Evidence map›Paper›PMID 34897600›Full record

SynthesisDiving and hyperbaric medicine2021

What are the effects of scuba diving-based interventions for clients with neurological disability, autism or intellectual disability? A systematic review.

Karlee Naumann, Jocelyn Kernot, Gaynor Parfitt, Bethayn Gower, Adrian Winsor, Kade Davison

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Diving and hyperbaric medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. An analysis of the market for diving certificates.Frontiers in sports and active living · 2025
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Karlee NaumannAlliance for Research in Exercise, Nutrition and Activity (ARENA), University of South Australia, School of Allied Health and Human Performance, Adelaide, SA, Australia.
Jocelyn KernotUniversity of South Australia, School of Allied Health and Human Performance, Adelaide, SA, Australia.
Gaynor ParfittAlliance for Research in Exercise, Nutrition and Activity (ARENA), University of South Australia, School of Allied Health and Human Performance, Adelaide, SA, Australia.
Bethayn GowerAlliance for Research in Exercise, Nutrition and Activity (ARENA), University of South Australia, School of Allied Health and Human Performance, Adelaide, SA, Australia.
Adrian WinsorDepartment of Hyperbaric Medicine, Royal Adelaide Hospital, Central Adelaide Local Health Network, SA Health, Adelaide, SA, Australia.
Kade DavisonAlliance for Research in Exercise, Nutrition and Activity (ARENA), University of South Australia, School of Allied Health and Human Performance, Adelaide, SA, Australia.
University of South Australia · AURoyal Adelaide Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRecreational scuba diving has existed for over 70 years with organisations emerging that teach individuals with disabilities to dive. It is unclear what the physical and psychosocial effects of scuba interventions might be. This systematic review explores evidence for the effects of scuba diving in individuals with neurological disability, intellectual disability and autism.

methodsThe databases Medline, EMBASE, Ovid Emcare, and SportDiscus were searched. Included papers described a scuba-based intervention for clients with a neurological disability, intellectual disability and autism, with physical or psychosocial outcomes explored in the paper. Quality of the included papers was assessed using the McMaster Appraisal Tools, with descriptive data synthesis completed to explore the physical and psychosocial effects of the interventions.

resultsFour papers met the inclusion criteria: a cross-sectional investigation, a phenomenological study, a case-control study and a multiple case study. The quality of the papers was low to moderate. Papers addressed the psychosocial effects of scuba diving, including motivation to participate, participant experiences, the effect on cognition and physical self-concept. One study reported an increase in self-concept for the majority of participants. An increase in understanding instructions and in visual attention was reported in another. Enjoyment of the activity was reported and motivators to be involved in scuba diving for people with disabilities included fun and excitement. No papers addressed functional outcomes.

conclusionsWhilst scuba diving interventions appear to enhance physical self-concept and are enjoyable, conclusive evidence regarding effectiveness could not be determined. Research in this area is extremely limited.

Indexed as

Autistic DisorderDivingIntellectual DisabilityCase-Control StudiesCross-Sectional StudiesHumansAdapted physical activityDisabled diverEvidencePhysiologyPsychologyReview article

Identifiers

PMID34897600
PMCPMC8920902
OpenAlexW4200382192

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.