{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T18:35:56Z","timestamp":1791398156151,"version":"4.3.3"},"update-to":[{"DOI":"10.12688\/hrbopenres.13011.1","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2021,3,1]],"date-time":"2021-03-01T00:00:00Z","timestamp":1614556800000}}],"reference-count":56,"publisher":"F1000 Research Ltd","license":[{"start":{"date-parts":[[2021,3,1]],"date-time":"2021-03-01T00:00:00Z","timestamp":1614556800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100010414","name":"Health Research Board","doi-asserted-by":"crossref","award":["APA-2017-029"],"award-info":[{"award-number":["APA-2017-029"]}],"id":[{"id":"10.13039\/100010414","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["hrbopenresearch.org"],"crossmark-restriction":false},"short-container-title":["HRB Open Res"],"abstract":"<ns4:p>\n                    <ns4:bold>Background:<\/ns4:bold>\n                    Adults who are experiencing homelessness suffer higher levels of premature mortality and age-related medical conditions compared to the general population, but little is known about physical factors that influence their health experience.\u00a0The aim of this scoping review was to evaluate what is known about physical functional limitations and physical activity levels and how they are measured in adults experiencing homelessness.\n                  <\/ns4:p>\n                  <ns4:p>\n                    <ns4:bold>Methods:<\/ns4:bold>\n                    This review was conducted in accordance with the Joanna Briggs Institute\u2019s methodology for scoping reviews. Suitable quantitative and qualitative articles were searched using PubMed, CINAHL, EMBASE, PsychInfo, Web of Science and SCOPUS databases using a combination of keywords and a gray literature search was performed. Two reviewers independently screened articles for inclusion. Inclusion criteria were studies that examined physical functional limitations and\/or physical activity among homeless adults (with\/without co-occurring mental illness, infectious disease, substance use disorder), as a primary or secondary outcome measure.\n                  <\/ns4:p>\n                  <ns4:p>\n                    <ns4:bold>Results:<\/ns4:bold>\n                    We identified 15 studies for inclusion including 2,018 participants. Studies were primarily quantitative (n=13) and there were 2 qualitative studies.\u00a0The following outcomes related to physical functioning were reported; mobility levels (n=3), frailty (n=1), flexibility (n=2), strength (n=1), physical symptom burden (n=3), and exercise capacity (n=3). Eight studies reported outcomes related to physical activity. The majority of studies reported high levels of functional limitations among participants and low physical activity levels although a spectrum of abilities was noted.\n                  <\/ns4:p>\n                  <ns4:p>\n                    <ns4:bold>Conclusion:<\/ns4:bold>\n                    This review showed that many adults who are homeless appear to show a high burden of physical functional limitations and low physical activity levels but more objective and consistent measures should be applied to examine these factors in future studies. This will help address and plan future care, physical rehabilitation and housing needs for this vulnerable cohort. This scoping review will help direct research and future systematic reviews in this emerging area.\n                  <\/ns4:p>","DOI":"10.12688\/hrbopenres.13011.2","type":"journal-article","created":{"date-parts":[[2021,3,1]],"date-time":"2021-03-01T09:49:56Z","timestamp":1614592196000},"page":"14","update-policy":"https:\/\/doi.org\/10.12688\/hrbopenres.crossmark-policy","source":"Crossref","is-referenced-by-count":10,"title":["Physical functioning limitations and physical activity of people experiencing homelessness: A scoping review"],"prefix":"10.12688","volume":"3","author":[{"given":"Sin\u00e9ad","family":"Kiernan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6171-8751","authenticated-orcid":false,"given":"David","family":"Mockler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0842-425X","authenticated-orcid":false,"given":"Cl\u00edona","family":"N\u00ed