测量发育协调障碍儿童活动和参与度的仪器质量:系统审查
Meihuan Huang1, Wujie Huang1, Yijing Chen1
1Department of Rehabilitation Medicine, Shenzhen Children's Hospital, Shenzhen, China; The collaborative group of DCD, Shenzhen Children's Hospital, Shenzhen, China.
Annals of physical and rehabilitation medicine
|December 8, 2024
概括
这项研究确定并评估了评估发育协调障碍 (DCD) 儿童活动和参与的工具. 临床决策地图有助于选择基于证据的研究和实践工具.
科学领域:
- 儿科 儿科 儿科
- 职业疗法 职业疗法 职业疗法
- 康复医学 康复医学 康复医学
背景情况:
- 发育协调障碍 (DCD) 影响儿童的日常活动和参与.
- 准确的评估工具对于DCD的有效干预和研究至关重要.
- 现有的关于DCD评估工具的文献评论缺乏全面的质量和证据分析.
研究的目的:
- 系统地确定测量DDC儿童活动和参与的仪器.
- 批判性地分析这些仪器的测量特性和证据质量.
- 开发一个临床决策地图来选择适当的评估工具.
主要方法:
- 在2023年1月,在多个数据库中进行了全面的文献搜索.
- 两个独立审查员使用COSMIN检查清单评估了仪器质量.
- 用推评估,开发和评价 (GRADE) 框架来评估证据的质量.
主要成果:
- 96项研究包括28种不同的工具来评估患有DCD的儿童.
- 大多数仪器 (68%) 根据Cosmin标准具有足够的测量性能.
- 高质量的 (59%) 或中等质量的 (12%) 证据支持了这些发现.
- 建议使用运动评估电池第二版和DCD问卷修订版.
- 其他一些工具显示出希望,但需要进一步调查.
结论:
- 为患有DCD的儿童提供一系列评估工具.
- 开发了一个临床决策地图,以指导基于证据的工具选择.
- 这张地图有助于在DCD评估中做出明智的研究和临床实践选择.
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