JBI evidence synthesis最新文献

{"title":"Mapping resilience and co-occurring theoretical constructs in nurses: a scoping review.","authors":"Audrey Rosenblatt, Karen Dominguez-Cancino, Catherine Chung, Kelly Mecham, Marsha Bennett, Tyler Davis-Sandfoss, Patrick Palmieri","doi":"10.11124/JBIES-25-00409","DOIUrl":"https://doi.org/10.11124/JBIES-25-00409","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this scoping review was to map the concept of resilience, its definition, and measurement along with co-occurring theoretical constructs within nursing research, using the COVID-19 pandemic as a critical date range for the current evidence.</p><p><strong>Introduction: </strong>The research literature offers a wide range of definitions of resilience, and the concept is frequently examined in conjunction with related theoretical constructs. Nurse resilience is a key element in interventions targeting nurse well-being and has been tied to burnout and mental health. Resilience is influential in workforce stabilization and impactful to nurse retention both within facilities and within the field of nursing. This is significant given the worldwide nursing shortage and the attrition from the field.</p><p><strong>Eligibility criteria: </strong>This review considered published and unpublished quantitative studies that investigated resilience and co-occurring theoretical constructs in nurses from the onset of the COVID-19 pandemic, January 10, 2020, to the present. Studies published in English or Spanish were eligible, without restriction to setting or geographic location. All instruments that measure resilience were considered and mapped in conjunction with the co-occurring constructs.</p><p><strong>Methods: </strong>This review was guided by JBI methodology for scoping reviews and published a priori protocol. CINAHL (EBSCOhost), PubMed, Embase (Embase.com), APA PsycINFO (EBSCOhost), Scopus, and LILACS were searched for evidence from January 10, 2020, to May 17, 2024. A search for unpublished studies and gray literature was conducted in ProQuest Dissertation and Theses. Titles and abstracts, followed by full texts, were screened against the inclusion criteria independently by 2 or more reviewers. Data were extracted using a piloted extraction tool, and findings are presented as a narrative summary supported by figures and tables, including a cluster analysis and qualitative coding of co-occurring constructs into theoretical domains.</p><p><strong>Results: </strong>A total of 337 records met the inclusion criteria. Research on nurse resilience was conducted in 52 countries. Most of the evidence was cross-sectional in design (n = 277), of which 23 were interventional studies. Hospital-based nurses represented 70% of studies (n = 238). COVID-19 was a key element in the research for 65% of studies (n = 220), with only 3% of evidence published during 2020. Resilience was measured by 39 different validated tools, with the Connor-Davidson Resilience Scales accounting for more than half of the studies. There were 193 theoretical constructs studied alongside resilience: burnout (n = 73), stress (n =69), anxiety (n = 48), and depression (n = 44) were the most prevalent. A total of 175 constructs were measured fewer than 10 times, while 118 constructs appeared only once. Exploration of the co-occurring theoretical constructs ","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148913613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The 'Fundamentals of Care Framework' in health care settings: a scoping review protocol.","authors":"Maiken Holm Kaldal, Siri Voldbjerg, Birgitte Lerbæk, Rebecca Feo, Britt Laugesen","doi":"10.11124/JBIES-25-00571","DOIUrl":"https://doi.org/10.11124/JBIES-25-00571","url":null,"abstract":"<p><strong>Objective: </strong>This review will map the use of the Fundamentals of Care (FoC) Framework in health care.</p><p><strong>Introduction: </strong>Health care systems are increasingly complex, but person-centered care remains central to nursing, and the FoC Framework provides a structured approach to embedding this principle in practice. It emphasizes therapeutic relationships and the integration of physical and psychosocial needs through relational actions, supported by an enabling context. Despite growing evidence on person-centered care, no review has mapped the use of this framework to guide health care professionals and organizations.</p><p><strong>Eligibility criteria: </strong>This scoping review will consider sources reporting the use of the FoC Framework to guide or structure activities in any health care setting (eg, hospital, primary care, community, disability, social care), with no geographic restrictions. Eligible sources will include quantitative, qualitative, or mixed methods studies, systematic reviews, and selected gray literature, such as dissertations, theses, discussion pieces, or opinion papers. Sources will be excluded if they do not reference the framework, lack empirical or descriptive data, or report solely on educational contexts (eg, student training, curricula).</p><p><strong>Methods: </strong>This review will follow the JBI methodology for scoping reviews. Searches will be conducted in key bibliographic and gray literature sources, including CINAHL Ultimate (EBSCOhost), Embase (Embase.com), MedNar, ProQuest Central (ProQuest), OpenAlex, PubMed, and PsycINFO (APA PsycNet), with no language restrictions. Titles and abstracts, then full texts, will be screened against the eligibility criteria. Data will be extracted using a structured tool and analyzed descriptively, and results will be presented using tables and figures, with a narrative summary.