دورية أكاديمية
أعرض في EDS

Equity considerations in clinical practice guidelines for traumatic brain injury and the criminal justice system: A systematic review.

التفاصيل البيبلوغرافية
العنوان: Equity considerations in clinical practice guidelines for traumatic brain injury and the criminal justice system: A systematic review.
المؤلفون: Colclough Z; Department of Forensic Science, University of Toronto, Mississauga, Canada., Estrella MJ; Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Canada., Joyce JM; Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Canada., Hanafy S; Rehabilitation Sciences Institute, University of Toronto, Toronto, Canada.; KITE Research Institute-Toronto Rehabilitation Institute, University Health Network, Toronto, Canada., Babineau J; Library and Information Services, University Health Network, Toronto, Canada.; The Institute for Education Research, University Health Network, Toronto, Canada., Colantonio A; Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Canada.; Rehabilitation Sciences Institute, University of Toronto, Toronto, Canada.; KITE Research Institute-Toronto Rehabilitation Institute, University Health Network, Toronto, Canada.; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada.; Dalla Lana School of Public Health, University of Toronto, Toronto, Canada., Chan V; Rehabilitation Sciences Institute, University of Toronto, Toronto, Canada.; KITE Research Institute-Toronto Rehabilitation Institute, University Health Network, Toronto, Canada.; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada.
المصدر: PLoS medicine [PLoS Med] 2024 Aug 12; Vol. 21 (8), pp. e1004418. Date of Electronic Publication: 2024 Aug 12 (Print Publication: 2024).
نوع المنشور: Journal Article; Systematic Review
اللغة: English
بيانات الدورية: Publisher: Public Library of Science Country of Publication: United States NLM ID: 101231360 Publication Model: eCollection Cited Medium: Internet ISSN: 1549-1676 (Electronic) Linking ISSN: 15491277 NLM ISO Abbreviation: PLoS Med Subsets: MEDLINE
أسماء مطبوعة: Original Publication: San Francisco, CA : Public Library of Science, [2004]-
مواضيع طبية MeSH: Brain Injuries, Traumatic*/therapy , Practice Guidelines as Topic* , Criminal Law*, Humans ; Health Equity ; Healthcare Disparities ; Social Determinants of Health
مستخلص: Background: Traumatic brain injury (TBI) is disproportionately prevalent among individuals who intersect or are involved with the criminal justice system (CJS). In the absence of appropriate care, TBI-related impairments, intersecting social determinants of health, and the lack of TBI awareness in CJS settings can lead to lengthened sentences, serious disciplinary charges, and recidivism. However, evidence suggests that most clinical practice guidelines (CPGs) overlook equity and consequently, the needs of disadvantaged groups. As such, this review addressed the research question "To what extent are (1) intersections with the CJS considered in CPGs for TBI, (2) TBI considered in CPGs for CJS, and (3) equity considered in CPGs for CJS?".
Methods and Findings: CPGs were identified from electronic databases (MEDLINE, Embase, CINAHL, PsycINFO), targeted websites, Google Search, and reference lists of identified CPGs on November 2021 and March 2023 (CPGs for TBI) and May 2022 and March 2023 (CPGs for CJS). Only CPGs for TBI or CPGs for CJS were included. We calculated the proportion of CPGs that included TBI- or CJS-specific content, conducted a qualitative content analysis to understand how evidence regarding TBI and the CJS was integrated in the CPGs, and utilised equity assessment tools to understand if and how equity was considered. Fifty-seven CPGs for TBI and 6 CPGs for CJS were included in this review. Fourteen CPGs for TBI included information relevant to the CJS, but only 1 made a concrete recommendation to consider legal implications during vocational evaluation in the forensic context. Two CPGs for CJS acknowledged the prevalence of TBI among individuals in prison and one specifically recommended considering TBI during health assessments. Both CPGs for TBI and CPGs for CJS provided evidence specific to a single facet of the CJS, predominantly in policing and corrections. The use of equity best practices and the involvement of disadvantaged groups in the development process were lacking among CPGs for CJS. We acknowledge limitations of the review, including that our searches were conducted in English language and thus, we may have missed other non-English language CPGs in this review. We further recognise that we are unable to comment on evidence that is not integrated in the CPGs, as we did not systematically search for research on individuals with TBI who intersect with the CJS, outside of CPGs.
Conclusions: Findings from this review provide the foundation to consider CJS involvement in CPGs for TBI and to advance equity in CPGs for CJS. Conducting research, including investigating the process of screening for TBI with individuals who intersect with all facets of the CJS, and utilizing equity assessment tools in guideline development are critical steps to enhance equity in healthcare for this disadvantaged group.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2024 Colclough et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
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تواريخ الأحداث: Date Created: 20240812 Date Completed: 20240812 Latest Revision: 20240815
رمز التحديث: 20240815
مُعرف محوري في PubMed: PMC11319042
DOI: 10.1371/journal.pmed.1004418
PMID: 39134041
قاعدة البيانات: MEDLINE
الوصف
تدمد:1549-1676
DOI:10.1371/journal.pmed.1004418