Measurement properties of performance-based instruments for assessing mental function during activity and participation in persons with stroke: A systematic review.

IF 1.9 4区 医学 Q2 REHABILITATION
Lola Qvist Kristensen, Maurits W van Tulder, Frederik Rosenbæk, Marie Almkvist Muren, Hanne Kaae Kristensen, Lidwine B Mokkink, Lisa Gregersen Oestergaard
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引用次数: 0

Abstract

Background: Various performance-based instruments exist to assess mental function after stroke and users have to select one for research or clinical practice.

Objectives: To evaluate the measurement properties of performance-based instruments to assess (any aspect of) mental function during activity and participation in persons after stroke.

Material and methods: We searched in five electronic databases. COSMIN methodology was used to conduct the review. The strength of evidence was assessed using a modified GRADE approach.

Results: Fifty articles were included reporting on 20 instruments assessing (1) multiple mental functions including ≥ four subdomains (2) attention, memory and executive functions, or single subdomains (3) executive functions, (4) perception, and (5) mental function of language. Highest quality evidence for sufficient results was found for some measurement properties in seven instruments. These instruments included: FIM + FAM, MPAI-4 and EFPT, MET, CBS/KF-NAP, BIT and the Scenario Test.

Conclusions: Further studies of high methodological quality are needed that evaluate the measurement properties of instruments to allow clinicians and researchers to select the most suitable performance-based measures for purpose.

Significance: Results may be used to select the most suitable performance-based instrument to measure mental function during activity and participation in persons with stroke.

Trial registration number: PROSPERO CRD42018086744.

用于评估中风患者活动和参与过程中心理功能的基于绩效的工具的测量特性:一项系统综述。
背景:存在各种基于绩效的工具来评估中风后的心理功能,用户必须选择一种进行研究或临床实践。目的:评估基于绩效的工具的测量特性,以评估中风患者在活动和参与过程中的心理功能(任何方面)。材料和方法:我们在五个电子数据库中进行了检索。使用COSMIN方法进行审查。使用改进的GRADE方法评估证据的强度。结果:50篇文章报道了20种评估(1)多种心理功能的工具,包括 ≥ 四个子域(2)注意力、记忆和执行功能,或单个子域(3)执行功能,(4)感知,和(5)语言的心理功能。在七种仪器的某些测量特性中发现了足够结果的最高质量证据。这些工具包括:职能指令手册 + FAM、MPAI-4和EFPT、MET、CBS/KF-NAP、BIT和情景测试。结论:需要进一步研究高方法学质量,以评估仪器的测量特性,使临床医生和研究人员能够选择最合适的基于性能的测量方法。意义:研究结果可用于选择最合适的基于绩效的工具来测量中风患者在活动和参与过程中的心理功能。试验注册号:PROSPERO CRD42018086744。
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
CiteScore
3.40
自引率
15.80%
发文量
45
审稿时长
6-12 weeks
期刊介绍: The Scandinavian Journal of Occupational Therapy is an internationally well-recognized journal that aims to provide a forum for occupational therapy research worldwide and especially the Nordic countries. Scandinavian Journal of Occupational Therapy welcomes: theoretical frameworks, original research reports emanating from quantitative, qualitative and mixed methods studies, literature reviews, case studies, presentation and evaluation of instruments, evaluation of interventions, learning and teaching in OT, letters to the editor.
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