</p><p><strong>Review registration: </strong>https://osf.io/srbe9/.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interventions or strategies to improve access to mental health services among Black African immigrants in high-income host countries: a scoping review protocol.","authors":"Temitope K Gold, Joana Velasquez, Jason T Slyer","doi":"10.11124/JBIES-25-00573","DOIUrl":"https://doi.org/10.11124/JBIES-25-00573","url":null,"abstract":"<p><strong>Objective: </strong>This scoping review will map and describe the literature on interventions or strategies to improve access to mental health services among Black African immigrants residing in high-income countries.</p><p><strong>Introduction: </strong>Black African immigrants residing in high-income countries experience a disproportionately high prevalence of mental health issues driven by pre-migration trauma, migration stressors, and post-migration social determinants. Despite this burden, access to mental health services remains limited due to barriers such as stigma, cultural incongruence, and systemic inequities. While existing systematic reviews have explored barriers to care, little is known about interventions or strategies that have been implemented to address these challenges.</p><p><strong>Eligibility criteria: </strong>This review will consider studies involving adult Black African immigrants residing in high-income countries. Eligible sources will include qualitative, quantitative, and mixed methods studies and relevant gray literature that describe, evaluate, or report on interventions or strategies aimed at improving access to mental health care (including approachability, acceptability, availability and accommodation, affordability, and appropriateness).</p><p><strong>Methods: </strong>This review will be conducted in accordance with the JBI methodology for scoping reviews. A comprehensive search will be conducted across PubMed, Embase (Embase.com), CINAHL (EBSCOhost), PsycINFO (EBSCOhost), and ProQuest Central (ProQuest) along with relevant gray literature sources. Two reviewers will independently screen all identified sources and extract data using an extraction tool developed by the review team. Data will be presented in tabular and graphical formats and summarized descriptively. Findings will be mapped to the 5 dimensions of accessibility to identify existing strategies and gaps in the evidence.</p><p><strong>Review registration: </strong>https://osf.io/8sqyx.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and facilitators for the implementation of exercise therapy among patients with diabetic neuropathy: a mixed methods systematic review protocol.","authors":"Shalimol Us, K T Moly, Menon V Usha, Vivek Lakshmanan, Eilean Lazarus Rathinasamy, Vineetha Karuveettil, Valentina Vanzi","doi":"10.11124/JBIES-26-00107","DOIUrl":"https://doi.org/10.11124/JBIES-26-00107","url":null,"abstract":"<p><strong>Objective: </strong>This mixed methods systematic review will aim to identify, synthesize, and integrate quantitative and qualitative evidence on the barriers and facilitators affecting the implementation of exercise therapy for patients with diabetic neuropathy.</p><p><strong>Introduction: </strong>Diabetic neuropathy is one of the most prevalent and debilitating complications of diabetes, often leading to impaired mobility, pain, reduced physical function, and diminished quality of life. Exercise therapy is widely recommended as a core component of management; however, its implementation in clinical and community settings remains inconsistent.</p><p><strong>Eligibility criteria: </strong>This review will include qualitative, quantitative, and mixed methods studies involving adults (≥18 years) with type 1 or type 2 diabetes mellitus and diabetic peripheral neuropathy. The review will consider evidence relating to barriers and facilitators influencing the implementation, uptake, adherence, or delivery of exercise therapy from multiple perspectives, including patient (eg, beliefs, motivation, health literacy), provider (eg, knowledge, attitudes, training), and health system (eg, accessibility, policies, financing, service delivery).</p><p><strong>Methods: </strong>The review will follow the JBI methodology for mixed methods systematic reviews using a convergent integrated approach. The data will be extracted from databases and gray literature, including MEDLINE (Ovid), CINAHL (EBSCOhost), Embase (Ovid) Scopus, Cochrane CENTRAL, ProQuest Dissertations and Theses Global, the WHO International Clinical Trials Registry Platform (ICTRP), and Google Scholar. Two reviewers will independently extract data using a customized form, screen titles, abstracts, and full texts, and assess methodological quality. Qualitative data will be transformed into \"qualitized\" statements and integrated with quantitative findings. A single set of integrated findings will be developed using meta-aggregation and narrative integration techniques, resulting in synthesized statements and practical recommendations. The review will follow PRISMA reporting guidelines.</p><p><strong>Review registration: </strong>PROSPERO CRD420261284500.