The role of water-based interventions on human communication-related outcomes: a scoping review protocol

Authors

DOI:

https://doi.org/10.62741/ahrj.v3iSuppl.233

Keywords:

Water-based interventions, Human communication, Speech and language therapy, Autism spectrum disorder, Hydrotherapy

Abstract

Introduction: Human communication is a dynamic and multifactorial process that supports social participation, interpersonal relationships, learning, and overall wellbeing. Communication difficulties can significantly affect autonomy and quality of life. Recently, water-based interventions have gained relevance due to the unique sensory, motor, and psychosocial properties of water. Although widely explored in motor rehabilitation, evidence regarding the effects on communication-related outcomes remains fragmented and insufficiently synthesized.

Objectives: To map and synthesize the available scientific evidence regarding the effects of water-based interventions on communication-related outcomes in human populations.

Methodology: A scoping review will be conducted following the Joanna Briggs Institute (JBI) methodological guidance and reported according to the PRISMA-ScR checklist. The research question was structured using the PCC framework: population (human participants of any age or clinical condition), concept (wtaer-based interventions), and context (any setting in which communication-related outcomes are assessed). Searches will be conducted in PubMed, Web of Science, Scopus, APA PsycInfo, and EBSCO databases, including grey literature. Quantitative, qualitative, and mixed-methods studies will be included. Study selection and data extraction will be performed independently by two reviewers.

Results: This review is expected to identify the types of aquatic interventions, the populations studied, the communication outcomes assessed, and the evaluation instruments used, while identifying literature gaps.

Conclusion This scoping review will contribute to a broader understanding of the role of aquatic interventions in communication, supporting future clinical, educational, and interdisciplinary practices.

References

Manojlovich, M., Squires, J.E., Davies, B. et al. Hiding in plain sight: communication theory in implementation science. Implementation Sci 10, 58 (2015). https://doi.org/10.1186/s13012-015-0244-y DOI: https://doi.org/10.1186/s13012-015-0244-y

Sindhu KN. Communication and social interaction in health contexts. Int J Health Sci Res. 2020;10(4):120-126.

Palmer M, Harley D. Models and measurement in disability: an international review. Health Policy Plan. 2012;27(5):357-364. doi:10.1093/heapol/czr047 DOI: https://doi.org/10.1093/heapol/czr047

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Washington, DC: APA; 2013. DOI: https://doi.org/10.1176/appi.books.9780890425596

Lord C, Elsabbagh M, Baird G, Veenstra-Vanderweele J. Autism spectrum disorder. Lancet. 2018;392(10146):508-520. doi:10.1016/S0140-6736(18)31129-2 DOI: https://doi.org/10.1016/S0140-6736(18)31129-2

Becker BE. Aquatic therapy: scientific foundations and clinical rehabilitation applications. PM R. 2009;1(9):859-872. doi:10.1016/j.pmrj.2009.05.017 DOI: https://doi.org/10.1016/j.pmrj.2009.05.017

Kamioka H, Tsutani K, Okuizumi H, et al. Effectiveness of aquatic exercise and balneotherapy: a summary of systematic reviews based on randomized controlled trials of water immersion therapies. J Epidemiol. 2010;20(1):2-12. doi:10.2188/jea.je20090030 DOI: https://doi.org/10.2188/jea.JE20090030

Zanobini M, Solari S. Effectiveness of the Program "Acqua Mediatrice di Comunicazione" (Water as a Mediator of Communication) on Social Skills, Autistic Behaviors and Aquatic Skills in ASD Children. J Autism Dev Disord. 2019;49(10):4134-4146. doi:10.1007/s10803-019-04128-4 DOI: https://doi.org/10.1007/s10803-019-04128-4

Güeita-Rodríguez J, García-Muro F, Cano-Díez B, Rodríguez-Fernández ÁL, Lambeck J, Palacios-Ceña D. Identification of intervention categories for aquatic physical therapy in pediatrics using the International Classification of Functioning, Disability and Health-Children and Youth: a global expert survey. Braz J Phys Ther. 2017;21(4):287-295. doi:10.1016/j.bjpt.2017.05.007 DOI: https://doi.org/10.1016/j.bjpt.2017.05.007

Alaniz ML, Rosenberg SS, Beard NR, Rosario ER. The Effectiveness of Aquatic Group Therapy for Improving Water Safety and Social Interactions in Children with Autism Spectrum Disorder: A Pilot Program. J Autism Dev Disord. 2017;47(12):4006-4017. doi:10.1007/s10803-017-3264-4 DOI: https://doi.org/10.1007/s10803-017-3264-4

Caputo G, Ippolito G, Mazzotta M, et al. Effectiveness of a Multisystem Aquatic Therapy for Children with Autism Spectrum Disorders. J Autism Dev Disord. 2018;48(6):1945-1956. doi:10.1007/s10803-017-3456-y DOI: https://doi.org/10.1007/s10803-017-3456-y

Marzouki H, Soussi B, Selmi O, et al. Effects of Aquatic Training in Children with Autism Spectrum Disorder. Biology (Basel). 2022;11(5):657. Published 2022 Apr 25. doi:10.3390/biology11050657 DOI: https://doi.org/10.3390/biology11050657

Peters MDJ, Godfrey C, McInerney P, Munn Z, Tricco AC, Khalil H. Chapter 11: Scoping Reviews. In: Aromataris E, Munn Z, editors. JBI Manual for Evidence Synthesis. Joanna Briggs Institute; 2020. DOI: https://doi.org/10.46658/JBIRM-20-01

Tricco AC, Lillie E, Zarin W, et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Ann Intern Med. 2018;169(7):467-473. doi:10.7326/M18-0850 DOI: https://doi.org/10.7326/M18-0850

Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan-a web and mobile app for systematic reviews. Syst Rev. 2016;5(1):210. Published 2016 Dec 5. doi:10.1186/s13643-016-0384-4 DOI: https://doi.org/10.1186/s13643-016-0384-4

Mortimer R, Privopoulos M, Kumar S. The effectiveness of hydrotherapy in the treatment of social and behavioral aspects of children with autism spectrum disorders: a systematic review. J Multidiscip Healthc. 2014;7:93-104. Published 2014 Feb 3. doi:10.2147/JMDH.S55345 DOI: https://doi.org/10.2147/JMDH.S55345

Kelly M, Darrah J. Aquatic exercise for children with cerebral palsy. Dev Med Child Neurol. 2005;47(12):838-842. doi:10.1017/S0012162205001775 DOI: https://doi.org/10.1111/j.1469-8749.2005.tb01091.x

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Published

12-08-2026