脑损伤后的认知沟通障碍：系统的 COSMIN 综述测量工具。

Cognitive communication disorders after brain injury: A systematic COSMIN review of measurement instruments.

机构信息

Multidisciplinary Specialist Center for Brain Injury and Neuropsychiatry, GGZ Oost Brabant. Kluisstraat 2 5427 EM Boekel, the Netherlands; Department of Psychiatry, Radboud University Medical Center, Post office box 9101 6500 HB Nijmegen, the Netherlands; Donders Institute for Brain, Cognition and Behavior. P.O Box 9104 6500 HE Nijmegen, the Netherlands.

Multidisciplinary Specialist Center for Brain Injury and Neuropsychiatry, GGZ Oost Brabant. Kluisstraat 2 5427 EM Boekel, the Netherlands.

出版信息

Ann Phys Rehabil Med. 2024 Sep;67(6):101870. doi: 10.1016/j.rehab.2024.101870. Epub 2024 Aug 3.

DOI:10.1016/j.rehab.2024.101870

PMID:39098162

Abstract

BACKGROUND

There is a lack of consensus on standardized measurement instruments (MIs) for the assessment of cognitive communication disorders in individuals with acquired brain injury (ABI).

OBJECTIVES

To identify and describe the currently available MIs for the assessment of cognitive communication disorders in individuals with ABI and to evaluate the psychometric properties of MIs.

METHODS

A search was conducted in 6 databases on March 12, 2024 using a validated methodological search filter. We included studies that evaluated psychometric properties of MIs used to assess cognitive communication disorders in individuals with ABI. We applied the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) to evaluate the psychometric properties of the MIs.

RESULTS

We included 48 records reporting on 44 MIs. Of all MIs, the La Trobe Communication Questionnaire (LCQ) and the St Andrew's-Swansea Neurobehavioural Outcome Scale (SASNOS) were studied most extensively. No MIs had undergone exhaustive methodological evaluation.

CONCLUSIONS

Based on the COSMIN, only 1 of 44 MIs can be recommended as its results can be trusted. Most MIs have the potential to be recommended but require further research to assess their psychometric quality. The development of new tools is not necessary but further methodological studies should be conducted on promising tools. This review may help clinicians and researchers to select an MI for the assessment of cognitive communication disorders and may facilitate diagnosis and research.

TRIAL REGISTRATION

PROSPERO database (registration number: CRD42020196861). No funding.

摘要

背景

目前缺乏用于评估后天性脑损伤（ABI）个体认知交流障碍的标准化测量工具（MIs）。

目的

确定和描述目前用于评估 ABI 个体认知交流障碍的 MIs，并评估 MIs 的心理测量特性。

方法

2024 年 3 月 12 日，我们使用经过验证的方法学搜索过滤器在 6 个数据库中进行了搜索。我们纳入了评估用于评估 ABI 个体认知交流障碍的 MIs 的心理测量特性的研究。我们应用共识基础的健康测量工具选择标准（COSMIN）来评估 MIs 的心理测量特性。

结果

我们纳入了 48 份报告 44 种 MIs 的记录。在所有的 MIs 中，拉筹伯沟通问卷（LCQ）和圣安德鲁斯-斯旺西神经行为预后量表（SASNOS）研究得最多。没有 MIs 进行过详尽的方法学评估。

结论

根据 COSMIN，只有 44 种 MIs 中的 1 种可以被推荐，因为其结果可以被信任。大多数 MIs 有潜力被推荐，但需要进一步的研究来评估其心理测量质量。没有必要开发新的工具，但应该对有前途的工具进行进一步的方法学研究。本综述可以帮助临床医生和研究人员选择用于评估认知交流障碍的 MIs，并有助于诊断和研究。