Cheallaigh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2572-6479","authenticated-orcid":false,"given":"Julie","family":"Broderick","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2560","published-online":{"date-parts":[[2021,3,1]]},"reference":[{"key":"ref-1","article-title":"Far from alone: homelessness in Britain in 2017","author":"Shelter"},{"key":"ref-2","article-title":"State of homelessness","year":"2018"},{"key":"ref-3","article-title":"The state of homelessness in Canada 2016","author":"S Gaetz"},{"key":"ref-4","article-title":"Official definition of homelessness"},{"key":"ref-5","article-title":"Deaths of homeless people in England and Wales: 2018"},{"key":"ref-6","doi-asserted-by":"publisher","first-page":"e023010","DOI":"10.1136\/bmjopen-2018-023010","article-title":"Five-year standardised mortality ratios in a cohort of homeless people in Dublin.","volume":"9","author":"J Ivers","year":"2019","journal-title":"BMJ Open."},{"key":"ref-7","doi-asserted-by":"publisher","first-page":"148-68","DOI":"10.1177\/0042098012452329","article-title":"Pathways into multiple exclusion homelessness in seven UK cities.","volume":"50","author":"S Fitzpatrick","year":"2012","journal-title":"Urban Stud."},{"key":"ref-8","doi-asserted-by":"publisher","first-page":"e025192","DOI":"10.1136\/bmjopen-2018-025192","article-title":"Health-related quality of life and prevalence of six chronic diseases in homeless and housed people: a cross-sectional study in London and Birmingham, England.","volume":"9","author":"D Lewer","year":"2019","journal-title":"BMJ Open."},{"key":"ref-9","doi-asserted-by":"publisher","first-page":"1529-40","DOI":"10.1016\/S0140-6736(14)61132-6","article-title":"The health of homeless people in high-income countries: descriptive epidemiology, health consequences, and clinical and policy recommendations.","volume":"384","author":"S Fazel","year":"2014","journal-title":"Lancet."},{"key":"ref-10","doi-asserted-by":"publisher","first-page":"757-66","DOI":"10.1093\/geront\/gnw011","article-title":"Geriatric Conditions in a Population-Based Sample of Older Homeless Adults.","volume":"57","author":"R Brown","year":"2017","journal-title":"Gerontologist."},{"key":"ref-11","doi-asserted-by":"publisher","first-page":"e016420","DOI":"10.1136\/bmjopen-2017-016420","article-title":"Usage of unscheduled hospital care by homeless individuals in Dublin, Ireland: a cross-sectional study.","volume":"7","author":"C Ni Cheallaigh","year":"2017","journal-title":"BMJ Open."},{"key":"ref-12","doi-asserted-by":"publisher","first-page":"M691-7","DOI":"10.1093\/gerona\/55.11.m691","article-title":"Lower extremity performance in nondisabled older persons as a predictor of subsequent hospitalization.","volume":"55","author":"B Penninx","year":"2000","journal-title":"J Gerontol A Biol Sci Med Sci."},{"key":"ref-13","doi-asserted-by":"publisher","first-page":"e0218870","DOI":"10.1371\/journal.pone.0218870","article-title":"Physical activity and sleep problems in homeless adults.","volume":"14","author":"A Taylor","year":"2019","journal-title":"PLoS One."},{"key":"ref-14","doi-asserted-by":"publisher","first-page":"143","DOI":"10.1186\/s12874-018-0611-x","article-title":"Systematic review or scoping review? 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Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/hrbopenresearch.org\/articles\/3-14\/v2\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/hrbopenresearch.org\/articles\/3-14\/v2\/pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/hrbopenresearch.org\/articles\/3-14\/v2\/iparadigms","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,22]],"date-time":"2024-09-22T07:15:11Z","timestamp":1726989311000},"score":1,"resource":{"primary":{"URL":"https:\/\/hrbopenresearch.org\/articles\/3-14\/v2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,1]]},"references-count":56,"URL":"https:\/\/doi.org\/10.12688\/hrbopenres.13011.2","relation":{"has-version":[{"id-type":"doi","id":"10.12688\/hrbopenres.13011.1","asserted-by":"subject"}],"has-review":[{"id-type":"doi","id":"10.21956\/hrbopenres.14378.r29009","asserted-by":"subject"},{"id-type":"doi","id":"10.21956\/hrbopenres.14378.r29009","asserted-by":"object"}]},"ISSN":["2515-4826"],"issn-type":[{"value":"2515-4826","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3,1]]},"assertion":[{"value":"Indexed","URL":"https:\/\/hrbopenresearch.org\/articles\/3-14\/v2#article-reports","order":0,"name":"referee-status","label":"Referee