Faculty of Sports Science, Ningbo University, Ningbo 315211, China.
Research Academy of Grand Health, Ningbo University, Ningbo 315211, China.
Int J Environ Res Public Health. 2021 Mar 1;18(5):2406. doi: 10.3390/ijerph18052406.
This systematic review adopted the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement (PRISMA) guidelines and used the method of network meta-analysis to compare the effects of different types of interventions from different perspectives which were abilities of daily life activity, psychological health, social functioning, and overall life quality. The eligibility criteria were: (1) Participants were adults above 18 years old with disabilities; (2) Interventions could be classified into active exercise, passive therapy, psychological education, psychosocial support program, multi-disciplinary program, and usual care; (3) Outcomes should be the patient-reported outcome measures (PROMs) that could be classified into abilities of daily life activity, psychological health, social functioning, and overall life quality; (4) Randomized designed and published in English. The keywords and their search field were: (1) "people with disabilities/disability", "disabled", "handicapped", or "disable people" in titles or abstracts; (2) AND "randomized" or "randomised" in titles or abstracts; (3) NOT "design", "protocol", or "review" in titles. After searching in databases of Medline (EBSCO), PubMed, CINAHL, and Ovid, 16 studies were included. As a result, active exercise and passive therapy are most likely to be the best interventions for overall life quality, psychological education and passive therapy are most likely to be the best interventions for abilities of daily life activity, and psychosocial support programs are most likely to be the best intervention for psychological health and social functioning.
本系统评价采用系统评价和荟萃分析报告的首选项目（PRISMA）指南，并采用网络荟萃分析方法，从不同角度比较不同类型干预措施的效果，这些角度包括日常生活活动能力、心理健康、社会功能和整体生活质量。纳入标准为：（1）参与者为 18 岁以上的残疾成年人；（2）干预措施可分为主动运动、被动治疗、心理教育、心理社会支持计划、多学科计划和常规护理；（3）结局应是患者报告的结局测量（PROMs），可分为日常生活活动能力、心理健康、社会功能和整体生活质量；（4）随机设计，用英文发表。关键词及其搜索字段为：（1）标题或摘要中的“残疾人/残疾”、“残疾”、“残障”或“disabled people”；（2）标题或摘要中的“随机”或“randomised”；（3）标题中不包括“设计”、“方案”或“综述”。在 Medline（EBSCO）、PubMed、CINAHL 和 Ovid 数据库中搜索后，纳入了 16 项研究。结果表明，主动运动和被动治疗最有可能成为整体生活质量的最佳干预措施，心理教育和被动治疗最有可能成为日常生活活动能力的最佳干预措施，心理社会支持计划最有可能成为心理健康和社会功能的最佳干预措施。
