Division of Rehabilitation and Ageing, School of Medicine, University of Nottingham, Queen's Medical Centre, Nottingham, UK.
Clin Rehabil. 2017 Aug;31(8):1030-1038. doi: 10.1177/0269215516676303. Epub 2016 Nov 15.
This systematic review sought evidence concerning the effectiveness of peer mentoring for people with traumatic brain injury.
Fourteen electronic databases were searched, including PsycINFO, MEDLINE, CINAHL, EMBASE and the Cochrane Library, from inception to September 21 2016. Ten grey literature databases, PROSPERO, two trials registers, reference lists and author citations were also searched.
Studies which employed a model of one-to-one peer mentoring between traumatic brain injury survivors were included. Two reviewers independently screened all titles and abstracts before screening full texts of shortlisted studies. A third reviewer resolved disagreements. Two reviewers independently extracted data and assessed studies for quality and risk of bias.
The search returned 753 records, including one identified through hand searching. 495 records remained after removal of duplicates and 459 were excluded after screening. Full texts were assessed for the remaining 36 studies and six met the inclusion criteria. All were conducted in the United States between 1996 and 2012 and employed a variety of designs including two randomised controlled trials. A total of 288 people with traumatic brain injury participated in the studies. No significant improvements in social activity level or social network size were found, but significant improvements were shown in areas including behavioural control, mood, coping and quality of life.
There is limited evidence for the effectiveness of peer mentoring after traumatic brain injury. The available evidence comes from small-scale studies, of variable quality, without detailed information on the content of sessions or the 'active ingredient' of the interventions.
本系统评价旨在寻找有关同伴指导对创伤性脑损伤患者有效性的证据。
从建库到 2016 年 9 月 21 日，共检索了 14 个电子数据库，包括 PsycINFO、MEDLINE、CINAHL、EMBASE 和 Cochrane 图书馆。还检索了 10 个灰色文献数据库、PROSPERO、两个试验登记处、参考文献列表和作者引用。
纳入采用创伤性脑损伤幸存者一对一同伴指导模式的研究。两名审查员在筛选出的研究进行全文筛选之前，独立筛选所有标题和摘要。第三名审查员解决分歧。两名审查员独立提取数据并评估研究的质量和偏倚风险。
检索返回 753 条记录，包括通过手工搜索确定的 1 条记录。去除重复项后，有 495 条记录保留下来，筛选后有 459 条记录被排除。对其余 36 项研究进行了全文评估，其中 6 项符合纳入标准。这些研究均在美国进行，时间跨度为 1996 年至 2012 年，采用了多种设计，包括两项随机对照试验。共有 288 名创伤性脑损伤患者参与了这些研究。未发现社会活动水平或社交网络规模的显著改善，但在行为控制、情绪、应对方式和生活质量等方面显示出显著改善。
创伤性脑损伤后同伴指导的有效性证据有限。现有证据来自规模较小的研究，质量不一，缺乏关于会议内容或干预措施“有效成分”的详细信息。