status","group":{"name":"current-referee-status","label":"Current Referee Status"}},{"value":"10.21956\/hrbopenres.14104.r27323, Jo Dawes, Faculty of Health, Social Care and Education, a joint faculty between Kingston University and St George\u2019s, University of London, London, 01 May 2020, version 1, 1 approved, 1 approved with reservations","URL":"https:\/\/hrbopenresearch.org\/articles\/3-14\/v1#referee-response-27323","order":0,"name":"referee-response-27323","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"<b>Julie Broderick<\/b>; \n<i>Posted: 26 Jan 2021<\/i>; \n<b>The authors would like to sincerely thank the reviewer for their&nbsp;extremely insightful comments. For clarity we numbered each comment and responded to it in turn.&nbsp;<\/b>  \n<b>Introduction <\/b> \n<b>R1 Comment 1<\/b> The background and rationale for this scoping review was clearly described and explains the importance of it being undertaken. The authors do address the aims of the paper, but are not explicit about the objectives (although objectives are mentioned later under \u201cinclusion\/ exclusion criteria\u201d, so it would be useful to state these in introduction). The authors have rightly based their review on PCC (Populations, Concept, Context) rather than PICO (Participants, Interventions, Comparators, and Outcomes) as this is not a review of interventions. Their reasoning for this is adequately described. \n<b>Response to R1 Comment 1: <\/b>The following has been added to the introduction section: \n<b>\u2018<\/b>Specific objectives were to evaluate the quantitative and qualitative literature on the following topics (i) physical functioning in adults experiencing homelessness, (ii) physical activity in adults experiencing homelessness, (iii) related secondary outcome measures such as frailty and cardiovascular fitness. In addition a further objective was added (iv) to evaluate measurement methods of physical outcomes in included studies.\u2019 &nbsp; \n<b>Methods <\/b> \n<b>R1 Comment 2 <\/b> 2. Much of the methods are well described. The authors are clear that this is a scoping review and have described using appropriate frameworks and guidance to inform their procedures. The authors are clear about information sources, for example language, databases searched and inclusion of grey literature. They noted that a subject expert was consulted, but did the authors also contact study authors to identify further literature? \n<b>Response to R1 comment 2: <\/b>Authors did not contact study authors to identify further information. From the Joanna Briggs institute guidance for scoping reviews which we followed, this is not considered a mandatory step and was therefore not conducted as part of this review.  \n<b>R1 Comment 3 <\/b> 3. Although no date restriction was applied in the search, it would be useful to for authors to state the date of the last search. \n<b>Response to R1 Comment 3:<\/b> The following has been included in the methods section: \u2018from inception to 16.01.19.\u2019  \n<b>R1 Comment 4<\/b> 4. The current information given, it is not sufficiently detailed to be repeatable, for example, the authors could provide more detail of their search strategy, including limits used. Under \u201cPhysical focused definitions employed in the review\u201d the authors provide definitions for functional limitation and physical activity. However, they also provide examples of functional limitations, but not physical activity, as physical activity is so broad, to add examples of search words used would add clarity. \n<b>R1 Response to comment 4: <\/b>Precise details of both searches are included in Supplementary File 2. In relation to this point, the following has been added in the methods section: \u2018Physical activity was considered any type of physical training or movement including any form of exercise, physical fitness or therapeutic movement. The full search strategy is available in Supplementary File 2.