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship between intergenerational trauma and chronic disease impacting Indigenous peoples of Australia, Canada, Aotearoa New Zealand, and the United States: a scoping review protocol.","authors":"Nick Leidig, Lance Reilly, Tina Brodie, Zachary Munn, Alexandra Bloch-Atefi, Flynn Slattery, Jaklin Eliott","doi":"10.11124/JBIES-25-00400","DOIUrl":"https://doi.org/10.11124/JBIES-25-00400","url":null,"abstract":"<p><strong>Objective: </strong>This scoping review will describe the nature and extent of evidence on intergenerational trauma (IGT) and chronic diseases impacting Indigenous peoples of Australia, Canada, Aotearoa New Zealand (NZ), and the US.</p><p><strong>Introduction: </strong>Indigenous peoples of Australia, Canada, NZ, and the US have been impacted by historical and ongoing effects of colonization. Growing evidence links past and successive trauma among these groups, that is, IGT, to a greater risk of poor mental health. This review will contribute to the growing literature on IGT as a framework for comprehensively analyzing health inequities, particularly disproportionate rates of chronic diseases, experienced by Indigenous peoples.</p><p><strong>Eligibility criteria: </strong>This review will consider evidence sources that include Indigenous peoples of Australia, Canada, NZ, and the US, of all ages and genders, who are diagnosed with chronic disease(s). The sources must address IGT and its physiological impact. The review will include studies published in English and French between 1999 and 2025.</p><p><strong>Methods: </strong>This review will follow the JBI methodology for scoping reviews and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). Four electronic databases will be systematically searched: Scopus, PubMed, CINAHL Ultimate (EBSCOhost), and PsycINFO (Ovid). A supplementary Google Scholar search and consultation with First Nations experts in IGT will be undertaken to identify published and unpublished literature, including gray literature, such as government documents and community-led resources. Studies on any chronic disease with IGT will be eligible. Data will be extracted and analyzed, and studies' findings and characteristics will be presented in diagrams and tables.</p><p><strong>Review registration: </strong>OSF https://osf.io/8e5kg.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Family interventions for caregivers of people with schizophrenia: a scoping review protocol.","authors":"Xiaoyu Feng, Yodang Yodang, Daniel Bressington, Kanjana Thana, Kwaunpanomporn Thummathai, Patraporn Bhatarasakoon","doi":"10.11124/JBIES-25-00553","DOIUrl":"https://doi.org/10.11124/JBIES-25-00553","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this review is to map the characteristics of family interventions for caregivers of people with schizophrenia and assess the completeness of their reporting using the Template for Intervention Description and Replication (TIDieR) checklist.</p><p><strong>Introduction: </strong>Family caregivers play a central role in supporting people with schizophrenia. Although family interventions demonstrate benefits, inconsistent and incomplete reporting limits their reproducibility and implementation. The TIDieR checklist provides a standardized framework to improve reporting transparency; however, its application in this field has not been systematically examined. A scoping review is required to identify these interventions, their characteristics, and to assess reporting completeness based on the TIDieR framework.</p><p><strong>Eligibility criteria: </strong>This review will consider primary studies employing quantitative, qualitative, or mixed methods designs that evaluate structured family interventions involving caregivers of people with schizophrenia across all settings and geographical locations.</p><p><strong>Methods: </strong>This scoping review will be conducted in accordance with JBI methodology and follow the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews (PRISMA-ScR). A comprehensive search will be conducted in PubMed, Embase, Web of Science, Cochrane Library, PsycINFO, CINAHL, CNKI, and Wanfang, with no date limits. Two reviewers will independently screen, select, and extract data. Findings will be presented in tabular and narrative formats, including mapping of intervention characteristics and assessing the reporting completeness using the TIDieR checklist.</p><p><strong>Review registration: </strong>OSF https://osf.io/93fk8.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148881860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facilitator development for pre-registration health professions simulation: a scoping review.","authors":"Renée Gordon, Jaime Riley, Diana Dupont, Beth Rogers, Kelly Day, Elizabeth Horsley, Amanda Ross-White, Laura A Killam","doi":"10.11124/JBIES-25-00298","DOIUrl":"10.11124/JBIES-25-00298","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This scoping review aimed to map the current evidence on content, delivery, evaluation, and recommendations for the development of simulation facilitators in pre-registration health professional programs, across all simulation modalities and stages of simulation delivery, guided by the Facilitator Competency Rubric and Kirkpatrick's Model.