to determine the fit in in Asian countries. This has important implications for clinical use of the scale. Future research should consider how cultural differences shape the experience of depression in adolescents.
    MeSH term(s) Adolescent ; Adult ; Aged ; Asia ; Depression/diagnosis ; Depression/epidemiology ; Epidemiologic Studies ; Ethnic Groups ; Factor Analysis, Statistical ; Humans ; Middle Aged ; Psychiatric Status Rating Scales ; Psychometrics ; Reproducibility of Results ; Young Adult
    Language English
    Publishing date 2021-04-19
    Publishing country England
    Document type Journal Article ; Systematic Review
    ISSN 1471-244X
    ISSN (online) 1471-244X
    DOI 10.1186/s12888-021-03206-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Shock-absorbing flooring for fall-related injury prevention in older adults and staff in hospitals and care homes: the SAFEST systematic review.

    Drahota, Amy / Felix, Lambert M / Raftery, James / Keenan, Bethany E / Lachance, Chantelle C / Mackey, Dawn C / Markham, Chris / Laing, Andrew C / Farrell-Savage, Kirsten / Okunribido, Olanrewaju

    Health technology assessment (Winchester, England)

    2022  Volume 26, Issue 5, Page(s) 1–196

    Abstract: Background: Injurious falls in hospitals and care homes are a life-limiting and costly international issue. Shock-absorbing flooring may offer part of the solution; however, evidence is required to inform decision-making.: Objectives: The objectives ... ...

    Abstract Background: Injurious falls in hospitals and care homes are a life-limiting and costly international issue. Shock-absorbing flooring may offer part of the solution; however, evidence is required to inform decision-making.
    Objectives: The objectives were to assess the clinical effectiveness and cost-effectiveness of shock-absorbing flooring for fall-related injury prevention among older adults in care settings.
    Review methods: A systematic review was conducted of experimental, observational, qualitative and economic studies evaluating flooring in care settings targeting older adults and/or staff. Studies identified by a scoping review (inception to May 2016) were screened, and the search of MEDLINE, AgeLine and Scopus (to September 2019) was updated, alongside other sources. Two independent reviewers assessed risk of bias in duplicate (using Cochrane's Risk of Bias 2.0 tool, the Risk Of Bias In Non-randomized Studies - of Interventions tool, or the Joanna Briggs Institute's qualitative tool).
    Results: Of the 22 included studies, 20 assessed the outcomes (three randomised controlled trials; and seven observational, five qualitative and five economic studies) on novel floors (
    Limitations: Evidence favouring shock-absorbing flooring is of very low quality; thus, much uncertainty remains.
    Conclusions: Robust evidence is lacking in hospitals and indicates that one novel floor may not be effective in care homes. Very low-quality evidence indicates that shock-absorbing floors may be beneficial; however, wider workplace implications need to be addressed. Work is required to establish a core outcome set, and future research needs to more comprehensively deal with confounding and the paucity of hospital-based studies, and better plan for workplace adaptations in the study design.
    Study registration: This study is registered as PROSPERO CRD42019118834.
    Funding: This project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full in
    MeSH term(s) Aged ; Floors and Floorcoverings ; Fractures, Bone ; Hospitals ; Humans ; Quality-Adjusted Life Years ; Randomized Controlled Trials as Topic
    Language English
    Publishing date 2022-01-04
    Publishing country England
    Document type Research Support, Non-U.S. Gov't ; Systematic Review
    ZDB-ID 2006765-3
    ISSN 2046-4924 ; 1366-5278
    ISSN (online) 2046-4924
    ISSN 1366-5278
    DOI 10.3310/ZOWL2323
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Protocol for the SAFEST review: the Shock-Absorbing Flooring Effectiveness SysTematic review including older adults and staff in hospitals and care homes.

    Drahota, Amy / Felix, Lambert M / Keenan, Bethany E / Lachance, Chantelle C / Laing, Andrew / Mackey, Dawn C / Raftery, James

    BMJ open

    2020  Volume 10, Issue 2, Page(s) e032315

    Abstract: Introduction: Falls in hospitals and care homes are a major issue of international concern. Inpatient falls are the most commonly reported safety incident in the UK's National Health Service (NHS), costing the NHS £630 million a year. Injurious falls ... ...

