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Improving primary care referral to specialist services: a protocol for a 10-year global systematic review in the Australian context
This study does not require ethics committee review as it solely focuses on analysing published literature. Findings will be published and disseminated through a peer-reviewed journal. PROSPERO registration number CRD42022354890.
Source: BMJ Open - August 29, 2023 Category: General Medicine Authors: Ekanayake, S. K. D. M., Ward, A. E., Heart, D., Valery, P., Soar, J. Tags: Open access, Public health Source Type: research

Adolescent sleep health in Africa: a scoping review protocol
Introduction Problematic sleep is a major threat to health and quality of life among adolescents. Hence, to provide directions for research and interventions, there is a need to examine the literature on adolescent sleep health in Africa. However, available studies on adolescent sleep health in Africa have not been properly mapped. Thus, this scoping review aims to investigate the extent and type of available evidence concerning sleep health among adolescents in Africa and to highlight the relationship of adolescent sleep health with adverse mental health outcomes and cardiometabolic risk factors. The review will further h...
Source: BMJ Open - August 17, 2023 Category: General Medicine Authors: Olorunmoteni, O. E., Gomez-Olive, F. X., Popoola, B. O., Fatusi, A. O., Scheuermaier, K. Tags: Open access, Paediatrics Source Type: research

Quality of life of transgender people under the lens of social determinants of health: a scoping review protocol
Introduction There is an urgent need for knowledge about the transgender population to inform the development of clinical protocols and training of health professionals on the unique issues affecting this population. Discussing transgender quality of life (QoL) through the lens of social determinants of health (SDOHs) would enable gender-specific health interventions. Here, we aimed to review the evidence on the QoL of transgender people from an SDOH perspective. Methods and analysis A scoping review (ScR) protocol following the Preferred Reporting Items for Systematic Review and Meta-Analyses extension for Scoping Review...
Source: BMJ Open - July 31, 2023 Category: General Medicine Authors: Coswosck, K. H. C., Marques-Rocha, J. L., Moreira, J. A., Guandalini, V. R., Lopes-Junior, L. C. Tags: Open access, Sexual health Source Type: research

Paper and screen media in current health education practices aimed at older adults: a scoping review protocol
Introduction With technological advancement and the COVID-19 pandemic, paper-based media are giving way to screen-based media to promote healthy ageing. However, there is no review available covering paper and screen media use by older people, so the objective of this review is to map the current use of paper-based and/or screen-based media for health education aimed at older people. Methods and analysis The literature will be searched in Scopus, Web of Science, Medline, Embase, Cinahl, The ACM Guide to Computing Literature and Psyinfo databases. Studies in English, Portuguese, Italian or Spanish published from 2012 to th...
Source: BMJ Open - May 25, 2023 Category: General Medicine Authors: Ferraz, L. T., Santos, A. J. T., Lorenzi, L. J., Castro, P. C., Frohlich, D. M., Barley, E. Tags: Open access, Health informatics, COVID-19 Source Type: research

Assessment of the quality of services of reception with risk classification in obstetrics: a scoping review protocol
Introduction Quality assessment in the context of maternal health services in Brazil has been the object of study due to maternal mortality rates that remain high in the country, in addition to the high costs of healthcare and the increased level of complexity in care. To change this situation, several strategies have been proposed to improve care for women. One of them is the improvement of women’s access to maternal and child services through the Reception with Obstetric Risk Classification (ACCRO). Objective To map and synthesise scientific evidence in the literature of studies that assess the quality of ACCRO se...
Source: BMJ Open - April 12, 2023 Category: General Medicine Authors: Oliveira, D. A. d., Medeiros, J. d. S., Cabral, B. T. V., Lira Lisboa, L., Nobre, T. T. X. Tags: Open access, Public health Source Type: research

