371,062 research outputs found

    Occupational therapy practice and patient/client participation in religious occupations: a scoping review protocol

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    Review objective The objective of this scoping review is to identify and map information on how occupational therapists address their clients’ perceived and experienced barriers to participation in religious occupations as part of the occupational therapy intervention. Specifically the review questions are: i) What are the conceptual understandings of religious practice as an occupational need? ii) What assessments, interventions and outcome measures do occupational therapists use concerning their patients’/clients’ participation in religious occupations

    Models for schools of public health: A scoping review and synthesis of existing evidence

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    The final report on 'Models for schools of public health: A scoping review and synthesis of existing evidence' produced by Steven, Lombardo and Goodall and commissioned by Public Health Gateshead is now available. To date, existing evidence regarding models (organisational, structural, managerial, administrational) for Schools of Public Health (SsPH) has not been systematically collected or synthesised. This study aims to begin to fill that gap by using a combination of rapid review and scoping review techniques to retrieve and assess existing literature to identify potential and existing models, themes and issues and where possible highlight strengths and weaknesses

    A scoping review protocol to map the evidence on interventions to prevent overweight and obesity in children

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    Introduction. Obesity has become one of the biggest public health problems of the 21st century. Prevalence of obesity in children and adolescents has increased dramatically worldwide over the last 20 years, and this trend is expected to continue. Obesity in childhood is concerning as it predicts obesity in adulthood, a common risk factors for a wide array of chronic diseases and poor health outcomes. Obesity is preventable and a vast but fragmented body of evidence on preventative interventions is now available. This article outlines the protocol for a scoping review of published literature reviews on interventions to prevent obesity in children. The scoping review addresses the broad research question: What is the evidence on interventions to prevent childhood obesity? It aims to give an overview of the various interventions available, to understand those which are effective and to identify barriers and facilitators to their effectiveness. Methods and analysis. The six-staged Arksey and O'Malley methodology framework is used to guide the scoping review process. Following the definition of the research questions (stage 1), the eligibility criteria and search strategy are defined (stage 2). The study selection process based on the eligibility criteria identified will follow (stage 3). A framework developed for this review will then inform the extraction and charting of data from the included reviews (stage 4) and results will be aggregated and summarized with criteria relevant for health professionals and policy makers (stage 5). The optional consultation (stage 6) exercise is not planned. Ethics and dissemination. Since the scoping review methodology aims at synthetizing information from available publications, this study does not require ethical approval. An article reporting the results of the scoping review will be submitted for publication to a scientific journal, presented at relevant conferences and disseminated as part of future workshops with professionals involved in obesity prevention

    Health and access to care for undocumented migrants living in the European Union: a scoping review.

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    BACKGROUND: Literature on health and access to care of undocumented migrants in the European Union (EU) is limited and heterogeneous in focus and quality. Authors conducted a scoping review to identify the extent, nature and distribution of existing primary research (1990-2012), thus clarifying what is known, key gaps, and potential next steps. METHODS: Authors used Arksey and O'Malley's six-stage scoping framework, with Levac, Colquhoun and O'Brien's revisions, to review identified sources. Findings were summarized thematically: (i) physical, mental and social health issues, (ii) access and barriers to care, (iii) vulnerable groups and (iv) policy and rights. RESULTS: Fifty-four sources were included of 598 identified, with 93% (50/54) published during 2005-2012. EU member states from Eastern Europe were under-represented, particularly in single-country studies. Most study designs (52%) were qualitative. Sampling descriptions were generally poor, and sampling purposeful, with only four studies using any randomization. Demographic descriptions were far from uniform and only two studies focused on undocumented children and youth. Most (80%) included findings on health-care access, with obstacles reported at primary, secondary and tertiary levels. Major access barriers included fear, lack of awareness of rights, socioeconomics. Mental disorders appeared widespread, while obstetric needs and injuries were key reasons for seeking care. Pregnant women, children and detainees appeared most vulnerable. While EU policy supports health-care access for undocumented migrants, practices remain haphazard, with studies reporting differing interpretation and implementation of rights at regional, institutional and individual levels. CONCLUSIONS: This scoping review is an initial attempt to describe available primary evidence on health and access to care for undocumented migrants in the European Union. It underlines the need for more and better-quality research, increased co-operation between gatekeepers, providers, researchers and policy makers, and reduced ambiguities in health-care rights and obligations for undocumented migrants

    Mission drift in qualitative research, or moving toward a systematic review of qualitative studies, moving back to a more systematic narrative review

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    The paper argues that the systematic review of qualitative research is best served by reliance upon qualitative methods themselves. A case is made for strengthening the narrative literature review and using narrative itself as a method of review. A technique is proposed that builds upon recent developments in qualitative systematic review by the use of a narrative inductive method of analysis. The essence of qualitative work is described. The natural ability for issues of ethnicity and diversity to be investigated through a qualitative approach is elaborated. Recent developments in systematic review are delineated, including the Delphi and Signal and Noise techniques, inclusion of grey literature, scoping studies and meta-ethnography. A narrative inductive interpretive method to review qualitative research is proposed, using reflective teams to analyse documents. Narrative is suggested as a knowledge-generating method and its underlying hermeneutic approach is defended as providing validity and theoretical structure. Finally, qualities that distinguish qualitative research from more quantitative investigations are delineated. Starting points for reflecting on qualitative studies and their usefulness are listed. Key words: Qualitative Systematic Review, Evidence-Based Policy, Grey Literature, Scoping Studies, Delphi, ‘Signal and Noise’, Meta-ethnography, Narrative Review, Narrative Method, and Reflective Teams
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