Measurement properties of the Traumatic Brain Injury Quality of Life (TBI-QoL) and Spinal Cord Injury Quality of Life (SCI-QoL) measurement systems: a systematic review.

IF 6.3 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Rebecca Ataman, Rehab Alhasani, Line Auneau-Enjalbert, Adria Quigley, Henry Ukachukwu Michael, Sara Ahmed
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Abstract

Purpose: Traumatic brain injury and spinal cord injury impact all areas of individuals' quality of life. A synthesis of available evidence for the Traumatic Brain Injury Quality of Life (TBI-QoL) and Spinal Cord Injury Quality of Life (SCI-QoL) measurement systems could inform evidence-based clinical practice and research. Thus, we aimed to systematically review the literature of existing evidence on the measurement properties of SCI-QoL and TBI-QoL among rehabilitation populations.

Methods: We used the COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN) framework for evaluating measures to guide this systematic review. We searched nine electronic databases and registries, and hand-searched reference lists of included articles. Two independent reviewers screened selected articles and extracted the data. We used COSMIN's thresholds to synthesize measurement properties evidence (insufficient, sufficient), and the modified GRADE approach to synthesize evidence quality (very-low, low, moderate, high).

Results: We included 16 studies for SCI-QoL and 14 studies for TBI-QoL. Both measurement systems have sufficient content validity, structural validity, internal consistency and construct validity across nearly all domains (GRADE: high). Most SCI-QoL domains and some TBI-QoL domains have sufficient evidence of cross-cultural validity and test-retest reliability (GRADE: moderate-high). Besides the cognition domains of TBI-QoL, which have indeterminate evidence for measurement error and sufficient evidence for responsiveness (GRADE: high), there is no additional evidence available for these measurement properties.

Conclusion: Rehabilitation researchers and clinicians can use SCI-QoL and TBI-QoL to describe and evaluate patients. Further evidence of measurement error, responsiveness, and predictive validity would advance the use and interpretation of SCI-QoL and TBI-QoL in rehabilitation.

外伤性脑损伤生活质量(TBI-QoL)和脊髓损伤生活质量(SCI-QoL)测量系统的测量特性综述
目的:外伤性脑损伤和脊髓损伤影响个体生活质量的各个方面。综合创伤性脑损伤生活质量(TBI-QoL)和脊髓损伤生活质量(SCI-QoL)测量系统的现有证据可以为基于证据的临床实践和研究提供信息。因此,本研究旨在系统回顾康复人群SCI-QoL和TBI-QoL测量特性的文献。方法:采用基于共识的卫生计量工具选择标准(COSMIN)框架评价措施,指导本系统评价。我们检索了9个电子数据库和注册库,并手工检索了纳入文章的参考文献列表。两名独立审稿人筛选选定的文章并提取数据。我们使用COSMIN的阈值来合成测量属性证据(不足、充分),并使用改进的GRADE方法来合成证据质量(极低、低、中、高)。结果:我们纳入了16项SCI-QoL研究和14项TBI-QoL研究。两个测量系统在几乎所有领域都具有足够的内容效度、结构效度、内部一致性和结构效度(GRADE:高)。大多数SCI-QoL域和部分TBI-QoL域具有足够的跨文化效度和重测信度(GRADE:中高)。除了TBI-QoL的认知领域有测量误差的不确定证据和反应性的充分证据(等级:高)之外,没有其他证据可以证明这些测量特性。结论:康复研究人员和临床医生可以使用SCI-QoL和TBI-QoL对患者进行描述和评价。测量误差、反应性和预测效度的进一步证据将促进SCI-QoL和TBI-QoL在康复中的应用和解释。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Systematic Reviews
Systematic Reviews Medicine-Medicine (miscellaneous)
CiteScore
8.30
自引率
0.00%
发文量
241
审稿时长
11 weeks
期刊介绍: Systematic Reviews encompasses all aspects of the design, conduct and reporting of systematic reviews. The journal publishes high quality systematic review products including systematic review protocols, systematic reviews related to a very broad definition of health, rapid reviews, updates of already completed systematic reviews, and methods research related to the science of systematic reviews, such as decision modelling. At this time Systematic Reviews does not accept reviews of in vitro studies. The journal also aims to ensure that the results of all well-conducted systematic reviews are published, regardless of their outcome.
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