用于与功能障碍相关的特定诊断的财务能力干预:一个范围审查
Sofia Salsi1, Emily Ariano2, Jennifer Casey3
1Sofia Salsi, MScA OT, OT Reg (MB), is PhD Graduate Student, Applied Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.
概括
这次对财务能力干预措施的审查发现,对于获得性功能障碍的成年人,研究有限,特别是随机对照试验. 需要更多的证据来支持职业治疗实践,以改善财务福祉.
科学领域:
- 职业治疗是一种职业疗法.
- 康复科学是康复的科学.
- 卫生经济学 卫生经济学
背景情况:
- 职业治疗师经常为获得功能障碍的客户提供金融职业.
- 在这些人群中,金融能力 (FC) 的挑战是常见的.
- 改善FC的干预措施对于客户的福祉和独立性至关重要.
研究的目的:
- 系统地探索现有的干预文献,重点是提高金融能力 (FC).
- 在五个特定的成人诊断群体中确定针对FC的干预措施.
- 评估有关FC干预的研究现状.
主要方法:
- 在多个数据库 (MEDLINE, CINAHL, PsycInfo, EconLit, EMBASE) 进行了全面的文献搜索.
- 用引用搜索和作者外展来确定相关研究.
- 使用了范围审查方法,两名独立审查员根据预定义的纳入标准选和提取数据.
主要成果:
- 24篇文章符合纳入标准,主要关注物质使用和心理健康人群.
- 干预措施多样化,包括技能培训,预算,教育和辅助技术.
- 发现的一个重大局限是缺乏高质量的证据,只发现了四项随机对照试验 (RCT).
结论:
- 目前关于金融能力 (FC) 干预的文献有限,并且缺乏几个关键人群的代表性.
- 干预的异质性和有限数量的RCT阻碍了系统审查和基于证据的实践.
- 进一步严格的研究是必不可少的,以开发和验证有效的FC干预措施,以获得功能障碍的个人.
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