Cargando…

A systematic review protocol for assessing equity in clinical practice guidelines for traumatic brain injury and homelessness

BACKGROUND: When used optimally, clinical practice guidelines (CPGs) can reduce inappropriate variations in practice, improve application of research to practice, and enhance the quality of healthcare. However, a common criticism, despite its potential, is the lack of consideration for equity and di...

Descripción completa

Detalles Bibliográficos
Autores principales: Chan, Vincy, Estrella, Maria Jennifer, Babineau, Jessica, Colantonio, Angela
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9353519/
https://www.ncbi.nlm.nih.gov/pubmed/35935774
http://dx.doi.org/10.3389/fmed.2022.815660
_version_ 1784762881858863104
author Chan, Vincy
Estrella, Maria Jennifer
Babineau, Jessica
Colantonio, Angela
author_facet Chan, Vincy
Estrella, Maria Jennifer
Babineau, Jessica
Colantonio, Angela
author_sort Chan, Vincy
collection PubMed
description BACKGROUND: When used optimally, clinical practice guidelines (CPGs) can reduce inappropriate variations in practice, improve application of research to practice, and enhance the quality of healthcare. However, a common criticism, despite its potential, is the lack of consideration for equity and disadvantaged populations. OBJECTIVES: This protocol is for a systematic review of CPGs for traumatic brain injury (TBI) and homelessness that aims to assess (1) the extent to which evidence regarding TBI and homelessness is integrated in CPGs for homelessness and TBI, respectively, and (2) equity considerations in CPGs for TBI and homelessness. METHODS AND ANALYSIS: The methodology for this review is guided by the PRISMA-P, validated search filters for CPGs, and methodological guides to searching systematic reviews and gray literature. CPGs will be identified from (a) databases for peer-reviewed literature (MEDLINE, Embase, CINAHL, and PsycInfo), (b) targeted websites and Google Search for gray literature, and (c) reference lists of peer-reviewed and gray literature that meet the eligibility criteria. Searching for gray literature, including from guideline-specific resources, is a critical component of this review and is considered an efficient approach to identifying CPGs, given the low precision of searching peer-reviewed databases. Two independent reviewers will screen all articles based on pre-determined eligibility criteria. A narrative synthesis will be conducted to identify the proportion of CPGs that integrate evidence about TBI and homelessness and how TBI and homelessness is or is not integrated in CPGs. Quality appraisal will take the form of an equity assessment of CPGs and will be completed independently by two reviewers. CONCLUSION: This protocol outlines the methodology for a systematic review of CPGs for TBI and homelessness. The resulting systematic review from this protocol will form an evidence-based foundation to advance CPGs for individuals with lived experience of TBI and homelessness. SYSTEMATIC REVIEW REGISTRATION: identifier: CRD42021287696.
format Online
Article
Text
id pubmed-9353519
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-93535192022-08-06 A systematic review protocol for assessing equity in clinical practice guidelines for traumatic brain injury and homelessness Chan, Vincy Estrella, Maria Jennifer Babineau, Jessica Colantonio, Angela Front Med (Lausanne) Medicine BACKGROUND: When used optimally, clinical practice guidelines (CPGs) can reduce inappropriate variations in practice, improve application of research to practice, and enhance the quality of healthcare. However, a common criticism, despite its potential, is the lack of consideration for equity and disadvantaged populations. OBJECTIVES: This protocol is for a systematic review of CPGs for traumatic brain injury (TBI) and homelessness that aims to assess (1) the extent to which evidence regarding TBI and homelessness is integrated in CPGs for homelessness and TBI, respectively, and (2) equity considerations in CPGs for TBI and homelessness. METHODS AND ANALYSIS: The methodology for this review is guided by the PRISMA-P, validated search filters for CPGs, and methodological guides to searching systematic reviews and gray literature. CPGs will be identified from (a) databases for peer-reviewed literature (MEDLINE, Embase, CINAHL, and PsycInfo), (b) targeted websites and Google Search for gray literature, and (c) reference lists of peer-reviewed and gray literature that meet the eligibility criteria. Searching for gray literature, including from guideline-specific resources, is a critical component of this review and is considered an efficient approach to identifying CPGs, given the low precision of searching peer-reviewed databases. Two independent reviewers will screen all articles based on pre-determined eligibility criteria. A narrative synthesis will be conducted to identify the proportion of CPGs that integrate evidence about TBI and homelessness and how TBI and homelessness is or is not integrated in CPGs. Quality appraisal will take the form of an equity assessment of CPGs and will be completed independently by two reviewers. CONCLUSION: This protocol outlines the methodology for a systematic review of CPGs for TBI and homelessness. The resulting systematic review from this protocol will form an evidence-based foundation to advance CPGs for individuals with lived experience of TBI and homelessness. SYSTEMATIC REVIEW REGISTRATION: identifier: CRD42021287696. Frontiers Media S.A. 2022-07-22 /pmc/articles/PMC9353519/ /pubmed/35935774 http://dx.doi.org/10.3389/fmed.2022.815660 Text en Copyright © 2022 Chan, Estrella, Babineau and Colantonio. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Medicine
Chan, Vincy
Estrella, Maria Jennifer
Babineau, Jessica
Colantonio, Angela
A systematic review protocol for assessing equity in clinical practice guidelines for traumatic brain injury and homelessness
title A systematic review protocol for assessing equity in clinical practice guidelines for traumatic brain injury and homelessness
title_full A systematic review protocol for assessing equity in clinical practice guidelines for traumatic brain injury and homelessness
title_fullStr A systematic review protocol for assessing equity in clinical practice guidelines for traumatic brain injury and homelessness
title_full_unstemmed A systematic review protocol for assessing equity in clinical practice guidelines for traumatic brain injury and homelessness
title_short A systematic review protocol for assessing equity in clinical practice guidelines for traumatic brain injury and homelessness
title_sort systematic review protocol for assessing equity in clinical practice guidelines for traumatic brain injury and homelessness
topic Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9353519/
https://www.ncbi.nlm.nih.gov/pubmed/35935774
http://dx.doi.org/10.3389/fmed.2022.815660
work_keys_str_mv AT chanvincy asystematicreviewprotocolforassessingequityinclinicalpracticeguidelinesfortraumaticbraininjuryandhomelessness
AT estrellamariajennifer asystematicreviewprotocolforassessingequityinclinicalpracticeguidelinesfortraumaticbraininjuryandhomelessness
AT babineaujessica asystematicreviewprotocolforassessingequityinclinicalpracticeguidelinesfortraumaticbraininjuryandhomelessness
AT colantonioangela asystematicreviewprotocolforassessingequityinclinicalpracticeguidelinesfortraumaticbraininjuryandhomelessness
AT chanvincy systematicreviewprotocolforassessingequityinclinicalpracticeguidelinesfortraumaticbraininjuryandhomelessness
AT estrellamariajennifer systematicreviewprotocolforassessingequityinclinicalpracticeguidelinesfortraumaticbraininjuryandhomelessness
AT babineaujessica systematicreviewprotocolforassessingequityinclinicalpracticeguidelinesfortraumaticbraininjuryandhomelessness
AT colantonioangela systematicreviewprotocolforassessingequityinclinicalpracticeguidelinesfortraumaticbraininjuryandhomelessness