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A scoping review protocol: Neuropsychological development in pediatric ophthalmology patients with social
Euna Cho1, Justin Zhang1, Rebecca Li2
1Department of Ophthalmology and Visual Sciences, University of Maryland School of Medicine, Baltimore, Maryland, United States of America.
Insights
Social determinants of health significantly impact pediatric ocular diseases and their effects on neuropsychological development. This review examines how environmental factors influence these outcomes, aiming to reduce health disparities.
Area of Science:
- Ophthalmology
- Neuropsychology
- Public Health
- Health Disparities
Background:
- Ocular diseases present a global health burden, particularly affecting pediatric neuropsychological development, impacting academics, social skills, and mental well-being.
- Neuropsychological development is crucial for cognitive function, emotional regulation, social interaction, and long-term health.
- Social determinants of health (SDOH) can exacerbate the negative effects of ocular diseases on children's development, leading to disparities.
Purpose of the Study:
- To conduct a scoping review evaluating the influence of social determinants of health (SDOH) on the impact of ocular diseases on pediatric neuropsychological development.
- To identify how environmental and socioeconomic factors modulate the relationship between ocular conditions and developmental outcomes in children.
Main Methods:
- A comprehensive literature search will be conducted across multiple databases (Cochrane, Embase, Europe PMC, Medline, PsycInfo, Scopus).
- Inclusion criteria include ocular disease, neuropsychological development, pediatric population, and social determinants of health.
- Articles will be screened using Covidence software and classified by national income, healthcare index, ocular disease type, neuropsychological category, and SDOH domain.
Main Results:
- Quantitative analysis will report the percentage classification of articles across ocular, neuropsychological, and SDOH domains.
- Sub-categorization will analyze article counts by national location, income level, and universal healthcare presence within explored SDOH domains.
Conclusions:
- This scoping review will elucidate the complex interplay between SDOH, ocular diseases, and pediatric neuropsychological development.
- Findings aim to inform strategies for mitigating health disparities and improving developmental outcomes for affected children.
Introduction:
Globally, ocular diseases have a substantial prevalence and impose a significant disease burden. Specifically, ocular diseases can negatively impact neuropsychological development for pediatric patients, including academic, social, and mental health as well as quality of life. Neuropsychological development is important, because it impacts cognitive functioning and learning, emotional and behavioral regulation, social interactions and communication, executive functions later in life, and long-term health and well-being. Detriments in neuropsychological development can be modulated by the intricate social determinants of health (SDOH) in a patient's environment, potentially leading to exacerbated outcomes and disparities. We will conduct a scoping review with the aim of evaluating how SDOH influences the impact of ocular diseases on the neuropsychological development of pediatric patients.
Methods And Analysis:
Using a comprehensive search strategy, all relevant literature will be extracted from the following electronic databases: Cochrane Central Register of Controlled Trials (WileyOnline interface), Embase (Elsevier interface), Europe PMC, Medline (Ovid Interface), PsycInfo (EBSCO interface), and Scopus (Elsevier interface). Inclusion criteria consist of ocular disease, neuropsychiatric development, pediatric population, and social determinants of health. Covidence (Veritas Health Innovation Ltd, Melbourne, Australia) review software will be used to screen articles that meet the inclusion criteria. Extracted articles will be classified according to national income level and universal healthcare index, type of ocular disease, neuropsychological category, and social determinants of health domain. Data analysis will include a quantitative report on the percentage classification of articles by each ocular, neuropsychological, and SDOH domain category. Sub-categorization of article count by national location, income level, and presence of universal healthcare will be analyzed for each explored and observed SDOH domain.
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