    Abstract Introduction: Falls in hospitals and care homes are a major issue of international concern. Inpatient falls are the most commonly reported safety incident in the UK's National Health Service (NHS), costing the NHS £630 million a year. Injurious falls are particularly life-limiting and costly. There is a growing body of evidence on shock-absorbing flooring for fall-related injury prevention; however, no systematic review exists to inform practice.
    Methods and analysis: We will systematically identify, appraise and summarise studies investigating the clinical and cost-effectiveness, and experiences of shock-absorbing flooring in hospitals and care homes. Our search will build on an extensive search conducted by a scoping review (inception to May 2016). We will search electronic databases (AgeLine, CINAHL, MEDLINE, NHS Economic Evaluation Database, Scopus and Web of Science; May 2016-present), trial registries and grey literature. We will conduct backward and forward citation searches of included studies, and liaise with study researchers. We will evaluate the influence of floors on fall-related injuries, falls and staff work-related injuries through randomised and non-randomised studies, consider economic and qualitative evidence, and implementation factors. We will consider risk of bias, assess heterogeneity and explore potential effect modifiers via subgroup analyses and sensitivity analyses. Where appropriate we will combine studies through meta-analysis. We will use the GRADE (Grading of Recommendations, Assessment, Development and Evaluations) approach to evaluate the quality of evidence and present the results using summary of findings tables, and adhere to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses reporting guidelines.
    Ethics and dissemination: We will follow the ethical principles of systematic review conduct, by attending to publication ethics, transparency and rigour. Our dissemination plan includes peer-reviewed publication, presentations, press release, stakeholder symposium, patient video and targeted knowledge-to-action reports. This review will inform decision-making around falls management in care settings and identify important directions for future research.
    Prospero registration number: CRD42019118834.
    MeSH term(s) Accidental Falls/economics ; Accidental Falls/prevention & control ; Aged ; Cost-Benefit Analysis ; Floors and Floorcoverings/economics ; Floors and Floorcoverings/methods ; Hospitals ; Humans ; Inpatients ; Residential Facilities ; Risk Factors ; State Medicine ; Wounds and Injuries/economics ; Wounds and Injuries/prevention & control ; Systematic Reviews as Topic
    Keywords covid19
    Language English
    Publishing date 2020-02-17
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2019-032315
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Exploring the prevalence of gaming disorder and Internet gaming disorder: a rapid scoping review.

    Darvesh, Nazia / Radhakrishnan, Amruta / Lachance, Chantelle C / Nincic, Vera / Sharpe, Jane P / Ghassemi, Marco / Straus, Sharon E / Tricco, Andrea C

    Systematic reviews

    2020  Volume 9, Issue 1, Page(s) 68

    Abstract: Background: Internet gaming disorder (IGD) was included in the DSM-5 in 2013 as a condition requiring further research, and gaming disorder (GD) was included in the ICD-11 in 2018. Given the importance of including these conditions in diagnostic ... ...

    Abstract Background: Internet gaming disorder (IGD) was included in the DSM-5 in 2013 as a condition requiring further research, and gaming disorder (GD) was included in the ICD-11 in 2018. Given the importance of including these conditions in diagnostic guidelines, a review was conducted to describe their prevalence.
    Methods: Using guidance from the Joanna Briggs Institute and the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR), we conducted a rapid scoping review. MEDLINE, Embase, PsycINFO, and the Cochrane library were searched for literature published from inception to July 2018. All review stages were pilot-tested to calibrate reviewers. The titles/abstracts and full-text articles were screened by one reviewer to include quantitative primary studies that reported GD or IGD prevalence. Excluded citations were screened by a second reviewer to confirm exclusion. Charting was conducted by one reviewer and verified by another, to capture relevant data. Results were summarized descriptively in tables or text.
    Results: We assessed 5550 potentially relevant citations. No studies on GD were identified. We found 160 studies of various designs that used 35 different methods to diagnose IGD. The prevalence of IGD ranged from 0.21-57.50% in general populations, 3.20-91.00% in clinical populations, and 50.42-79.25% in populations undergoing intervention (severe cases). Most studies were conducted in the Republic of Korea (n = 45), China (n = 29), and the USA (n = 20). Results are also presented for severe IGD and by geographic region, gender/sex, and age groups (child, adolescent, adult). The five most frequently reported health-related variables were depression (67 times), Internet addiction (54 times), anxiety (48 times), impulsiveness (37 times), and attention-deficit hyperactivity disorder (24 times).
    Conclusions: Due to the variability in diagnostic approaches, knowledge users should interpret the wide IGD prevalence ranges with caution. In addition to further research on GD, consensus on the definition of IGD and how it is measured is needed, to better understand the prevalence of these conditions.
    MeSH term(s) Adolescent ; Adult ; Behavior, Addictive/diagnosis ; Behavior, Addictive/epidemiology ; Child ; China ; Humans ; Internet ; Internet Addiction Disorder ; Prevalence ; Video Games
    Language English
    Publishing date 2020-04-02
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review ; Systematic Review
    ZDB-ID 2662257-9
    ISSN 2046-4053 ; 2046-4053
    ISSN (online) 2046-4053
    ISSN 2046-4053
    DOI 10.1186/s13643-020-01329-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Latent structure of the Centre for Epidemiologic Studies Depression Scale (CES-D) in older adult populations: a systematic review.