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Simulation-based education is an established and effective strategy in health professions education. While facilitator competencies are broadly defined, best practices for developing facilitators in pre-registration programs remain unclear. As simulation methods evolve, the need for consistent and adaptable facilitator development strategies becomes increasingly important. Despite global standards, approaches to facilitator development vary significantly across institutions. Consequently, there is no standardized approach to simulation facilitator development within pre-registration health professional programs.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Eligibility criteria: &lt;/strong&gt;Included papers focused on simulation facilitator development in pre-registration health professional programs within academic settings. Excluded papers focused on practice settings, post-licensure programs, or scenario design, as well as incidental mentions of facilitator development and non-retrievable or non-scholarly sources.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Using JBI's scoping review methodology, a comprehensive search of CINAHL (EBSCOhost), Embase (Ovid), ERIC (EBSCOhost), MEDLINE (Ovid), and ProQuest Dissertations and Theses Global was conducted for papers in any language since 2005. Screening and data extraction were conducted independently by pairs of reviewers, with discrepancies resolved through discussion or with a third reviewer. Data extraction followed a piloted tool. Quantitative data were analyzed using descriptive statistics. Qualitative data were analyzed through content analysis. Data were presented using tables, charts, and narrative summaries. There were no deviations from the a priori published protocol.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;This review included 22 articles published between 2012 to 2024, encompassing primary research, quality improvement, and descriptive accounts. The literature was analyzed based on the review's 5 research questions, mapping facilitator development intervention design, delivery, evaluation, and recommendations. The content of facilitator development revealed that debriefing was the most covered component; however, most interventions (73%, n=16) incorporated multiple elements from the Facilitator Competency Rubric. Interventions varied in content. Delivery methods ranged from workshops to formal programs, with the majority (73%, n=16) being synchronous and in-person. Frequency and duration varied widely, with some interventions consisting of single sessions lasting a few hours, while others extended over several weeks. Evaluation methods also","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":"1808-1844"},"PeriodicalIF":6.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148296298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Caregivers' experiences and perceptions of caring for children and adolescents with type 2 diabetes mellitus: a qualitative systematic review protocol.","authors":"Ratchanok Phonyiam, Nareemarn Neelapaichit, Tippawan Srichalerm, Chiao-Hsin Teng","doi":"10.11124/JBIES-25-00357","DOIUrl":"10.11124/JBIES-25-00357","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this review will be to synthesize existing qualitative evidence on the experiences and perceptions of caregivers for children and adolescents with type 2 diabetes mellitus (T2D).</p><p><strong>Introduction: </strong>The rising number of new cases of T2D in children and adolescents highlights the urgent need for effective management strategies. Caregivers of these children face significant challenges in providing care and managing the condition.</p><p><strong>Eligibility criteria: </strong>This review will include caregivers of children and adolescents with T2D, regardless of age, gender, social status, or marital status. It will consider studies that explore caregivers' experiences and perceptions of caring for children and adolescents with T2D in home, school, and community settings, as well as those addressing treatment adjustments and peer responses within the school environment. Caregivers of children and adolescents with other types of diabetes, such as type 1 diabetes mellitus, will be excluded.</p><p><strong>Methods: </strong>This qualitative systematic review will follow the JBI methodology for qualitative systematic reviews. We will search both published and unpublished studies in Embase (Ovid), MEDLINE (PubMed), CINAHL (EBSCOhost), Cochrane Library (CENTRAL), LILACS (BVS), PsycINFO (Ovid), Web of Science Core Collection, and Scopus without date limitations. Sources of unpublished studies and gray literature will include Google Scholar and the Open Access Theses and Dissertations. Two reviewers will independently assess methodological validity. The standardized JBI data extraction tool will be used for data extraction. Data will be synthesized using meta-aggregation, and the certainty of findings will be determined using the ConQual approach.</p><p><strong>Review registration: </strong>PROSPERO CRD420251116139.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":"1845-1852"},"PeriodicalIF":6.