Health effects of training laypeople to deliver emergency care in underserviced populations: a systematic review protocol
Identifieur interne : 000075 ( Pmc/Curation ); précédent : 000074; suivant : 000076Health effects of training laypeople to deliver emergency care in underserviced populations: a systematic review protocol
Auteurs : Aaron M. Orkin [Canada] ; Jeffrey D. Curran [Canada] ; Melanie K. Fortune [Canada] ; Allison Mcarthur [Canada] ; Emma J. Mew [Canada] ; Stephen D. Ritchie [Canada] ; Stijn Van De Velde [Belgique] ; David Vanderburgh [Canada]Source :
- BMJ Open [ 2044-6055 ] ; 2016.
Abstract
The Disease Control Priorities Project recommends emergency care training for laypersons in low-resource settings, but evidence for these interventions has not yet been systematically reviewed. This review will identify the individual and community health effects of educating laypeople to deliver prehospital emergency care interventions in low-resource settings.
This systematic review addresses the following question: in underserviced populations and low-resource settings (P), does first aid or emergency care training or education for laypeople (I) confer any individual or community health benefit for emergency health conditions (O), in comparison with no training or other forms of education (C)? We restrict this review to studies reporting quantitatively measurable outcomes, and search 12 electronic bibliographic databases and grey literature sources. A team of expert content and methodology reviewers will conduct title and abstract screening and full-text review, using a custom-built online platform. Two investigators will independently extract methodological variables and outcomes related to patient-level morbidity and mortality and community-level effects on resilience or emergency care capacity. Two investigators will independently assess external validity, selection bias, performance bias, measurement bias, attrition bias and confounding. We will summarise the findings using a narrative approach to highlight similarities and differences between the gathered studies.
Formal ethical approval is not required.
The results will be disseminated through a peer-reviewed publication and knowledge translation strategy.
CRD42014009685.
Url:
DOI: 10.1136/bmjopen-2015-010609
PubMed: 27194315
PubMed Central: 4874171
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<front><div type="abstract" xml:lang="en"><sec><title>Introduction</title>
<p>The Disease Control Priorities Project recommends emergency care training for laypersons in low-resource settings, but evidence for these interventions has not yet been systematically reviewed. This review will identify the individual and community health effects of educating laypeople to deliver prehospital emergency care interventions in low-resource settings.</p>
</sec>
<sec><title>Methods and analysis</title>
<p>This systematic review addresses the following question: in underserviced populations and low-resource settings (P), does first aid or emergency care training or education for laypeople (I) confer any individual or community health benefit for emergency health conditions (O), in comparison with no training or other forms of education (C)? We restrict this review to studies reporting quantitatively measurable outcomes, and search 12 electronic bibliographic databases and grey literature sources. A team of expert content and methodology reviewers will conduct title and abstract screening and full-text review, using a custom-built online platform. Two investigators will independently extract methodological variables and outcomes related to patient-level morbidity and mortality and community-level effects on resilience or emergency care capacity. Two investigators will independently assess external validity, selection bias, performance bias, measurement bias, attrition bias and confounding. We will summarise the findings using a narrative approach to highlight similarities and differences between the gathered studies.</p>
</sec>
<sec><title>Ethics and dissemination</title>
<p>Formal ethical approval is not required.</p>
</sec>
<sec><title>Results</title>
<p>The results will be disseminated through a peer-reviewed publication and knowledge translation strategy.</p>
</sec>
<sec><title>Review registration number</title>
<p>CRD42014009685.</p>
</sec>
</div>
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<pmc article-type="protocol"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">BMJ Open</journal-id>
<journal-id journal-id-type="iso-abbrev">BMJ Open</journal-id>
<journal-id journal-id-type="hwp">bmjopen</journal-id>
<journal-id journal-id-type="publisher-id">bmjopen</journal-id>
<journal-title-group><journal-title>BMJ Open</journal-title>
</journal-title-group>
<issn pub-type="epub">2044-6055</issn>
<publisher><publisher-name>BMJ Publishing Group</publisher-name>
<publisher-loc>BMA House, Tavistock Square, London, WC1H 9JR</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">27194315</article-id>
<article-id pub-id-type="pmc">4874171</article-id>
<article-id pub-id-type="publisher-id">bmjopen-2015-010609</article-id>
<article-id pub-id-type="doi">10.1136/bmjopen-2015-010609</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Research Methods</subject>
<subj-group><subject>Protocol</subject>
</subj-group>
</subj-group>
<subj-group subj-group-type="hwp-journal-coll"><subject>1506</subject>
<subject>1730</subject>
<subject>1691</subject>
<subject>1699</subject>
<subject>1724</subject>
</subj-group>
</article-categories>
<title-group><article-title>Health effects of training laypeople to deliver emergency care in underserviced populations: a systematic review protocol</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Orkin</surname>
<given-names>Aaron M</given-names>
</name>
