对于中风后的人来说,数字康复有多公平? 使用股权方法进行系统审查
Rachel C Stockley1, Yasemin Hirst1, Chantelle Hayes2
1Stroke Research Team, School of Nursing and Midwifery, University of Central Lancashire, Preston, United Kingdom.
Frontiers in digital health
|July 9, 2025
概括
数字中风康复研究很少报告关键的公平因素,如教育或社会经济地位. 虽然最近的研究显示有轻微改善,但全面报告对于公平的患者结果至关重要.
科学领域:
- 神经科学与康复技术 神经科学与康复技术
- 健康 公平 研究 健康 公平 研究
- 数字健康干预措施 数字健康干预措施
背景情况:
- 在全球范围内,中风是成年神经障碍的主要原因.
- 健康不平等加剧了中风风险和影响恢复.
- 数字技术有可能增加中风康复的潜力.
研究的目的:
- 系统地审查在数字中风康复研究中的公平因素报告.
- 通过PROGRESS-Plus框架评估股权因素报告的全面性.
- 通过研究特征,随着时间的推移,识别股权报告的趋势和变化.
主要方法:
- 数字中风康复技术 (2011-2021) 临床试验的系统审查.
- 135篇论文的随机样本从14724篇中进行了选.
- 在数据提取和分析中使用了36点的PROGRESS-Plus标准.
主要成果:
- 包括 87 项研究,平均 PROGRESS-Plus 评分为 7.05.
- 只有不到5%的研究报告了教育和社会经济地位等关键公平因素.
- 年龄,残疾和性别是最常见的因素;没有发现研究特征的显著差异,除了与出版年有很小的正相关性.
结论:
- 数字康复研究经常忽略关键的公平因素,这可能会限制对不同患者群体的适用性.
- 虽然最近的研究显示报告量略有增加,但需要对股权考虑进行更彻底的文档.
- 关于公平因素的完整报告是必不可少的,以确保数字中风康复对所有人有益,并减少健康差异.
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