What is the relationship between physical activity and chronic pain in older adults? A systematic review and meta-analysis protocol
Introduction Chronic pain is highly prevalent in older adults and can cause functional limitations, negatively affecting health and quality of life. Physical activity is a non-pharmacological approach used to prevent chronic pain as it promotes the release of endogenous opioids that block pain sensitivity. Therefore, we developed a systematic review protocol to analyse the relationship between physical activity and the occurrence and intensity of chronic pain in older adults. Methods and analyses The systematic review will search PubMed, Scopus and Embase databases. The inclusion criteria will be observational studies tha...
Source: BMJ Open - November 22, 2022 Category: General Medicine Authors: Marques, R. L. d. S., Rezende, A. T. d. O., Junger, A. L., Noll, M., de Oliveira, C., Silveira, E. A. Tags: Open access, Public health Source Type: research

Depression in older adults during the COVID-19 pandemic: a systematic review protocol
Introduction Depression is a common mental disorder and is a major cause of years lived with disability. The COVID-19 pandemic has caused an increase in the prevalence of depression worldwide. Our aim is to identify and synthesise the determinants of depression, the diagnostic assessment tools used to evaluate depression, and the interventions carried out since the beginning of the COVID-19 pandemic in the population aged 60 and older. Methods and analysis A systematic review of the literature will be conducted. The following databases will be searched: CINAHL Plus with Full Text, MedicLatina, MEDLINE with Full Text, and ...
Source: BMJ Open - October 26, 2022 Category: General Medicine Authors: Silva, C., Fonseca, C., Ferreira, R., Pinho, L., Schneider, B. C., Weidner, A., Morgado, B., Lopes, M. J. Tags: Open access, Mental health, COVID-19 Source Type: research

Protocol for a scoping review on misuse of psychoactive medicines and its consequences
Introduction Misuse of psychoactive medicines, especially prescription opioids, but also benzodiazepines, hypnotics and sedatives, has become a significant public health issue in some countries, especially in the USA, where it has been extensively documented, as well as in Canada and Australia. However, in the European Union (EU) published literature on the topic is scarce and heterogeneous regarding definitions, sources of data, tools and methods of analysis. The aim of this scoping review is to map the key concepts on psychoactive medicines’ misuse and examine the existing body of evidence on this topic in the EU. ...
Source: BMJ Open - October 13, 2022 Category: General Medicine Authors: Araujo, A. C., Casal, R. J., Goulao, J., Martins, A. P. Tags: Open access, Public health Source Type: research

Which physical therapy intervention is most effective in reducing secondary lymphoedema associated with breast cancer? Protocol for a systematic review and network meta-analysis
Introduction Lymphoedema associated with breast cancer is caused by an interruption of the lymphatic system, together with factors such as total mastectomy, axillary dissection, positive lymph nodes, radiotherapy, use of taxanes and obesity. Physiotherapy treatment consists of complex decongestive therapy, manual lymphatic drainage and exercises, among other interventions. Currently, there are several systematic review and randomised controlled trials that evaluate the efficacy of these interventions. However, at present, there are no studies that compare the effectiveness of all these physical therapy interventions. The p...
Source: BMJ Open - September 26, 2022 Category: General Medicine Authors: Aguilera-Eguia, R. A., Seron, P., Gutierrez-Arias, R., Zaror, C. Tags: Open access, Rehabilitation medicine Source Type: research

Late myocardial reperfusion in ST-elevation myocardial infarction: protocol for a systematic review and meta-analysis
This study will use published data only, thus, ethical approval will not be required. The results will be disseminated through peer-reviewed publication and conference presentations. PROSPERO registration number CRD42021283429.
Source: BMJ Open - September 14, 2022 Category: General Medicine Authors: Vargas-Fernandez, R., Chacon-Diaz, M., Basualdo-Melendez, G. W., Baron-Lozada, F. A., Visconti-Lopez, F. J., Comande, D., Hernandez-Vasquez, A. Tags: Open access, Cardiovascular medicine Source Type: research