<xref ref-type="aff" rid="af1">1</xref>
<xref ref-type="aff" rid="af2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Curran</surname>
<given-names>Jeffrey D</given-names>
</name>
<xref ref-type="aff" rid="af3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fortune</surname>
<given-names>Melanie K</given-names>
</name>
<xref ref-type="aff" rid="af4">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>McArthur</surname>
<given-names>Allison</given-names>
</name>
<xref ref-type="aff" rid="af1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mew</surname>
<given-names>Emma J</given-names>
</name>
<xref ref-type="aff" rid="af1">1</xref>
<xref ref-type="aff" rid="af3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ritchie</surname>
<given-names>Stephen D</given-names>
</name>
<xref ref-type="aff" rid="af5">5</xref>
<xref ref-type="aff" rid="af6">6</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Van de Velde</surname>
<given-names>Stijn</given-names>
</name>
<xref ref-type="aff" rid="af7">7</xref>
</contrib>
<contrib contrib-type="author"><name><surname>VanderBurgh</surname>
<given-names>David</given-names>
</name>
<xref ref-type="aff" rid="af3">3</xref>
</contrib>
</contrib-group>
<aff id="af1"><label>1</label>
<institution>Dalla Lana School of Public Health, University of Toronto</institution>
,<addr-line>Toronto, Ontario</addr-line>
,<country>Canada</country>
</aff>
<aff id="af2"><label>2</label>
<institution>Rescu, Li Ka Shing Knowledge Institute, St. Michael's Hospital</institution>
,<addr-line>Toronto, Ontario</addr-line>
,<country>Canada</country>
</aff>
<aff id="af3"><label>3</label>
<institution>Northern Ontario School of Medicine</institution>
,<addr-line>Thunder Bay, Ontario</addr-line>
,<country>Canada</country>
</aff>
<aff id="af4"><label>4</label>
<institution>Michael G. DeGroote School of Medicine, McMaster University,</institution>
<addr-line>Hamilton, Ontario</addr-line>
,<country>Canada</country>
</aff>
<aff id="af5"><label>5</label>
<institution>Laurentian University</institution>
,<addr-line>Sudbury, Ontario</addr-line>
,<country>Canada</country>
</aff>
<aff id="af6"><label>6</label>
<institution>Centre for Rural and Northern Health Research</institution>
,<addr-line>Sudbury, Ontario</addr-line>
,<country>Canada</country>
</aff>
<aff id="af7"><label>7</label>
<institution>Academic Centre for General Practice, Katholieke Universiteit Leuven</institution>
,<addr-line>Leuven</addr-line>
,<country>Belgium</country>
</aff>
<author-notes><corresp><label>Correspondence to</label>
Dr Aaron M Orkin; <email>aaron.orkin@mail.utoronto.ca</email>
</corresp>
</author-notes>
<pub-date pub-type="collection"><year>2016</year>
</pub-date>
<pub-date pub-type="epub"><day>18</day>
<month>5</month>
<year>2016</year>
</pub-date>
<volume>6</volume>
<issue>5</issue>
<elocation-id>e010609</elocation-id>
<history><date date-type="received"><day>22</day>
<month>11</month>
<year>2015</year>
</date>
<date date-type="rev-recd"><day>15</day>
<month>3</month>
<year>2016</year>
</date>
<date date-type="accepted"><day>5</day>
<month>4</month>
<year>2016</year>
</date>
</history>
<permissions><copyright-statement>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/</copyright-statement>
<copyright-year>2016</copyright-year>
<license license-type="open-access"><license-p>This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/4.0/">http://creativecommons.org/licenses/by-nc/4.0/</ext-link>
</license-p>
</license>
</permissions>
<self-uri xlink:title="pdf" xlink:href="bmjopen-2015-010609.pdf"></self-uri>
<abstract><sec><title>Introduction</title>
<p>The Disease Control Priorities Project recommends emergency care training for laypersons in low-resource settings, but evidence for these interventions has not yet been systematically reviewed. This review will identify the individual and community health effects of educating laypeople to deliver prehospital emergency care interventions in low-resource settings.</p>
</sec>
<sec><title>Methods and analysis</title>
<p>This systematic review addresses the following question: in underserviced populations and low-resource settings (P), does first aid or emergency care training or education for laypeople (I) confer any individual or community health benefit for emergency health conditions (O), in comparison with no training or other forms of education (C)? We restrict this review to studies reporting quantitatively measurable outcomes, and search 12 electronic bibliographic databases and grey literature sources. A team of expert content and methodology reviewers will conduct title and abstract screening and full-text review, using a custom-built online platform. Two investigators will independently extract methodological variables and outcomes related to patient-level morbidity and mortality and community-level effects on resilience or emergency care capacity. Two investigators will independently assess external validity, selection bias, performance bias, measurement bias, attrition bias and confounding. We will summarise the findings using a narrative approach to highlight similarities and differences between the gathered studies.</p>
</sec>
<sec><title>Ethics and dissemination</title>
<p>Formal ethical approval is not required.</p>
</sec>
<sec><title>Results</title>
<p>The results will be disseminated through a peer-reviewed publication and knowledge translation strategy.</p>
</sec>
<sec><title>Review registration number</title>
<p>CRD42014009685.</p>
</sec>
</abstract>
<kwd-group><kwd>ACCIDENT & EMERGENCY MEDICINE</kwd>
<kwd>EDUCATION & TRAINING (see Medical Education & Training)</kwd>
<kwd>EPIDEMIOLOGY</kwd>
<kwd>PUBLIC HEALTH</kwd>
<kwd>TASK SHIFTING</kwd>
<kwd>ACCESS TO CARE</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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