Dijkers M P J M, Kropp G C, Esper R M, Yavuzer G, Cullen N, Bakdalieh Y
Department of Rehabilitation Medicine, Mount Sinai School of Medicine, New York, NY, USA.
Disabil Rehabil. 2002 Nov 10;24(16):819-27. doi: 10.1080/09638280210148585.
To evaluate the degree to which published medical rehabilitation research offers evidence of reliability, validity and other clinimetric qualities of the data reported.
Descriptive study of published intervention research papers published in six US medical rehabilitation journals in 1997 and 1998. Selected characteristics of the papers and the outcome measures used were abstracted by one or two raters.
The 171 papers identified included 651 outcome measures. Some type of data reliability information was provided for 20.1% of these measures; for validity, this was 6.9%. However, this information was based on data collected for the sample studied for only 7.7% (reliability) and 0.6% (validity).
Most rehabilitation research falls short of standards, including the Standards promulgated by an American Congress of Rehabilitation Medicine Advisory Group. Authors, peer reviewers and editors need to change their practices to improve this situation.
评估已发表的医学康复研究在多大程度上提供了所报告数据的可靠性、有效性及其他临床测量学质量的证据。
对1997年和1998年发表在美国六种医学康复期刊上的干预研究论文进行描述性研究。论文的选定特征及所使用的结局指标由一两名评分者提取。
所识别出的171篇论文包含651项结局指标。其中20.1%的指标提供了某种类型的数据可靠性信息;有效性方面,这一比例为6.9%。然而,这些信息仅基于为所研究样本收集的数据,可靠性方面为7.7%,有效性方面为0.6%。
大多数康复研究未达标准,包括美国康复医学大会咨询小组颁布的标准。作者、同行评审人员和编辑需要改变他们的做法以改善这种情况。