Royal Rehabilitation Centre, Sydney, Sydney, Australia.
J Rehabil Med. 2011 Jul;43(8):673-80. doi: 10.2340/16501977-0846.
To determine the effectiveness of self-awareness interventions that involve a component of feedback for adults with brain injury.
Systematic review.
Randomized and non-randomized studies identified by searching CINAHL, Cochrane Systematic Review Database, Embase, Medline, OTSeeker, PsycBITE, PsycINFO, Web of Science, clinical trial registries, and reference lists of eligible articles.
Twelve studies of varied methodological quality met the inclusion criteria, of which 3 were randomized controlled trials involving a total of 62 people with brain injury of mixed aetiology. The type of feedback intervention and outcomes assessed were heterogeneous. The pooled estimate of improvement in self-awareness after completing a feedback intervention was of moderate effect size (Hedges' adjusted g = 0.64; 95% confidence interval: 0.11-1.16).
Feedback interventions produced modest improvements in self-awareness. Further research is required to determine the effects of integrating feedback interventions into rehabilitation programmes and the impact of this on functional outcome.
确定针对脑损伤成年人的自我意识干预措施中包含反馈成分的有效性。
系统评价。
通过检索 CINAHL、Cochrane 系统评价数据库、Embase、Medline、OTSeeker、PsycBITE、PsycINFO、Web of Science、临床试验注册处和合格文章的参考文献列表，确定了随机和非随机研究。
符合纳入标准的 12 项研究具有不同的方法学质量，其中 3 项是涉及混合病因脑损伤的共 62 人的随机对照试验。反馈干预的类型和评估的结果具有异质性。完成反馈干预后自我意识改善的汇总估计值为中等效应量（Hedges 调整后的 g=0.64；95%置信区间：0.11-1.16）。
反馈干预措施使自我意识有适度的提高。需要进一步研究将反馈干预措施整合到康复计划中的效果以及这对功能结果的影响。
