Department of Biomedical, Surgical and Dental Sciences, University "La Statale", Milan, Italy; Laboratory of Evidence-based Rehabilitation, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.
Department of Noncommunicable Diseases, World Health Organization, Geneva, Switzerland; John Walsh Centre for Rehabilitation Research, Northern Clinical School, Faculty of Medicine and Health, University of Sydney, Sydney, Australia.
Arch Phys Med Rehabil. 2021 Jul;102(7):1424-1430. doi: 10.1016/j.apmr.2021.02.018. Epub 2021 Mar 11.
The coronavirus disease 2019 (COVID-19) pandemic resulted in a surge of research activity. Since its outset, efforts have been made to guide the rapid generation of research in medicine. There are gaps in some areas of rehabilitation research for patients with COVID-19. The development of a specific research framework might serve to help monitor the status of research (mapping), shape and strengthen research by pointing to under-investigated areas, and promote rehabilitation research in this context. This article introduces and discusses the COVID-19 Rehabilitation Research Framework (CRRF) and presents the methodology used for its development. The questions have been developed among the World Health Organization (WHO) Rehabilitation Programme, Cochrane Rehabilitation, and the experts of its Rehabilitation-COVID-19 Evidence-based Response Action International Multiprofessional Steering Committee. The framework is divided into 2 parts and includes 20 questions organized in 4 groups: epidemiology, and evidence at the micro- (individual), meso- (health services), and macro- (health systems) levels. The CRRF offers a comprehensive view of the research areas relevant to COVID-19 and rehabilitation that are necessary to inform best practice and ensure rehabilitation services and health systems can best serve the population with COVID-19. The collaboration between Cochrane Rehabilitation and the WHO Rehabilitation Programme in establishing the CRRF brought together perspectives from the health systems, health management, and clinical evidence. The authors encourage researchers to use the CRRF when planning studies on rehabilitation in the context of COVID-19.
新型冠状病毒病(COVID-19)大流行导致研究活动激增。自疫情爆发以来,人们一直在努力指导医学领域快速开展研究。在 COVID-19 患者的康复研究的某些领域存在差距。制定特定的研究框架可能有助于帮助监测研究状况(制图),通过指出研究不足的领域来塑造和加强研究,并促进这方面的康复研究。本文介绍并讨论了 COVID-19 康复研究框架(CRRF),并介绍了其开发所使用的方法。这些问题是由世界卫生组织(WHO)康复计划、科克伦康复以及其康复-COVID-19 循证应对行动国际多专业指导委员会的专家共同制定的。该框架分为 2 部分,包括 20 个问题,分为 4 组:流行病学以及微观层面(个体)、中观层面(卫生服务)和宏观层面(卫生系统)的证据。CRRF 提供了 COVID-19 与康复相关的研究领域的综合视图,这些研究领域对于为最佳实践提供信息和确保康复服务和卫生系统能够最好地为 COVID-19 患者服务是必要的。科克伦康复与世界卫生组织康复计划之间的合作在建立 CRRF 时汇集了来自卫生系统、卫生管理和临床证据的观点。作者鼓励研究人员在规划 COVID-19 背景下的康复研究时使用 CRRF。