\u2019  \n<b>R1 Comment 5<\/b> 5.The PRISMA diagram is helpful, though it would be more accurate to describe Figure 1 as \u201cPRISMA flow diagram of selection for review\u201d, as it covers the selection\/ inclusion process, not the whole review process. \n<b>R1 Response to comment 5: <\/b>This has now been labelled as suggested.  \n<b>R1 Comment 6 <\/b> 6. It might be more appropriate to make reference to Fig 1 earlier in \u201cselection of studies\u201d section. \n<b>R1 Response to comment 6: <\/b>Following the scoping review methodology from the Joanna Briggs Institute, Fig. 1 was referenced at the start of the results section.&nbsp;  \n<b>R1 Comment 7<\/b> 7. There was limited description of \u201cdata extraction\u201d (it would be useful to hear more about what the specifically designed data extraction sheet contained). \n<b>R1 Response to comment 7: <\/b>The following has been added to the methods section: \u2018The data extraction instrument collected the following data relating to included studies (author, year of publication, country of study origin, inclusion criteria, living arrangements, physical focussed outcomes measured, participant characteristics (number of participants, age, gender, race\/ethnicity, percentage with less than high school education, co-morbid conditions), physical focussed variables (physical variable measured, type of measure, total number of studies, authors, results), physical activity\/sedentary behaviour focused measures (author, type of measure, measure subscale, main results). \u2018  \n<b>R1 Comment 8<\/b> Again, limited information provided about data analysis - more detail on what was involved in the narrative synthesis would give greater transparency for the reader. \n<b>Response to R1 Comment 8:<\/b> As per point from R2 Comment 19, synthesis of the studies' results was organized under two main headings: Physical functioning and physical activity. As per R1 comment 7 above, details of the data extraction too have also been provided.  \n<b>Results <\/b> \n<b>R1 Comment 9<\/b> 9. It is shown (in Fig 1) and described (in text) how many studies were excluded at each stage, but apart from the removal of duplicates, reasons for exclusions are not described. \n<b>R1 Response to comment 9:<\/b> The reason for exclusion was not containing data relevant to physical functioning limitations or physical activity specific to adults who were homeless. The following has been added to the results section \u2019After excluding studies which did not containing data relevant to physical functioning limitations or physical activity specific to adults who were homeless, a total of 15 studies were deemed eligible for inclusion in this review.\u2019  \n<b>R1 <\/b>\n<b>Comment 10<\/b> 10. Also, the number of studies identified after duplicates removed does not match what is stated in text\/Figure 1. (n=2832 in text\/ n=2833 in Fig 1). \n<b>R1 Response to comment 10:<\/b> The correct value of 2833 is now included in the text.  \n<b>R1 Comment 11<\/b> 11. For clarity, it might help to add title and abstracts of to the box \u201cRecords screened (n=1815)\u201d in Figure 1. \n<b>Response to comment R1 11:<\/b> This has now been inserted into Figure 1.  \n<b>R1 Comment 12<\/b> 12. Authors have clearly expressed study characteristics in Table 1. However, it is stated in text they identified 11 quantitative studies and 4 qualitative studies, whereas only 3 studies are explicitly described as qualitative in Table 1. Was it the pilot study by Kendzor et al.&nbsp;(2015) which was also qualitative? If so, it would be useful if the authors made this clear. \n<b>R1 <\/b>\n<b>Response to comment 12:<\/b> Apologies for the lack of clarity around this. Two studies were qualitative (Bazari and Quine) and Table 1 has divided studies into quantitative and qualitative.  \n<b>R1 <\/b>\n<b>Comment 13<\/b> 13. In Table 1, it would also be useful to be clearer about which studies addressed physical function, which addressed physical activity and which addressed both. For example, where Table 4 describes studies using physical activity measures, Gregg and Bedard (2016) and Marmolejo et al. (2018) feature, but in Table 1 the physical focused outcomes column does not clearly describe physical activity measures (for Gregg and Bedard (2016) exercise and intention to exercise are stated, but is not a measure of actual physical activity levels and Marmolejo et al. (2018) only a flexibility measure is described). \n<b>Response to R1 comment 13:<\/b> To improve clarity, a column \u2018Physical-functioning measure or Physical activity\n<b> <\/b>measure\u2019 construct measured has now been added to Table 1. Table 3 now includes Physical Functioning measures included in the review and Table 4 includes Physical Activity measures included in the review.  \n<b>R1 Comment 14<\/b> 14\n<b>. <\/b>Only minor, but in Table 2, there is slight inconsistency in presentation of data in \u201cgender\u201d column. Sometimes % and numbers, but sometimes only %, is this because numbers were not always provided in studies? If so, you could use \u201cNS\u201d, like you have in other parts of that table. \n<b>Response to R1 comment 14:<\/b> NS has been added as suggested.  \n<b>R1 Comment 15<\/b> 15. Also, there are typos on p 8, para 1, lines 2-3: \u201cmany people homeless experiencing homelessness\u201d and p 10, para 2, line 4: in this study is was\u201d- replace \u201cis\u201d with \u201cit\u201d. Due to the authors not formally assessing methodological quality of the studies, they were limited in how well they could acknowledge biases across studies. \n<b>Response to R1 comment 15<\/b>: Typos have been amended. This is correct regarding inability to acknowledge biases across studies. Biases were not formally assessed based on Joanna Briggs methodology for scoping studies which was followed in this review.  Discussion and Conclusion \n<b>R1 Comment 16<\/b> 16. A clear and succinct summary of the main findings and their implications for understanding the knowledge base, clinical practice and future research. Strengths and limitations of the paper appropriately identified and described. \n<b>Response to comment R1 16:<\/b> Thank you to Reviewer 1 for these comments.","URL":"https:\/\/hrbopenresearch.org\/articles\/3-14\/v2#referee-comment-3263","order":1,"name":"referee-comment-3263","label":"Referee Comment","group":{"name":"article-reports","label":"Article Reports"}},{"value":"<b>Julie Broderick<\/b>; \n<i>Posted: 19 Feb 2021<\/i>; \n<b>Dear Reviewer 1, <\/b> \n<b>Thank you for your very insightful comments, in response to your comments; we have made the following changes to the review. <\/b> \n<b>Each comment is listed, numbered, and responded to in turn. <\/b> \n<b>Kind Regards, Julie Broderick and co-authors <\/b>  \n<b>Introduction <\/b> \n<b>R1 Comment 1<\/b> The background and rationale for this scoping review was clearly described and explains the importance of it being undertaken. The authors do address the aims of the paper, but are not explicit about the objectives (although objectives are mentioned later under \u201cinclusion\/ exclusion criteria\u201d, so it would be useful to state these in introduction). The authors have rightly based their review on PCC (Populations, Concept, Context) rather than PICO (Participants, Interventions, Comparators, and Outcomes) as this is not a review of interventions. Their reasoning for this is adequately described. \n<b>Response to R1 Comment 1: <\/b>The following has been added to the introduction section: \n<b>\u2018<\/b>Specific objectives were to evaluate the quantitative and qualitative literature on the following topics (i) physical functioning in adults experiencing homelessness, (ii) physical activity in adults experiencing homelessness, (iii) related secondary outcome measures such as frailty and cardiovascular fitness. In addition a further objective was added (iv) to evaluate measurement methods of physical outcomes in included studies.\u2019 &nbsp; \n<b>Methods <\/b> \n<b>R1 Comment 2 <\/b> 2. Much of the methods are well described. The authors are clear that this is a scoping review and have described using appropriate frameworks and guidance to inform their procedures. The authors are clear about information sources, for example language, databases searched and inclusion of grey literature. They noted that a subject expert was consulted, but did the authors also contact study authors to identify further literature? \n<b>Response to R1 comment 2: <\/b>Authors did not contact study authors to identify further information. From the Joanna Briggs Institute Guidance for Scoping Reviews which we followed, this is not considered a mandatory step and was therefore not conducted as part of this review.  \n<b>R1 Comment 3 <\/b> 3. Although no date restriction was applied in the search, it would be useful to for authors to state the date of the last search. \n<b>Response to R1 Comment 3:<\/b> The following has been included in the methods section: \u2018from inception to 16.01.19.\u2019  \n<b>R1 Comment 4<\/b> 4. The current information given, it is not sufficiently detailed to be repeatable, for example, the authors could provide more detail of their search strategy, including limits used. Under \u201cPhysical focused definitions employed in the review\u201d the authors provide definitions for functional limitation and physical activity. However, they also provide examples of functional limitations, but not physical activity, as physical activity is so broad, to add examples of search words used would add clarity. \n<b>R1 Response to comment 4: <\/b>Precise details of both searches are included in Supplementary File 2. In relation to this point, the following has been added in the methods section: \u2018Physical activity was considered any type of physical training or movement including any form of exercise, physical fitness or therapeutic movement. The full search strategy is available in Supplementary File 2.\u2019  \n<b>R1 Comment 5<\/b> 5.The PRISMA diagram is helpful, though it would be more accurate to describe Figure 1 as \u201cPRISMA flow diagram of selection for review\u201d, as it covers the selection\/ inclusion process, not the whole review process. \n<b>R1 Response to comment 5: <\/b>This has now been labelled as suggested.  \n<b>R1 Comment 6 <\/b> 6. It might be more appropriate to make reference to Fig 1 earlier in \u201cselection of studies\u201d section. \n<b>R1 Response to comment 6: <\/b>Following the scoping review methodology from the Joanna Briggs Institute, Fig. 1 was referenced at the start of the results section.&nbsp;  \n<b>R1 Comment 7<\/b> 7. There was limited description of \u201cdata extraction\u201d (it would be useful to hear more about what the specifically designed data extraction sheet contained). \n<b>R1 Response to comment 7: <\/b>The following has been added to the methods section: \u2018The data extraction instrument collected the following data relating to included studies (author, year of publication, country of study origin, inclusion criteria, living arrangements, physical focused outcomes measured, participant characteristics (number of participants, age, gender, race\/ethnicity, percentage with less than high school education, co-morbid conditions), physical focused variables (physical variable measured, type of measure, total number of studies, authors, results), physical activity\/sedentary behaviour focused measures (author, type of measure, measure subscale, main results). \u2018  \n<b>R1 Comment 8<\/b> Again, limited information provided about data analysis - more detail on what was involved in the narrative synthesis would give greater transparency for the reader. \n<b>Response to R1 Comment 8:<\/b> As per point from R2 Comment 19, synthesis of the studies' results was organized under two main headings: Physical functioning and physical activity. As per R1 comment 7 above, details of the data extraction too have also been provided.  \n<b>Results <\/b> \n<b>R1 Comment 9<\/b> 9. It is shown (in Fig 1) and described (in text) how many studies were excluded at each stage, but apart from the removal of duplicates, reasons for exclusions are not described. \n<b>R1 Response to comment 9:<\/b> The reason for exclusion was not containing data relevant to physical functioning limitations or physical activity specific to adults who were homeless. The following has been added to the results section \u2019After excluding studies which did not containing data relevant to physical functioning limitations or physical activity specific to adults who were homeless, a total of 15 studies were deemed eligible for inclusion in this review.\u2019  \n<b>R1 <\/b>\n<b>Comment 10<\/b> 10. Also, the number of studies identified after duplicates removed does not match what is stated in text\/Figure 1. (n=2832 in text\/ n=2833 in Fig 1). \n<b>R1 Response to comment 10:<\/b> The correct value of 2833 is now included in the text.  \n<b>R1 Comment 11<\/b> 11. For clarity, it might help to add title and abstracts of to the box \u201cRecords screened (n=1815)\u201d in Figure 1. \n<b>Response to comment R1 11:<\/b> This has now been inserted into Figure 1.  \n<b>R1 Comment 12<\/b> 12. Authors have clearly expressed study characteristics in Table 1. However, it is stated in text they identified 11 quantitative studies and 4 qualitative studies, whereas only 3 studies are explicitly described as qualitative in Table 1. Was it the pilot study by Kendzor et al.&nbsp;(2015) which was also qualitative? If so, it would be useful if the authors made this clear. \n<b>R1 <\/b>\n<b>Response to comment 12:<\/b> Apologies for the lack of clarity around this. Two studies were qualitative (Bazari and Quine) and Table 1 has divided studies into quantitative and qualitative.  \n<b>R1 <\/b>\n<b>Comment 13<\/b> 13. In Table 1, it would also be useful to be clearer about which studies addressed physical function, which addressed physical activity and which addressed both. For example, where Table 4 describes studies using physical activity measures, Gregg and Bedard (2016) and Marmolejo et al. (2018) feature, but in Table 1 the physical focused outcomes column does not clearly describe physical activity measures (for Gregg and Bedard (2016) exercise and intention to exercise are stated, but is not a measure of actual physical activity levels and Marmolejo et al. (2018) only a flexibility measure is described). \n<b>Response to R1 comment 13:<\/b> To improve clarity, a column \u2018Physical-functioning measure or Physical activity\n<b> <\/b>measure\u2019 construct measured has now been added to Table 1. Table 3 now includes Physical Functioning measures included in the review and Table 4 includes Physical Activity measures included in the review.  \n<b>R1 Comment 14<\/b> 14\n<b>. <\/b>Only minor, but in Table 2, there is slight inconsistency in presentation of data in \u201cgender\u201d column. Sometimes % and numbers, but sometimes only %, is this because numbers were not always provided in studies? If so, you could use \u201cNS\u201d, like you have in other parts of that table. \n<b>Response to R1 comment 14:<\/b> NS has been added as suggested.  \n<b>R1 Comment 15<\/b> 15. Also, there are typos on p 8, para 1, lines 2-3: \u201cmany people homeless experiencing homelessness\u201d and p 10, para 2, line 4: in this study is was\u201d- replace \u201cis\u201d with \u201cit\u201d. Due to the authors not formally assessing methodological quality of the studies, they were limited in how well they could acknowledge biases across studies. \n<b>Response to R1 comment 15<\/b>: Typos have been amended. This is correct regarding inability to acknowledge biases across studies. Biases were not formally assessed based on Joanna Briggs methodology for scoping studies which was followed in this review.  Discussion and Conclusion \n<b>R1 Comment 16<\/b> 16. A clear and succinct summary of the main findings and their implications for understanding the knowledge base, clinical practice and future research. Strengths and limitations of the paper appropriately identified and described. \n<b>Response to comment R1 16:<\/b> Thank you to Reviewer 1 for these comments.","URL":"https:\/\/hrbopenresearch.org\/articles\/3-14\/v2#referee-comment-3275","order":2,"name":"referee-comment-3275","label":"Referee Comment","group":{"name":"article-reports","label":"Article Reports"}},{"value":"10.21956\/hrbopenres.14378.r29009, Cilia Mejia-Lancheros, MAP Centre for Urban Health Solutions, St Michael's Hospital, Li Ka Shing Knowledge Institute, Toronto, ON, 04 Mar 2021, version 2, indexed","URL":"https:\/\/hrbopenresearch.org\/articles\/3-14\/v2#referee-response-29009","order":3,"name":"referee-response-29009","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"Health Research Board Ireland [APA-2017-029]. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.","order":4,"name":"grant-information","label":"Grant Information"},{"value":"This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.","order":0,"name":"copyright-info","label":"Copyright"}]}}