Centre for Disability Research, Lancaster University, Lancaster, UK.
J Appl Res Intellect Disabil. 2012 Mar;25(2):143-54. doi: 10.1111/j.1468-3148.2011.00679.x.
Community-based rehabilitation (CBR) is being implemented in more than 90 countries. Concerns have been voiced about the adequacy of the evidence base regarding the efficacy, effectiveness and efficiency of CBR. This review summarizes evidence on the efficacy of CBR for children with intellectual disabilities.
Electronic literature database searches were conducted to identify articles in the English language published since 1980 relating to the efficacy of CBR for children with intellectual disabilities. Requests for information were also sent to membership of International Association for the Scientific Study of Intellectual Disabilities and relevant organizations in selected low- and middle-income countries.
Thirteen studies were identified for inclusion in the review. The quality of evidence for the efficacy of CBR for children with intellectual disabilities was 'very low'.
Improving the evidence base will require greater investment in evaluation and addressing the marginalization of people with intellectual disabilities in CBR.
社区康复（CBR）正在 90 多个国家实施。人们对 CBR 的疗效、有效性和效率的证据基础是否充分表示担忧。本综述总结了 CBR 对智障儿童疗效的证据。
对 1980 年以来发表的与智障儿童 CBR 疗效相关的英文文献进行了电子文献数据库检索。还向国际智力残疾科学研究协会的成员以及选定的中低收入国家的相关组织发出了信息请求。
确定了 13 项研究纳入综述。智障儿童 CBR 疗效的证据质量为“极低”。
要改善证据基础，就需要加大对评估的投入，并解决智力残疾人在 CBR 中被边缘化的问题。
