title: Hearing and vision screening tools for long-term care residents with dementia: protocol for a scoping review.
abstract: Hearing and vision loss among long-term care (LTC) residents with dementia frequently goes unnoticed and untreated. Despite negative consequences for these residents, there is little information available about their sensory abilities and care assessments and practices seldom take these abilities or accessibility needs into account. Without adequate knowledge regarding such sensory loss, it is difficult for LTC staff to determine the level of an individual's residual basic competence for communication and independent functioning. We will conduct a scoping review to identify the screening measures used in research and clinical contexts that test hearing and vision in adults aged over 65 years with dementia, aiming to: (1) provide an overview of hearing and vision screening in older adults with dementia; and (2) evaluate the sensibility of the screening tools.
  
  
  
  This scoping review will be conducted using the framework by Arksey and O'Malley and furthered by methodological enhancements from cited researchers. We will conduct electronic database searches in CENTRAL, CINAHL, EMBASE, MEDLINE and PsycINFO. We will also carry out a 'grey literature' search for studies or materials not formally published, both online and through interview discussions with healthcare professionals and research clinicians working in the field. Our aim is to find new and existing hearing and vision screening measures used in research and by clinical professionals of optometry and audiology. Abstracts will be independently reviewed twice for acceptance by a multidisciplinary team of researchers and research clinicians.
  
  
  
  This review will inform health professionals working with this growing population. With the review findings, we aim to develop a toolkit and an algorithmic process to select the most appropriate hearing and vision screening assessments for LTC residents with dementia that will facilitate accurate testing and can inform care planning, thereby improving residents' quality of life.
authors.affiliation: Department of Research, Toronto Rehabilitation Institute-University Health Network, Toronto, Ontario, Canada Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Ontario, Canada.
authors.forename: Katherine S
authors.initials: KS
authors.lastname: McGilton
authors.affiliation: Department of Research, Toronto Rehabilitation Institute-University Health Network, Toronto, Ontario, Canada Department of Speech-Language Pathology, University of Toronto, Toronto, Ontario, Canada.
authors.forename: Fiona
authors.initials: F
authors.lastname: Höbler
authors.affiliation: Department of Research, Toronto Rehabilitation Institute-University Health Network, Toronto, Ontario, Canada Department of Psychology, University of Toronto, Toronto, Ontario, Canada.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Campos
authors.affiliation: Department of Psychology, University of Toronto, Toronto, Ontario, Canada Department of Audiology, Baycrest Health Sciences, Toronto, Ontario, Canada.
authors.forename: Kate
authors.initials: K
authors.lastname: Dupuis
authors.affiliation: Centre for Sight Enhancement, School of Optometry and Vision Science, University of Waterloo, Waterloo, Ontario, Canada.
authors.forename: Tammy
authors.initials: T
authors.lastname: Labreche
authors.affiliation: Department of Kinesiology & Physical Education and Health Sciences, Faculty of Science, Wilfrid Laurier University, Ontario, Canada.
authors.forename: Dawn M
authors.initials: DM
authors.lastname: Guthrie
authors.affiliation: School of Optometry, University of Montréal, Montréal, Quebec, Canada.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Jarry
authors.affiliation: Department of Research, Toronto Rehabilitation Institute-University Health Network, Toronto, Ontario, Canada Department of Speech-Language Pathology, University of Toronto, Toronto, Ontario, Canada Phonak AG, Stäfa, Switzerland Department of Psychology, Ryerson University, Toronto, Ontario, Canada.
authors.forename: Gurjit
authors.initials: G
authors.lastname: Singh
authors.affiliation: School of Optometry, University of Montréal, Montréal, Quebec, Canada School of Physical and Occupational Therapy, McGill University, Montréal, Quebec, Canada CRIR/Centre de réadaptation MAB-Mackay du CIUSSS du Centre-Ouest-de-l'Île-de-Montréal. Montréal, Quebec, Canada CRIR/Institut Nazareth et Louis-Braille du CISSS de la Montérégie-Centre, Montréal, Quebec, Canada.
authors.forename: Walter
authors.initials: W
authors.lastname: Wittich
mesh_terms: D000368:Aged; D003704:Dementia / Q000150:complications*; D004185:Disability Evaluation; D015577:Geriatric Assessment / Q000379:methods*; D006309:Hearing; D034381:Hearing Loss / Q000175:diagnosis*; D006801:Humans; D008134:Long-Term Care; D008403:Mass Screening; D012107:Research Design; D015354:Vision, Low / Q000175:diagnosis*; D014785:Vision, Ocular; D000098584:Scoping Reviews as Topic
keywords: Assessment; Long Term Care; Optometry