Effects of respiratory physiotherapy interventions on pulmonary mechanics of newborns: a protocol for a systematic review
Introduction Although respiratory physiotherapy techniques may reduce respiratory load in newborns, manual contact with the ribcage may interfere with pulmonary mechanics. Therefore, this systematic review aims to evaluate the effects of conventional and non-conventional respiratory physiotherapies on pulmonary mechanics of newborns. Methods and analysis We will search PubMed, LILACS, SciELO, ScienceDirect, Cochrane Central and Web of Science databases. Searches will be conducted from September 2022. We will include randomised clinical trials reporting thoracoabdominal synchrony, lung volumes and capacities, respiratory d...
Source: BMJ Open - August 26, 2022 Category: General Medicine Authors: Nunes, A. d. M., Fernandes, A. T. d. N. S. F., de Castro Silva, A. T., Pereira Costa, M. F., Monteiro, K. S., Pereira, S. A. Tags: Open access, Evidence based practice Source Type: research

Family bereavement care interventions during the COVID-19 pandemic: a scoping review protocol
This article outlines the protocol for a scoping review of published studies to evaluate psychosocial and psychotherapeutic interventions intended to help family carers adjust to grief, loss and bereavement due to COVID-19. This review addresses one broad research question: ‘What do we know about bereavement support interventions for family carers of COVID-19 victims?’ Methods and analysis The seminal framework by Arksey and O’Malley will guide the review process, which will cover both the qualitative and quantitative scientific literature on grief support during COVID-19. We will search for relevant stu...
Source: BMJ Open - April 8, 2022 Category: General Medicine Authors: Laranjeira, C., Moura, D., Marcon, S., Jaques, A., Salci, M. A., Carreira, L., Cuman, R., Querido, A. Tags: Open access, Nursing, COVID-19 Source Type: research

Effects of exercise on fitness in adults with intellectual disability: a protocol of an overview of systematic reviews
Introduction Adults with intellectual disability (ID) have lower physical fitness levels than their peers without disabilities, representing a risk to their health since physical activity and cardiorespiratory fitness are directly related to better health and quality of life. Therefore, it is essential to determine the effects that exercise can have on them, as adults with ID present high comorbidities and lower life expectancy, altogether with lower rates of physical activity. The current overview of systematic reviews aims to provide an outline of the exercise benefits in health-related and skill-related fitness in adult...
Source: BMJ Open - April 4, 2022 Category: General Medicine Authors: Simon-Siles, S., Font-Farre, M., Guerra-Balic, M., Nishishinya-Aquino, M. B., Oviedo, G. R. Tags: Open access, Sports and exercise medicine Source Type: research

Type 1 diabetes incidence trends in children and adolescents aged 0-14 years in Europe: a systematic review and meta-analysis protocol
This study protocol provides a standardised and transparent methodology to assess TD1 trends among 0–14-year-old children and adolescents across Europe from 1994 to 2021. Methods and analysis This protocol is guided by the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols and the Cochrane Collaboration Handbook. The literature search will be conducted using MEDLINE, Embase, CINAHL and Web of Science databases from 1994 to 2021. Observational cohort studies providing incidence rates for European children and adolescents diagnosed with T1D aged ≤14.9 years and studies written in English, S...
Source: BMJ Open - October 19, 2021 Category: General Medicine Authors: Diez-Fernandez, A., Ruiz-Grao, M. C., Mesas, A. E., Martinez-Vizcaino, V., Garrido-Miguel, M. Tags: Open access, Diabetes and Endocrinology Source Type: research

Factors related to the adoption and adherence of physical activity mobile applications by older people: a scoping review protocol
Introduction Ageing is a natural process marked by physiological changes and declines in functional capacity. One strategy to encourage healthy habits in older people is the use of applications on mobile devices to promote physical activity (PA). An immediate challenge is for these applications to be accessible to older people themselves, while a second challenge is to retain their interest and engagement in connection with PA itself. Therefore, the purpose of this review is to map the factors related to the adoption and adherence of PA mobile applications by older people. Methods and analysis Five databases will be searc...
Source: BMJ Open - October 8, 2021 Category: General Medicine Authors: Lorenzi, L. J., Belo, L. F., Frohlich, D. M., Dourado, V. Z., Castro, P. C., Gomes, G. A. d. O. Tags: Open access, Health informatics Source Type: research