    Cosco, Theodore D / Lachance, Chantelle C / Blodgett, Joanna M / Stubbs, Brendon / Co, Melissa / Veronese, Nicola / Wu, Yu-Tzu / Prina, A Matthew

    Aging & mental health

    2019  Volume 24, Issue 5, Page(s) 700–704

    Abstract: Objective: ...

    Abstract Objective:
    MeSH term(s) Aged ; Depression/diagnosis ; Depression/epidemiology ; Epidemiologic Studies ; Factor Analysis, Statistical ; Humans ; Psychiatric Status Rating Scales ; Psychometrics ; Reproducibility of Results ; Self Report ; United States
    Language English
    Publishing date 2019-01-19
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Systematic Review
    ZDB-ID 1474804-6
    ISSN 1364-6915 ; 1360-7863
    ISSN (online) 1364-6915
    ISSN 1360-7863
    DOI 10.1080/13607863.2019.1566434
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Exploring the prevalence of gaming disorder and Internet gaming disorder

    Nazia Darvesh / Amruta Radhakrishnan / Chantelle C. Lachance / Vera Nincic / Jane P. Sharpe / Marco Ghassemi / Sharon E. Straus / Andrea C. Tricco

    Systematic Reviews, Vol 9, Iss 1, Pp 1-

    a rapid scoping review

    2020  Volume 10

    Abstract: Abstract Background Internet gaming disorder (IGD) was included in the DSM-5 in 2013 as a condition requiring further research, and gaming disorder (GD) was included in the ICD-11 in 2018. Given the importance of including these conditions in diagnostic ... ...

    Abstract Abstract Background Internet gaming disorder (IGD) was included in the DSM-5 in 2013 as a condition requiring further research, and gaming disorder (GD) was included in the ICD-11 in 2018. Given the importance of including these conditions in diagnostic guidelines, a review was conducted to describe their prevalence. Methods Using guidance from the Joanna Briggs Institute and the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR), we conducted a rapid scoping review. MEDLINE, Embase, PsycINFO, and the Cochrane library were searched for literature published from inception to July 2018. All review stages were pilot-tested to calibrate reviewers. The titles/abstracts and full-text articles were screened by one reviewer to include quantitative primary studies that reported GD or IGD prevalence. Excluded citations were screened by a second reviewer to confirm exclusion. Charting was conducted by one reviewer and verified by another, to capture relevant data. Results were summarized descriptively in tables or text. Results We assessed 5550 potentially relevant citations. No studies on GD were identified. We found 160 studies of various designs that used 35 different methods to diagnose IGD. The prevalence of IGD ranged from 0.21–57.50% in general populations, 3.20–91.00% in clinical populations, and 50.42–79.25% in populations undergoing intervention (severe cases). Most studies were conducted in the Republic of Korea (n = 45), China (n = 29), and the USA (n = 20). Results are also presented for severe IGD and by geographic region, gender/sex, and age groups (child, adolescent, adult). The five most frequently reported health-related variables were depression (67 times), Internet addiction (54 times), anxiety (48 times), impulsiveness (37 times), and attention-deficit hyperactivity disorder (24 times). Conclusions Due to the variability in diagnostic approaches, knowledge users should interpret the wide IGD prevalence ranges with caution. In addition to ...
    Keywords Gaming disorder ; Internet gaming disorder ; DSM-5 ; ICD-11 ; Prevalence ; Rapid review ; Medicine ; R
    Subject code 150
    Language English
    Publishing date 2020-04-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: Protocol for the SAFEST review

    Chantelle C Lachance / James Raftery / Amy Drahota / Lambert M Felix / Bethany E Keenan / Andrew Laing / Dawn C Mackey

    BMJ Open, Vol 10, Iss

    the Shock-Absorbing Flooring Effectiveness SysTematic review including older adults and staff in hospitals and care homes

    2020  Volume 2

    Abstract: IntroductionFalls in hospitals and care homes are a major issue of international concern. Inpatient falls are the most commonly reported safety incident in the UK’s National Health Service (NHS), costing the NHS £630 million a year. Injurious falls are ... ...

