认知功能对动力移动设备使用的影响：一项系统评价方案
Influence of Cognitive Functioning on Powered Mobility Device Use: Protocol for a Systematic Review.
作者信息
Pellichero Alice, Kenyon Lisa K, Best Krista Lynn, Sorita Éric, Lamontagne Marie-Eve, Lavoie Marie Denise, Routhier François
机构信息
Center for Interdisciplinary Research in Rehabilitation and Social Integration, Québec, QC, Canada.
Université Laval, Quebec, QC, Canada.
出版信息
JMIR Res Protoc. 2020 Mar 25;9(3):e16534. doi: 10.2196/16534.
BACKGROUND
Power mobility devices (PMD) are critical to achieving independent mobility and social participation for many individuals who have trouble walking. Provision of PMDs is complex, with cognitive functioning expressed by clinicians as a major concern. Even if PMD use can be predicted by the level of cognitive functioning, outcome tools used to assess readiness do not consider how cognitive functioning may affect PMD use.
OBJECTIVE
The specific aims of this review are to identify existing assessments used to assess cognitive functioning and PMD use, classify cognitive functions that are identified within existing assessments related to PMD use, and explore the relationships between cognitive functioning (ie, executive functions and attention) and PMD use.
METHODS
A systematic review will be conducted using the electronic databases MEDLINE (Ovid), CINAHL, Embase, PsycINFO (Ovid), and Web of Science based on the concepts of PMD performance and capacity, and cognitive functioning. To be included, studies must have: a sample of PMD users (inclusive of age and diagnoses), an assessment of cognitive functioning, and an assessment of PMD capacity or performance. The International Classification of Functioning, Disability and Health will be used to classify cognitive functions. Study quality will be assessed using the Mixed Methods Appraisal Tool. Qualitative and quantitative studies will be analyzed in a complementary manner depending on their designs; a result-based convergent synthesis design will be applied.
RESULTS
This proposed systematic review protocol has been registered in PROSPERO (CRD42019118957). It was funded by the Quebec Rehabilitation Research Network and approved on February 2019.
CONCLUSIONS
Results will inform the development of a PMD driving program that aims to enhance cognition. The results of this study will enhance understanding of the influence of cognitive functioning on PMD use and will support the clinical practice in choosing appropriate evaluative tools.
TRIAL REGISTRATION
PROSPERO CRD42019118957; https://www.crd.york.ac.uk/PROSPERO/display_record.php? RecordID=118957.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/16534.
背景
动力移动设备（PMD）对于许多行走困难的人实现独立移动和社会参与至关重要。PMD的提供很复杂，临床医生表示认知功能是一个主要关注点。即使PMD的使用可以通过认知功能水平来预测，但用于评估准备情况的结果工具并未考虑认知功能可能如何影响PMD的使用。
目的
本综述的具体目的是识别用于评估认知功能和PMD使用的现有评估方法，对现有与PMD使用相关的评估中所确定的认知功能进行分类，并探讨认知功能（即执行功能和注意力）与PMD使用之间的关系。
方法
将基于PMD性能和能力以及认知功能的概念，使用电子数据库MEDLINE（Ovid）、CINAHL、Embase、PsycINFO（Ovid）和Web of Science进行系统综述。纳入的研究必须具备：PMD使用者样本（包括年龄和诊断）、认知功能评估以及PMD能力或性能评估。将使用《国际功能、残疾和健康分类》对认知功能进行分类。将使用混合方法评估工具评估研究质量。定性和定量研究将根据其设计以互补方式进行分析；将应用基于结果的收敛性综合设计。
结果
本拟议的系统综述方案已在PROSPERO（CRD42019118957）中注册。它由魁北克康复研究网络资助，并于2019年2月获得批准。
结论
研究结果将为旨在增强认知的PMD驾驶计划的制定提供参考。本研究结果将增进对认知功能对PMD使用影响的理解，并将支持临床实践中选择合适的评估工具。
试验注册
PROSPERO CRD42019118957；https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=118957。
国际注册报告识别号（IRRID）：DERR1-10.2196/16534。
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