title: Scoping review of physical rehabilitation interventions in long-term care: protocol for tools, models of delivery, outcomes and quality indicators.
abstract: BACKGROUND
  A growing number of medically complex older adults reside in long-term care (LTC) and often require physical rehabilitation (PR). While PR is effective at maintaining or improving a patient's physical function, the breadth of PR interventions evaluated in LTC, which outcomes or quality indicators (QI) can be used to evaluate PR, and what tools or models can be used to determine eligibility for PR services remain unknown.
  
  
  METHODS
  A scoping review will be conducted to address the following research questions: (1) What types of PR have been evaluated for efficacy or effectiveness in LTC? (2) Which outcomes or QIs have been used when evaluating PR interventions in LTC, and how can this inform evaluation of PR using existing QIs in the Canadian context? (3) What tools or models exist or have been validated for decision-making in the allocation of PR resources in LTC? We will conduct a comprehensive literature search in MEDLINE, EMBASE, CINAHL, Cochrane Database of Systematic Reviews, Physiotherapy Evidence Database (PEDro) and Occupational Therapy Systematic Evaluation of Evidence database (OTseeker) and a structured grey literature search. Two team members will screen articles and abstract the data. The results will be displayed according to the research question they address. Data abstracted regarding outcomes and QIs will be mapped onto existing, publicly reported QIs used in Ontario, Canada.
  
  
  BACKGROUND
  The scoping review will synthesise the characteristics of PR interventions described in the literature, the outcomes used to evaluate them and tools to determine eligibility for services. The review will be the first step in formally identifying what outcomes and QIs have been used to evaluate PR in LTC, and will be used to inform a stakeholder consensus process exploring the same question. The scoping review may also identify knowledge gaps. The results will be disseminated via publication and presentation at conferences, in addition to a 1-day stakeholder meeting.
authors.affiliation: Department of Kinesiology, University of Waterloo, Waterloo, Canada.
authors.forename: Caitlin
authors.initials: C
authors.lastname: McArthur
authors.affiliation: Department of Kinesiology, University of Waterloo, Waterloo, Canada.
authors.forename: Jenna
authors.initials: J
authors.lastname: Gibbs
authors.affiliation: Department of Medicine, McMaster University, Hamilton, Canada.
authors.forename: Alexandra
authors.initials: A
authors.lastname: Papaioannou
authors.affiliation: University of Waterloo, Waterloo, Canada.
authors.forename: John
authors.initials: J
authors.lastname: Hirdes
authors.affiliation: The Centre for Family Medicine, Kitchener, Canada Department of Family Medicine, McMaster University, Hamilton, Cananda CFFM-RIA Directorship for Mobility and Falls, Waterloo, Canada.
authors.forename: James
authors.initials: J
authors.lastname: Milligan
authors.affiliation: Department of Physical Therapy, University of Toronto, Toronto, Canada.
authors.forename: Katherine
authors.initials: K
authors.lastname: Berg
authors.affiliation: University of Waterloo, Waterloo, Canada Toronto Rehabilitation Institute-University Health Network, Toronto, Canada Schelegel-UW Research Institute for Aging, Waterloo, Canada.
authors.forename: Lora
authors.initials: L
authors.lastname: Giangregorio
mesh_terms: D000368:Aged; D002170:Canada; D003625:Data Collection; D003695:Delivery of Health Care; D006801:Humans; D008134:Long-Term Care / Q000592:standards*; D063868:Patient Outcome Assessment; D019984:Quality Indicators, Health Care; D012046:Rehabilitation / Q000592:standards*; D000098584:Scoping Reviews as Topic
keywords: REHABILITATION MEDICINE