    Abstract IntroductionFalls in hospitals and care homes are a major issue of international concern. Inpatient falls are the most commonly reported safety incident in the UK’s National Health Service (NHS), costing the NHS £630 million a year. Injurious falls are particularly life-limiting and costly. There is a growing body of evidence on shock-absorbing flooring for fall-related injury prevention; however, no systematic review exists to inform practice.Methods and analysisWe will systematically identify, appraise and summarise studies investigating the clinical and cost-effectiveness, and experiences of shock-absorbing flooring in hospitals and care homes. Our search will build on an extensive search conducted by a scoping review (inception to May 2016). We will search electronic databases (AgeLine, CINAHL, MEDLINE, NHS Economic Evaluation Database, Scopus and Web of Science; May 2016–present), trial registries and grey literature. We will conduct backward and forward citation searches of included studies, and liaise with study researchers. We will evaluate the influence of floors on fall-related injuries, falls and staff work-related injuries through randomised and non-randomised studies, consider economic and qualitative evidence, and implementation factors. We will consider risk of bias, assess heterogeneity and explore potential effect modifiers via subgroup analyses and sensitivity analyses. Where appropriate we will combine studies through meta-analysis. We will use the GRADE (Grading of Recommendations, Assessment, Development and Evaluations) approach to evaluate the quality of evidence and present the results using summary of findings tables, and adhere to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses reporting guidelines.Ethics and disseminationWe will follow the ethical principles of systematic review conduct, by attending to publication ethics, transparency and rigour. Our dissemination plan includes peer-reviewed publication, presentations, press release, stakeholder symposium, ...
    Keywords Medicine ; R
    Subject code 028
    Language English
    Publishing date 2020-02-01T00:00:00Z
    Publisher BMJ Publishing Group
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article ; Online: Compliant flooring to prevent fall-related injuries: a scoping review protocol.

    Lachance, Chantelle C / Jurkowski, Michal P / Dymarz, Ania C / Mackey, Dawn C

    BMJ open

    2016  Volume 6, Issue 8, Page(s) e011757

    Abstract: Introduction: Fall-related injuries can have serious consequences for older adults, including increased risk of dependence in daily activities and mortality. Compliant flooring is a passive intervention that may reduce the incidence and severity of fall- ...

    Abstract Introduction: Fall-related injuries can have serious consequences for older adults, including increased risk of dependence in daily activities and mortality. Compliant flooring is a passive intervention that may reduce the incidence and severity of fall-related injuries in healthcare settings, including acute and long-term care, but few sites have implemented compliant flooring, in part because synthesised evidence about key performance aspects has not been available.
    Methods and analysis: We will conduct a scoping review to address the question: what is presented about the biomechanical efficacy, clinical effectiveness, cost-effectiveness, and workplace safety associated with compliant flooring systems that aim to prevent fall-related injuries? We will conduct a comprehensive and systematic literature search of academic databases (AgeLine, CINAHL, EBM Reviews, MEDLINE (Ovid), SportDiscus and Web of Science) and grey literature (clinical trial registries, theses/dissertations, abstracts/conference proceedings and relevant websites). 2 team members will independently screen records (first titles and abstracts, then full text) and extract data from included records. Numerical and narrative analyses will be presented by theme (biomechanical efficacy, clinical effectiveness, cost-effectiveness, workplace safety).
    Ethics and dissemination: This scoping review responds to the information needs of healthcare decision-makers tasked with preventing fall-related injuries. This review will summarise evidence about compliant flooring as a potential intervention for preventing fall-related injuries in older adults and identify gaps in evidence and new avenues for research. Results will be especially useful in long-term care, but also applicable in acute care, assisted living and home care. We will disseminate the review's findings via open-access publications, conference presentations, a webinar, a Stakeholder Symposium and a Knowledge-to-Action Report.
    MeSH term(s) Accidental Falls ; Environment Design ; Floors and Floorcoverings ; Health Facilities ; Humans ; Trauma Severity Indices ; Wounds and Injuries/prevention & control
    Language English
    Publishing date 2016-08-16
    Publishing country England
    Document type Journal Article ; Review ; Research Support, Non-U.S. Gov't
    ZDB-ID 2747269-3
    ISSN 2044-6055 ; 2044-6055 ; 2053-3624
    ISSN (online) 2044-6055
    ISSN 2044-6055 ; 2053-3624
    DOI 10.1136/bmjopen-2016-011757
    Database MEDical Literature Analysis and Retrieval System OnLINE

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