Wiseman-Hakes Catherine, Ryu Hyun, Lightfoot David, Kukreja Gazal, Colantonio Angela, Matheson Flora I
Department of Speech Language Pathology, School of Rehabilitation Science, McMaster University, Institute for Applied Health Sciences, Hamilton, Ontario, Canada.
KITE Toronto Rehab, University Health Network, Toronto, Ontario, Canada.
Arch Rehabil Res Clin Transl. 2019 Dec 21;2(1):100036. doi: 10.1016/j.arrct.2019.100036. eCollection 2020 Mar.
To describe the evidence regarding communication partner training (CPT) interventions for individuals with traumatic brain injury (TBI) and their conversation partners.
Eleven key databases-PubMed, CINAHL, Cochrane Registry of Controlled Trials, Embase, Linguistic and Language Behavior Abstracts, ProQuest, Scopus, Web of Science, PsycBITE, SpeechBITE, and ERIC-were searched from inception through 2019.
Selected articles had to be peer reviewed, written in English, experimental or quasiexperimental design, report on TBI communication partners, and describe interventions or strategies targeting communication partners.
Of 1088 articles identified, 12 studies were selected for data extraction, critical appraisal, and analysis with considerations of sex and gender. The Oxford Centre for Evidence-Based Medicine's guideline was used to critically appraise Levels of Evidence. Assessment of bias was conducted using the Cochrane Collaboration tools for randomized controlled trials and risk of bias in nonrandomized studies of interventions for nonrandomized controlled trials and the risk of bias in N-of-1 trials scale.
A systematic review with a qualitative meta-analysis of themes and findings across the selected studies identified 3 major categories: (1) benefits of the training for those with TBI, (2) risks of CPT, and (3) suggestions to improve its efficacy.
Most of the evidence comes from 1 research group, which may be viewed as a weakness in the current body of literature. However, although the evidence to date is modest, CPT may help to increase accessibility and reduce participation inequities in the community for individuals with TBI.
描述关于创伤性脑损伤（TBI）患者及其对话伙伴的沟通伙伴培训（CPT）干预措施的证据。
检索了11个主要数据库——PubMed、CINAHL、Cochrane对照试验注册库、Embase、语言与语言行为摘要库、ProQuest、Scopus、科学网、PsycBITE、SpeechBITE和教育资源信息中心（ERIC），检索时间从建库至2019年。
入选的文章必须经过同行评审、用英文撰写、采用实验性或准实验性设计、报告TBI沟通伙伴的情况，并描述针对沟通伙伴的干预措施或策略。
在识别出的1088篇文章中，选择了12项研究进行数据提取、批判性评价和分析，并考虑了性别因素。采用牛津循证医学中心的指南对证据水平进行批判性评价。使用Cochrane协作组针对随机对照试验的工具以及非随机干预性研究中的偏倚风险工具和单病例试验中的偏倚风险量表对偏倚进行评估。
对所选研究中的主题和结果进行定性荟萃分析的系统评价确定了3个主要类别：（1）培训对TBI患者的益处，（2）CPT的风险，（3）提高其疗效的建议。
大部分证据来自1个研究小组，这可能被视为当前文献的一个弱点。然而，尽管目前的证据有限，但CPT可能有助于提高TBI患者在社区中的可达性并减少参与不平等现象。
