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基于证据的系统评价,对儿童获得性脑损伤的认知康复、情绪和家庭治疗的文献进行研究:2006 年至 2017 年。

Evidence-based systematic review of cognitive rehabilitation, emotional, and family treatment studies for children with acquired brain injury literature: From 2006 to 2017.

机构信息

Department of Neurology, University of Illinois, Chicago, IL, USA.

WellStar Psychological Services, Marietta, GA, USA.

出版信息

Neuropsychol Rehabil. 2020 Jan;30(1):130-161. doi: 10.1080/09602011.2019.1678490. Epub 2019 Oct 31.

Abstract

This paper updates guidelines for effective treatments of children with specific types of acquired brain injury (ABI) published in 2007 with more recent evidence. A systematic search was conducted for articles published from 2006 to 2017. Full manuscripts describing treatments of children (post-birth to 18) with acquired brain injury were included if study was published in peer-reviewed journals and written in English. Two independent reviewers and a third, if conflicts existed, evaluated the methodological quality of studies with an Individual Study Review Form and a Joanna Briggs Institute (JBI) Critical Appraisal Checklist. Strength of study characteristics was used in development of practice guidelines. Fifty-six peer-reviewed articles, including 27 Class I studies, were included in the final analysis. Established guidelines for writing practice recommendations were used and 22 practice recommendations were written with details of potential treatment limitations. There was strong evidence for family/caregiver-focused interventions, as well as direct interventions to improve attention, memory, executive functioning, and emotional/behavioural functioning. A majority of the practice standards and guidelines provided evidence for the use of technology in delivery of interventions, representing an important trend in the field.

摘要

本文更新了 2007 年发布的针对特定类型获得性脑损伤(ABI)儿童有效治疗的指南,纳入了 2006 年至 2017 年的最新证据。系统检索了 2006 年至 2017 年发表的文章。如果研究发表在同行评议期刊上且使用英文撰写,且描述了对患有获得性脑损伤的儿童(出生后至 18 岁)的治疗的完整手稿,则纳入本研究。两名独立评审员和第三名评审员(如果存在分歧)使用个体研究综述表和 Joanna Briggs 研究所(JBI)批判性评估清单评估研究的方法学质量。研究特征的强度用于制定实践指南。最终分析纳入了 56 篇同行评议文章,其中包括 27 篇 I 类研究。使用了既定的实践建议写作指南,并详细描述了潜在治疗局限性,制定了 22 项实践建议。有强有力的证据表明,以家庭/照顾者为中心的干预措施,以及直接干预注意力、记忆、执行功能和情绪/行为功能的干预措施是有效的。大多数实践标准和指南提供了在干预措施中使用技术的证据,这代表了该领域的一个重要趋势。

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