Peer Review History

Original SubmissionOctober 16, 2024
Decision Letter - Vincenzo De Luca, Editor

PONE-D-24-42224Interventions to improve awareness and reduce the stigma associated with neurodegenerative conditions in minority ethnic communities: A scoping review protocol.PLOS ONE

Dear Dr. Caulfield,

Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process.

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We look forward to receiving your revised manuscript.

Kind regards,

Vincenzo De Luca

Academic Editor

PLOS ONE

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2. Thank you for stating the following financial disclosure:  [This research is funded through the NIHR Policy Research Unit in Dementia and Neurodegeneration University of Exeter, reference NIHR206120. The views expressed are those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care.]. 

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Additional Editor Comments (if provided):

[Note: HTML markup is below. Please do not edit.]

Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. Does the manuscript provide a valid rationale for the proposed study, with clearly identified and justified research questions?

The research question outlined is expected to address a valid academic problem or topic and contribute to the base of knowledge in the field.

Reviewer #1: Yes

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2. Is the protocol technically sound and planned in a manner that will lead to a meaningful outcome and allow testing the stated hypotheses?

The manuscript should describe the methods in sufficient detail to prevent undisclosed flexibility in the experimental procedure or analysis pipeline, including sufficient outcome-neutral conditions (e.g. necessary controls, absence of floor or ceiling effects) to test the proposed hypotheses and a statistical power analysis where applicable. As there may be aspects of the methodology and analysis which can only be refined once the work is undertaken, authors should outline potential assumptions and explicitly describe what aspects of the proposed analyses, if any, are exploratory.

Reviewer #1: No

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3. Is the methodology feasible and described in sufficient detail to allow the work to be replicable?

Descriptions of methods and materials in the protocol should be reported in sufficient detail for another researcher to reproduce all experiments and analyses. The protocol should describe the appropriate controls, sample size calculations, and replication needed to ensure that the data are robust and reproducible.

Reviewer #1: No

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4. Have the authors described where all data underlying the findings will be made available when the study is complete?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception, at the time of publication. The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: Yes

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5. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #1: Yes

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6. Review Comments to the Author

Please use the space provided to explain your answers to the questions above and, if applicable, provide comments about issues authors must address before this protocol can be accepted for publication. You may also include additional comments for the author, including concerns about research or publication ethics.

You may also provide optional suggestions and comments to authors that they might find helpful in planning their study.

(Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: The manuscript proposes a scoping review that is used to evaluate interventions to increase awareness and reduce stigma related to neurodegenerative conditions in minority groups. These disparities faced in these groups often lead to delayed diagnosis and poor health outcomes.

However, there're some severe issues I can see in the manuscript:

1. the definition of "culturally tailored interventions" is lacking in the manuscript. A more detailed definition should be provided to help readers understand what the authors are talking about. Or the authors can provide some examples of such interventions. If the authors can provide some quantitative criteria to define "culturally tailored interventions", that would be even better.

2. the inclusion of grey literature is unclear. Google search can be biased. A better, more objective criterion should be set to address this issue.

3. the inclusion criteria of stakeholder input might be too limited. I understand that policy makers, practitioners and the minority people should be included. But representatives from the major public should also be included, as the intervention will inevitably show up in public and it's a must to consider if the intervention can also be not just accepted by the major public and even spread/shared by them to other people. These types of communication will accelerate/improve the impact of such interventions in the whole society.

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Reviewer #1: No

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Revision 1

1.The definition of "culturally tailored interventions" is lacking in the manuscript. A more detailed definition should be provided to help readers understand what the authors are talking about. Or the authors can provide some examples of such interventions. If the authors can provide some quantitative criteria to define "culturally tailored interventions", that would be even better.

Author response: On page 6, line 117, we have expanded our definition of an ‘intervention’ and provided an example to illustrate what a culturally tailored intervention might entail.

2.The inclusion of grey literature is unclear. Google search can be biased. A better, more objective criterion should be set to address this issue. On page 9, line 188, we have outlined our approach to searching the grey literature as explicitly as possible.

Author response: We believe our method is comprehensive and thorough compared to many other scoping reviews, which often only state that a search of the grey literature was conducted without providing further detail. We will adopt a two-pronged approach.

First, we will use advanced Google search parameters on a preselected list of 77 websites. The list of websites and an example search string are provided. Since the most relevant PDFs are typically prioritised in Google search results, we will download and screen the first 20 PDFs returned for each website.

Second, we will conduct a broader Google web search. We have specified the key terms and pairings we will use, as well as the number of search results we will review.

Together, these methods will help identify a diverse range of grey literature sources, including PDFs, videos, podcasts, webinars, and other online resources.