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13549457/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ethical aspects in scientific literature on participatory research approaches with older adults: a scoping review protocol.","authors":"Rodrigo Serrat, Anna Urbaniak, Barbara Groot, Simay Ikier, Tamar Yellon, Nilufer Yaylagul, Otto Gerdina, Kaisa Pihlainen, Anna Wanka, Aija Ozola, Mehmet Korkmaz, Samuel Honorio, Joan Pons-Vila, Davide Lucantoni","doi":"10.11124/JBIES-25-00291","DOIUrl":"10.11124/JBIES-25-00291","url":null,"abstract":"<p><strong>Objective: </strong>This scoping review will systematically map and synthesize the ethical aspects addressed in the scientific literature on participatory research involving older adults. It will examine both procedural or principle-based research ethics and relational or situational ethics, exploring how these are shaped by contexts and considerations of diversity. The review will also identify conceptual frameworks and gaps to inform research and ethical practice.</p><p><strong>Introduction: </strong>Participatory research with older adults is gaining momentum, with ethical considerations central to such approaches. Yet the ethical complexity of participatory processes is often underreported.</p><p><strong>Eligibility criteria: </strong>Studies will be included if they focus on individuals aged 60 and over who are involved in research through consultative, collaborative, or co-decisional roles. Eligible studies must explicitly address ethical aspects related to procedural or principle-based research ethics, relational or situational ethics, or both.</p><p><strong>Methods: </strong>Given the growing emphasis on ethical considerations in participatory research involving older adults, a scoping review is appropriate for mapping the extent, range, and nature of the available evidence. The review will follow JBI methodology and established scoping review frameworks, incorporating both descriptive quantitative and qualitative analyses. Web of Science, Scopus, PsycINFO, PubMed, CINAHL, and Sociological Abstracts will be searched for relevant records. Two reviewers will independently screen titles and abstracts, and assess full texts for inclusion, with a third reviewer consulted as needed. Findings will be organized under conceptual and thematic headings and presented in tables, figures, and descriptive synthesis.</p><p><strong>Review registration: </strong>OSF https://osf.io/mr89x.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":"1881-1889"},"PeriodicalIF":6.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147869648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnostic accuracy of tests for diabetic foot osteomyelitis: a Bayesian network meta-analysis protocol.","authors":"Malavika Krishnakumar, Agnetha Folestad, Vivek Lakshmanan, Anandakrishnan Nandakumar, Dipu T Sathyapalan, Vineetha Karuveettil, Chandrashekar Janakiram, Georg Gutjahr","doi":"10.11124/JBIES-25-00321","DOIUrl":"10.11124/JBIES-25-00321","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this systematic review is to evaluate and compare the diagnostic accuracy of physical examination, foot imaging, and inflammatory marker tests for the diagnosis of diabetic foot osteomyelitis in adults.</p><p><strong>Introduction: </strong>Diabetic foot osteomyelitis is a serious complication of diabetic foot ulcers, often leading to amputation, prolonged hospitalization, and increased mortality. Several diagnostic modalities, ranging from bedside examinations to advanced imaging and laboratory biomarkers, are available; however, their diagnostic performance varies widely in terms of accuracy, invasiveness, and cost.</p><p><strong>Eligibility criteria: </strong>This review will include diagnostic accuracy studies evaluating adults with diabetes and suspected diabetic foot osteomyelitis, comparing index tests (clinical, lab, imaging) against a reference standard (biopsy or clinical follow-up). Eligible studies must clearly define diabetic foot osteomyelitis as a diagnostic outcome and specify which criteria are used to the confirm the diagnosis.</p><p><strong>Methods: </strong>A 3-step search strategy will be applied. We will search Cochrane Central, Scopus, MEDLINE, ProQuest, and OAISTER. Google Scholar and ProQuest will be searched for gray literature. Studies published from January 2000 to the present will be considered. Two reviewers will independently conduct title and abstract screening, retrieval of full-text studies, full-text review, study selection, data extraction, and risk of bias assessment. Estimates of the individual results will be visualized by coupled forest plots, and the variability of individual results will be visualized using cross-hairs plots. For each index test, a random-effects, bivariate beta-binomial model will be used to pool sensitivity and specificity. Heterogeneity will be assessed using Zhou and Dendukuri's bivariate extension of the I 2 statistic. Publication bias will be investigated using Deeks' funnel plots. Sensitivity and subgroup analyses will be performed. For subgroups of index tests that form networks, we will perform diagnostic test accuracy network meta-analysis using a random-effects, bivariate beta-binomial arm-based model. The certainty of evidence for each diagnostic comparison will be assessed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach for diagnostic test accuracy.</p><p><strong>Review registration: </strong>PROSPERO CRD420251085609.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":"1853-1863"},"PeriodicalIF":6.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148017933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}