{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T12:26:28Z","timestamp":1783340788568,"version":"3.54.6"},"reference-count":15,"publisher":"BMJ","issue":"9","license":[{"start":{"date-parts":[[2020,9,10]],"date-time":"2020-09-10T00:00:00Z","timestamp":1599696000000},"content-version":"unspecified","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2020,8,4]]},"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Falls are the second leading reason for incidental or unexpected deaths worldwide. Many older adults who fall, regardless of whether they are injured or not, tend to experience fear of fall and this can lead to decreased participation in activities of daily living (ADLs). Subsequent falls lead to weakness, a decline in physical functioning, increased chances of falling and a negative impact on the instrumental ADLs. Here, we present our scoping review protocol to appraise the literature to describe and explain the home-modification interventions used by occupational therapists to address falls and participation in ADLs among community-dwelling older adults. We are aiming to review the available home-modification intervention protocols, facilitators and barriers to such interventions, and the experiences of occupational therapists and clients after receiving these interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and analysis<\/jats:title>\n                    <jats:p>\n                      This scoping review protocol follows existing guidelines for scoping reviews with a particular attention on Arksey and O\u2019Malley (2005) and Colquhoun\n                      <jats:italic>et al<\/jats:italic>\n                      (2014). We will include the following databases: Scopus, Web of Science, PubMed, ProQuest, Cumulative Index to Nursing and Allied Health Literature and Google Scholar. We plan to conduct the literature search from August 16, 2020 to September 15, 2020. Two reviewers will independently screen eligible studies for inclusion. We will extract the bibliographic data, study design, details of the intervention provided, outcomes and experiences of occupational therapists and clients, and further organise them for better understanding.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethics and dissemination<\/jats:title>\n                    <jats:p>As secondary data analysis, this scoping review does not require ethics approval. Results will summarise and disseminate the existing literature related to home-modification interventions provided by occupational therapists addressing falls and participation in ADLs among community-dwelling older adults. We plan to disseminate the results through peer-reviewed journals and conferences, targeting occupational therapists, other rehabilitation workers, researchers and policy makers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2020-039742","type":"journal-article","created":{"date-parts":[[2020,9,11]],"date-time":"2020-09-11T02:33:55Z","timestamp":1599791635000},"page":"e039742","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Home-modification interventions addressing falls and participation in activities of daily living among older adults: a scoping review protocol"],"prefix":"10.1136","volume":"10","author":[{"given":"Gifty M","family":"Georlee","sequence":"first","affiliation":[{"name":"Former Intern, Department of Occupational Therapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Udupi, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abiram","family":"U","sequence":"additional","affiliation":[{"name":"Former Intern, Department of Occupational Therapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Udupi, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pham Ngoc","family":"Dat","sequence":"additional","affiliation":[{"name":"Occupational Therapist, Faculty of Nursing and Medical Technology, Ho Chi Minh City University of Medicine and Pharmacy, Ho Chi Minh City, Viet Nam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nguyen Khac","family":"Tuan","sequence":"additional","affiliation":[{"name":"Assistant lecturer, Department of Rehabilitation, Hai Duong Medical Technical University, Hai Duong, Viet Nam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6015-8702","authenticated-orcid":false,"given":"Shashank","family":"Mehrotra","sequence":"additional","affiliation":[{"name":"Assistant Professor- Senior Scale, Department of Occupational Therapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Udupi, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,9,10]]},"reference":[{"key":"2026062608015212000_10.9.e039742.1","unstructured":"United Nations . [World population prospects 2019]. In United Nations. Department of Economic and Social Affairs. World Population Prospects 2019, 2019. Available: https:\/\/population.un.org\/wpp\/"},{"key":"2026062608015212000_10.9.e039742.2","unstructured":"World Health Organization . Fact sheets, 2018. Available: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/falls [Accessed 9 Jul 2020]."},{"key":"2026062608015212000_10.9.e039742.3","unstructured":"CDC Injury Center . Hip fractures among older adults. Home and recreational safety, 2016. Available: https:\/\/www.cdc.gov\/homeandrecreationalsafety\/falls\/adulthipfx.html"},{"key":"2026062608015212000_10.9.e039742.4","unstructured":"Kaur M , Kaur J , Devgun P , et al . Post fall health consequences among elderly. Age 2018."},{"key":"2026062608015212000_10.9.e039742.5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2007.01639.x"},{"key":"2026062608015212000_10.9.e039742.6","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1097\/00000446-200610000-00033","article-title":"Home modification: how to help patients make their homes safer and more accessible as their abilities change","volume":"106","author":"McCullagh","year":"2006","journal-title":"Am J Nurs"},{"key":"2026062608015212000_10.9.e039742.7","unstructured":"AOTA . Home modifications and occupational therapy, 2016. Available: https:\/\/www.aota.org\/about-occupational-therapy\/professionals\/rdp\/homemods.aspx [Accessed 14 Apr 2020]."},{"key":"2026062608015212000_10.9.e039742.8","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.56.6.609"},{"key":"2026062608015212000_10.9.e039742.9","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2012.002733"},{"key":"2026062608015212000_10.9.e039742.10","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2011.03698.x"},{"key":"2026062608015212000_10.9.e039742.11","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2012.005017"},{"key":"2026062608015212000_10.9.e039742.12","doi-asserted-by":"publisher","DOI":"10.1080\/1364557032000119616"},{"key":"2026062608015212000_10.9.e039742.13","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-1842.2009.00848.x"},{"key":"2026062608015212000_10.9.e039742.14","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2014.03.013"},{"key":"2026062608015212000_10.9.e039742.15","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1111\/1440-1630.12080","article-title":"Scoping reviews in occupational therapy: the what, why, and how to","volume":"61","author":"McKinstry","year":"2014","journal-title":"Aust Occup Ther J"}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2020-039742","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T15:05:08Z","timestamp":1782486308000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2020-039742"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9]]},"references-count":15,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2020,9,10]]},"published-print":{"date-parts":[[2020,9]]}},"alternative-id":["10.1136\/bmjopen-2020-039742"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2020-039742","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9]]}}}