School of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada.
Res Dev Disabil. 2012 Jan-Feb;33(1):214-23. doi: 10.1016/j.ridd.2011.09.007. Epub 2011 Oct 11.
Rehabilitation researchers who investigate complex interventions are challenged to describe the "active ingredients" of their interventions: the reason(s) why a treatment is expected to be effective. Interactive Computer Play (ICP) is an emerging complex intervention in rehabilitation practice and research. The purpose of this scoping review is to identify the active ingredients of ICP interventions that are designed to improve motor outcomes in children with neuromotor impairments. Eleven potential active ingredients were identified with the following foci: ICP system or game properties; intervention effects on the user; and therapist roles. However, few studies explicitly evaluate the impact of particular ingredients on outcomes. Identification of active ingredients in ICP interventions can inform trial design and clinical decision-making. Research and clinical practice will benefit from studies that utilize a framework such as motor learning theory to guide hypotheses and measurement of the active ingredients of complex interventions.
康复研究人员在研究复杂干预措施时，面临着描述干预措施“有效成分”的挑战：即治疗预期有效的原因。互动式计算机游戏（Interactive Computer Play，简称 ICP）是康复实践和研究中新兴的复杂干预措施。本范围综述的目的是确定旨在改善运动障碍儿童运动结果的 ICP 干预措施的有效成分。确定了以下重点的 11 个潜在有效成分：ICP 系统或游戏属性；干预对用户的影响；以及治疗师的角色。然而，很少有研究明确评估特定成分对结果的影响。在 ICP 干预措施中识别有效成分可以为试验设计和临床决策提供信息。利用运动学习理论等框架来指导复杂干预措施的有效成分假设和测量的研究和临床实践将从中受益。