3.The inclusion criteria of stakeholder input might be too limited. I understand that policy makers, practitioners and the minority people should be included. But representatives from the major public should also be included, as the intervention will inevitably show up in public and it's a must to consider if the intervention can also be not just accepted by the major public and even spread/shared by them to other people. These types of communication will accelerate/improve the impact of such interventions in the whole society.

Author response: As this is the first workstream of a policy research project, our stakeholder focus is experts-by-experience who have lived experience of neurodegenerative conditions and those already working with or for ethnic minority communities affected by neurodegenerative conditions. Experts-by-experience who have already been affected by awareness campaigns, for better or worse, are in a strong position to advise on what works. Many of them have been actively involved in raising awareness within their own communities since being affected by neurodegeneration and so again have important perspectives to share. Given that experts-by-experience represent different conditions, we seek to uncover ways in which awareness raising is working for certain conditions and where best practice might be adopted for others.

Local/regional practitioners and national Equality, Diversity, and Inclusion (EDI) leads (or those with EDI as part of their portfolio) will be consulted as they have a real-time view of what is and is not working on the ground and the scale of the problem and can share insights into efforts which have yielded positive results, and wrong turns taken. UK national leads for EDI are in positions to create policy changes for their organisations and influence public perceptions.

As the focus of this project was never to identify and promote one single awareness intervention, the broader public will not be consulted in this instance. However, the authors would strongly recommend that any original research investigating the feasibility of implementing particular interventions include this group in their stakeholder consultations.

Attachments
Attachment
Submitted filename: Response to Reviewers.docx
Decision Letter - Vincenzo De Luca, Editor

Interventions to improve awareness and reduce the stigma associated with neurodegenerative conditions in minority ethnic communities: A scoping review protocol.

PONE-D-24-42224R1

Dear Dr. Caulfield,

We’re pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it meets all outstanding technical requirements.

Within one week, you’ll receive an e-mail detailing the required amendments. When these have been addressed, you’ll receive a formal acceptance letter and your manuscript will be scheduled for publication.

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If your institution or institutions have a press office, please notify them about your upcoming paper to help maximize its impact. If they’ll be preparing press materials, please inform our press team as soon as possible -- no later than 48 hours after receiving the formal acceptance. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information, please contact onepress@plos.org.

Kind regards,

Vincenzo De Luca

Academic Editor

PLOS ONE

Additional Editor Comments (optional):

Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. Does the manuscript provide a valid rationale for the proposed study, with clearly identified and justified research questions?

The research question outlined is expected to address a valid academic problem or topic and contribute to the base of knowledge in the field.

Reviewer #1: Yes

**********

2. Is the protocol technically sound and planned in a manner that will lead to a meaningful outcome and allow testing the stated hypotheses?

The manuscript should describe the methods in sufficient detail to prevent undisclosed flexibility in the experimental procedure or analysis pipeline, including sufficient outcome-neutral conditions (e.g. necessary controls, absence of floor or ceiling effects) to test the proposed hypotheses and a statistical power analysis where applicable. As there may be aspects of the methodology and analysis which can only be refined once the work is undertaken, authors should outline potential assumptions and explicitly describe what aspects of the proposed analyses, if any, are exploratory.

Reviewer #1: Yes

**********

3. Is the methodology feasible and described in sufficient detail to allow the work to be replicable?

Descriptions of methods and materials in the protocol should be reported in sufficient detail for another researcher to reproduce all experiments and analyses. The protocol should describe the appropriate controls, sample size calculations, and replication needed to ensure that the data are robust and reproducible.

Reviewer #1: Yes

**********

4. Have the authors described where all data underlying the findings will be made available when the study is complete?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception, at the time of publication. The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: Yes

**********

5. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #1: Yes

**********

6. Review Comments to the Author

Please use the space provided to explain your answers to the questions above and, if applicable, provide comments about issues authors must address before this protocol can be accepted for publication. You may also include additional comments for the author, including concerns about research or publication ethics.

You may also provide optional suggestions and comments to authors that they might find helpful in planning their study.

(Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: All concerns have been adequately addressed, and I am happy to recommend this manuscript for acceptance.

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7. PLOS authors have the option to publish the peer review history of their article (what does this mean? ). If published, this will include your full peer review and any attached files.

If you choose “no”, your identity will remain anonymous but your review may still be made public.

Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy .

Reviewer #1: No

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Formally Accepted
Acceptance Letter - Vincenzo De Luca, Editor

PONE-D-24-42224R1

PLOS ONE

Dear Dr. Caulfield,

I'm pleased to inform you that your manuscript has been deemed suitable for publication in PLOS ONE. Congratulations! Your manuscript is now being handed over to our production team.

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Kind regards,

PLOS ONE Editorial Office Staff

on behalf of

Dr. Vincenzo De Luca

Academic Editor

PLOS ONE

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