在非洲职业治疗的有效性研究的映射:一个范围审查
Nicola Ann Plastow1, Monique de Wit1, Megan Brown1
1Division of Occupational Therapy, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Occupational therapy international
|November 30, 2023
概括
这项研究发现,在非洲,主要来自南非的职业治疗有效性的中等证据. 需要进一步进行系统审查,以评估偏见和特定的实践领域,以提高研究标准.
科学领域:
- 康复科学 康复科学 康复科学
- 全球健康 全球健康
- 基于证据的实践.
背景情况:
- 背景相关性对于基于证据的实践至关重要,特别是在低收入和中等收入国家.
- 非洲的康复服务面临着资源限制和特定用户的挑战.
- 了解独特的实践环境是有效干预的关键.
研究的目的:
- 评估非洲职业治疗有效性的证据基础.
- 确定通过元分析或元合成进行系统审查的可行性.
- 确定差距,并指导非洲职业治疗的未来研究.
主要方法:
- 按照PRISMA-ScR指导方针,对已发表和灰色文献进行系统范围审查.
- 搜索了13个数据库,并与非洲各地的职业治疗师联系.
- 使用Covidence对每篇文章至少有三名审查员进行盲目审查,数据提取依据已建立的审查标准.
主要成果:
- 从最初确定的4199件中,包括了45件物品.
- 证据涵盖儿科,心理健康,身体康复,手疗法,工作实践和社区发展,主要来自南非 (93%).
- 包括13个RCT与1957名参与者 (25天至99岁),大多数报告积极的职业治疗结果.
结论:
- 适度的证据支持非洲的职业治疗.
- 需要通过元分析,偏见评估和深入分析进行系统审查.
- 未来的研究应该始终报告职业绩效/参与度,使用报告检查表,并计算效果大小.
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