Integrating orthotic and prosthetic solutions into disaster risk management: a multimethod study protocol

Disasters often cause large numbers of injuries, including fractures, lacerations and amputations, which overwhelm emergency services. Orthotic and prosthetic solutions can provide timely primary care, reduce the need for surgery and prevent complications. A structured framework for preparedness and response is required to integrate these solutions into disaster risk management. This study aims to develop such a framework to enhance rehabilitation and reduce secondary injuries.

This multimethod protocol comprises three phases. First, a systematic scoping review will be conducted following Arksey and O'Malley's framework and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)-Systematic Scoping review (ScR) guidelines to identify evidence on orthotic and prosthetic integration across disaster management stages. Second, qualitative content analysis will be performed through semistructured interviews with healthcare providers, policy makers and service organisations to capture perspectives on practical application. The interview data will be analysed using conventional content analysis. The rigour and trustworthiness of the findings will be evaluated using the criteria proposed by Lincoln and Guba and the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist. Third, the Delphi method will be used to refine and consolidate recommendations for strategic integration.

This study protocol has been approved by the Ethics Committee of the University of Social Welfare and Rehabilitation Sciences (ethics code: IR.USWR.REC.1404.154). Informed consent, written or verbal as appropriate, will be obtained from all interview and Delphi participants. No patients or members of the public were involved in the design or planning of this protocol. However, in future research phases, we plan to present the findings to individuals with disabilities who require orthotic/prosthetic devices. Their feedback on the proposed service delivery methods will be sought, and they may also be invited to contribute to the development of plain-language summaries of the results. Findings will also be disseminated through peer-reviewed publications, presentations at relevant conferences and policy briefs for disaster management and rehabilitation authorities.