智力障碍的结果措施:对验证的工具的审查和叙事综合
Mrityunjai Kumar1, Indermeet Sawhney2, Verity Chester2
1St Helens and Knowsley Teaching Hospitals NHS Trust, Saint Helens, UK.
The International journal of social psychiatry
|October 25, 2024
概括
对于智力障碍者 (PwID) 的大多数结果措施缺乏有效性和可靠性. 本次审查强调需要更好的工具,特别是对于非语言人士,以确保公平的医疗保健评估.
科学领域:
- 精神病学是一个精神病学.
- 智力障碍研究 智力障碍研究
- 健康结果 测量 测量 测量
背景情况:
- 结果测量对于评估健康干预和服务质量至关重要.
- 由于社会,个体和生物因素的相互作用,评估智力障碍者 (PwID) 的结果是复杂的.
研究的目的:
- 审查和确定用于智力障碍者 (PwID) 验证的结果措施.
主要方法:
- 在PRISMA指导下对四个数据库 (EMBASE,Medline,CINAHL,PsycINFO) 进行了系统审查.
- 研究被选出与智力障碍精神病学的相关性,并对其心理测量数据进行了批判性评估.
- 发现被综合叙述.
主要成果:
- 在1548篇文章中,有35篇符合纳入标准,在PwID中确定了行为,ADHD,和痴呆症的措施.
- 在已识别的工具中观察到心理测量属性,有效性和可靠性的显著变化.
- 大多数措施都是临床医生评级的,很少有适合患者或护理人员完成的措施,特别是对于非语言个体.
结论:
- 对于PwID现有的结果指标往往缺乏足够的心理测量属性,为这个人群.
- 非语言个体和那些使用替代沟通方法的人在结果测量开发中代表性不足.
- 迫切需要验证的,包容性的结果措施,以确保普华永道在基于价值的医疗保健时代得到公平的评估.
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