Systematic review protocol for facilitators and barriers to integrating health services for traumatic brain injury and mental health or addictions
Introduction In the most populous province of Canada, one in five adults and one in six students report a lifetime history of traumatic brain injury (TBI). These individuals were also more likely to report elevated psychological distress and use illicit substances compared with those without TBI. Th...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2019-07-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/9/7/e027534.full |
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| _version_ | 1846159312595976192 |
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| author | Angela Colantonio Vincy Chan Danielle Toccalino |
| author_facet | Angela Colantonio Vincy Chan Danielle Toccalino |
| author_sort | Angela Colantonio |
| collection | DOAJ |
| description | Introduction In the most populous province of Canada, one in five adults and one in six students report a lifetime history of traumatic brain injury (TBI). These individuals were also more likely to report elevated psychological distress and use illicit substances compared with those without TBI. The need for integrated health services has been recognised globally, yet efforts to develop more comprehensive and effective care for TBI and mental health and/or addictions (MHA) continue to be challenged by the siloing of the two systems. This protocol is for a systematic review that describes the current types of integrated care for TBI and MHA and identifies the barriers and facilitators to integrating healthcare for these populations.Methods and analysis This review will systematically search MEDLINE, EMBASE, PsycINFO, CINAHL, Cochrane Central Register of Controlled Trials, Sociological Abstracts, and Dissertations & Theses Global. References of eligible articles will also be searched for additional relevant studies. The search strategy will include the use of text words and subject headings relevant to the concepts ‘TBI,’ ‘substance abuse, gambling, or mental health,’ ‘integrated healthcare,’ ‘barriers and facilitators,’ and ‘healthcare access.’ Two reviewers will independently screen all articles based on predetermined inclusion and exclusion criteria and perform quality assessment on eligible studies. A narrative synthesis will be conducted using the data abstracted by the two reviewers.Ethics and dissemination Findings from the systematic review will be published in peer-reviewed journals, presented at scientific meetings, and summarised for key stakeholders in the field of TBI and/or MHA. This protocol will form a systematic review that holds the potential to impact policy and planning in the development of integrated person-centred care for TBI and MHA and addresses a recognised gap in TBI care.Trial registration number CRD42018108343 |
| format | Article |
| id | doaj-art-315a31feaf7241e6b29bc58739e1bb17 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2019-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-315a31feaf7241e6b29bc58739e1bb172024-11-23T07:45:09ZengBMJ Publishing GroupBMJ Open2044-60552019-07-019710.1136/bmjopen-2018-027534Systematic review protocol for facilitators and barriers to integrating health services for traumatic brain injury and mental health or addictionsAngela Colantonio0Vincy Chan1Danielle Toccalino2Rehabilitation Sciences Institute, University of Toronto, Toronto, Ontario, CanadaInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, CanadaRehabilitation Science Institute, University of Toronto, Toronto, Ontario, CanadaIntroduction In the most populous province of Canada, one in five adults and one in six students report a lifetime history of traumatic brain injury (TBI). These individuals were also more likely to report elevated psychological distress and use illicit substances compared with those without TBI. The need for integrated health services has been recognised globally, yet efforts to develop more comprehensive and effective care for TBI and mental health and/or addictions (MHA) continue to be challenged by the siloing of the two systems. This protocol is for a systematic review that describes the current types of integrated care for TBI and MHA and identifies the barriers and facilitators to integrating healthcare for these populations.Methods and analysis This review will systematically search MEDLINE, EMBASE, PsycINFO, CINAHL, Cochrane Central Register of Controlled Trials, Sociological Abstracts, and Dissertations & Theses Global. References of eligible articles will also be searched for additional relevant studies. The search strategy will include the use of text words and subject headings relevant to the concepts ‘TBI,’ ‘substance abuse, gambling, or mental health,’ ‘integrated healthcare,’ ‘barriers and facilitators,’ and ‘healthcare access.’ Two reviewers will independently screen all articles based on predetermined inclusion and exclusion criteria and perform quality assessment on eligible studies. A narrative synthesis will be conducted using the data abstracted by the two reviewers.Ethics and dissemination Findings from the systematic review will be published in peer-reviewed journals, presented at scientific meetings, and summarised for key stakeholders in the field of TBI and/or MHA. This protocol will form a systematic review that holds the potential to impact policy and planning in the development of integrated person-centred care for TBI and MHA and addresses a recognised gap in TBI care.Trial registration number CRD42018108343https://bmjopen.bmj.com/content/9/7/e027534.full |
| spellingShingle | Angela Colantonio Vincy Chan Danielle Toccalino Systematic review protocol for facilitators and barriers to integrating health services for traumatic brain injury and mental health or addictions BMJ Open |
| title | Systematic review protocol for facilitators and barriers to integrating health services for traumatic brain injury and mental health or addictions |
| title_full | Systematic review protocol for facilitators and barriers to integrating health services for traumatic brain injury and mental health or addictions |
| title_fullStr | Systematic review protocol for facilitators and barriers to integrating health services for traumatic brain injury and mental health or addictions |
| title_full_unstemmed | Systematic review protocol for facilitators and barriers to integrating health services for traumatic brain injury and mental health or addictions |
| title_short | Systematic review protocol for facilitators and barriers to integrating health services for traumatic brain injury and mental health or addictions |
| title_sort | systematic review protocol for facilitators and barriers to integrating health services for traumatic brain injury and mental health or addictions |
| url | https://bmjopen.bmj.com/content/9/7/e027534.full |
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