Psychometric Considerations and Age Appropriateness of Outcome Measures Implemented in Exercise Randomized Controlled Trials Within the Juvenile Idiopathic Arthritis Cohort: A Systematic Review.

IF 1.3 4区医学 Q3 PEDIATRICS

Pediatric Exercise Science Pub Date : 2025-09-10 DOI:10.1123/pes.2024-0122

Su-Ané Zwiegelaar, Kasha E Dickie, Deepthi R Abraham, Karen E Welman

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引用次数: 0

Abstract

Background: Juvenile idiopathic arthritis is an autoimmune condition of multifactorial etiology resulting in chronic inflammatory joint disease, which may be associated with systemic manifestations. Therapeutic exercise is essential to counteract physical impairments, which requires the implementation of outcome measures (OMs) in research and practice as they provide meaningful results for research efficacy, exercise program evaluation and quality, medication tolerance, and patient improvement.

Purpose: To assess the types of OMs implemented in exercise randomized controlled trials related to the juvenile idiopathic arthritis cohort and the psychometric properties and age appropriateness of the implemented OMs.

Methods: The review was registered with PROSPERO (CRD42022336345) on May 30, 2022, followed by a systematic search across PubMed, EBSCOhost, Web of Science, and Ovid. Studies included were appraised using the Joanna Briggs Critical Appraisal Tool for randomized controlled trials. All data collection occurred according to the Preferred Reporting Items for Systematic Reviews and Meta-analysis.

Results: A total of 51 outcome measures were implemented across the 20 randomized controlled trials: 2 clinician-reported OMs (4%), 19 patient or parent-reported OMs (37%), and 30 physical performance OMs (59%). The vast majority of included OMs increase the difficulty of comparison across studies and indicate a lack of consideration for validity, reliability, and age appropriateness.

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在青少年特发性关节炎队列的运动随机对照试验中实施的结果测量的心理测量考虑和年龄适宜性：一项系统综述。

背景：青少年特发性关节炎是一种多因素的自身免疫性疾病，导致慢性炎症性关节疾病，可能与全身表现有关。治疗性运动对于抵消身体损伤至关重要，这需要在研究和实践中实施结果测量（OMs），因为它们为研究效果、运动项目评估和质量、药物耐受性和患者改善提供有意义的结果。目的：评估与青少年特发性关节炎队列相关的运动随机对照试验中实施的OMs类型以及实施OMs的心理测量特性和年龄适宜性。方法：该综述于2022年5月30日在PROSPERO注册（CRD42022336345），随后在PubMed、EBSCOhost、Web of Science和Ovid进行系统检索。纳入的研究使用随机对照试验的Joanna Briggs关键评估工具进行评估。所有的数据收集都是根据系统评价和荟萃分析的首选报告项目进行的。结果：在20项随机对照试验中，共实施了51项结果测量：2项临床报告的OMs(4%)， 19项患者或家长报告的OMs(37%)， 30项身体表现OMs（59%）。绝大多数纳入的OMs增加了跨研究比较的难度，并表明缺乏对有效性、可靠性和年龄适宜性的考虑。

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

Pediatric Exercise Science 医学-生理学

CiteScore

2.80

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Pediatric Exercise Science is a journal committed to enriching the scientific knowledge of exercise during childhood and adolescence. To this end it publishes information that contributes to an understanding of (a) the unique aspects of the physiologic, physical, biochemical, and psychologic responses of children to exercise, (b) the role of exercise in the treatment of pediatric chronic diseases, (c) the importance of physical activity in the prevention of illness and preservation of wellness, and (d) the means by which participation in sports may be made safer and more enjoyable for children and youth. Consideration will be given for publication of work by various methodologies consistent with the scientific approach. Besides original research, the journal includes review articles, abstracts from other journals, book reviews, and editorial comments. Pediatric Exercise Science encourages the expression of conflicting opinions regarding children and exercise by providing a forum for alternative viewpoints. At the same time it serves as a means of accumulating a base of research information that will allow application of experimental data to clinical practice. The scientific disciplines contributing to this body of knowledge are diverse. Therefore it is the purpose of this journal to provide a common focus for disseminating advances in the science of exercise during childhood. In doing so, the journal allows the opportunity for cross-fertilization of ideas between disciplines that will potentiate the growth of knowledge in this field. Pediatric Exercise Science seeks to stimulate new ideas regarding exercise in children and to increase the awareness of scientists, health care providers, and physical educators of the importance of exercise during childhood.