Department of Occupational Science and Therapy, School of Rehabilitation and Occupation Studies, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand.
Department of Occupational Science and Therapy, School of Rehabilitation and Occupation Studies, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand.
Arch Phys Med Rehabil. 2014 Jan;95(1):163-74. doi: 10.1016/j.apmr.2013.08.237. Epub 2013 Sep 6.
To explore the scope, reliability, and validity of community integration measures for older adults after traumatic brain injury (TBI).
A search of peer-reviewed articles in English from 1990 to April 2011 was conducted using the EBSCO Health and Scopus databases. Search terms included were community integration, traumatic brain injury or TBI, 65 plus or older adults, and assessment.
Forty-three eligible articles were identified, with 11 selected for full review using a standardized critical review method.
Common community integration measures were identified and ranked for relevance and psychometric properties. Of the 43 eligible articles, studies reporting community integration outcomes post-TBI were identified and critically reviewed. Older adults' community integration needs post-TBI from high quality studies were summarized.
There is a relative lack of evidence pertaining to older adults post-TBI, but indicators are that older adults have poorer outcomes than their younger counterparts. The Community Integration Questionnaire (CIQ) is the most widely used community integration measurement tool used in research for people with TBI. Because of some limitations, many studies have used the CIQ in conjunction with other measures to better quantify and/or monitor changes in community integration.
Enhancing integration of older adults after TBI into their community of choice, with particular emphasis on social integration and quality of life, should be a primary rehabilitation goal. However, more research is needed to inform best practice guidelines to meet the needs of this growing TBI population. It is recommended that subjective tools, such as quality of life measures, are used in conjunction with well-established community integration measures, such as the CIQ, during the assessment process.
探索针对创伤性脑损伤（TBI）后老年人的社区融合度评估工具的范围、信度和效度。
使用 EBSCO 健康与 Scopus 数据库，对 1990 年至 2011 年 4 月发表的英文同行评审文章进行了检索。检索词包括社区融合、创伤性脑损伤或 TBI、65 岁及以上老年人和评估。
确定了 43 篇符合条件的文章，其中 11 篇采用标准化的批判性评价方法进行了全面审查。
确定并按相关性和心理测量学特性对常见的社区融合度评估工具进行了排序。从 43 篇符合条件的文章中，确定并批判性评价了报道 TBI 后社区融合度结果的研究。总结了高质量研究中 TBI 后老年人的社区融合需求。
关于 TBI 后老年人的证据相对较少，但有迹象表明老年人的结局比年轻患者差。社区融合度问卷（CIQ）是 TBI 患者研究中使用最广泛的社区融合度评估工具。由于存在一些局限性，许多研究将 CIQ 与其他评估工具结合使用，以更好地量化和/或监测社区融合度的变化。
应将促进 TBI 后老年人融入其选择的社区，特别是强调社会融合和生活质量，作为康复的首要目标。但是，需要开展更多的研究，为不断增长的 TBI 人群提供最佳实践指南。建议在评估过程中，将生活质量等主观工具与 CIQ 等成熟的社区融合度评估工具结合使用。
