皮层或大脑视觉障碍的职业治疗评估:系统性审查
Orli Weisser-Pike1, Anita Witt Mitchell2, Leah Cordova3
1Orli Weisser-Pike, OTD, OTR/L, CLVT, SCLV, FAOTA, is Associate Professor, University of Tennessee Health Science Center, College of Health Professions, University of Tennessee, Memphis; oweisser@uthsc.edu.
概括
职业治疗师缺乏对脑视力障碍 (CVI) 儿童的推评估. 这次审查没有发现CVI评估对关键测量属性的高质量证据,这表明需要进一步研究.
科学领域:
- 儿科职业治疗 儿科职业治疗
- 神经科学是一个神经科学.
- 眼科医生 眼科 眼科
背景情况:
- 皮层或大脑视觉障碍 (CVI) 是全球儿童视觉功能障碍的主要原因.
- 慢性心血管损伤可能会阻碍运动技能,移动性和社交互动的发展,影响日常生活.
- 目前,对于与CVI儿童工作的职业治疗从业者来说,没有推进行特定的评估.
研究的目的:
- 系统地审查和评估现有的CVI评估的测量特性和临床实用性.
- 为职业治疗从业者确定合适的CVI评估工具.
主要方法:
- 通过PubMed,Scopus和Web of Science,使用MEDLINE进行了系统的文献搜索.
- 选择了研究,并根据基于COnsensus的健康测量仪器选择标准 (COSMIN) 的指导方针收集数据.
- 评估了12种评估工具的测量特性.
主要成果:
- 15项研究评估了12种评估工具 (8种患者报告,4种临床医生报告/基于绩效).
- 没有任何评估表明内容有效性,结构有效性或测试重试可靠性的高质量证据.
- 三种仪器显示出高质量和足够的构造有效性,但需要进一步研究.
结论:
- 虽然12个结果指标显示出潜力,但在对职业治疗从业者提出最终建议之前,所有这些都需要进一步研究.
- 本次审查突出了关于CVI评估属性的高质量研究中的重大差距.
- 未来的研究应该专注于严格检查CVI结果措施的测量特性.
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