Measuring neurodevelopment in low-resource settings.
Measuring neurodevelopment in low-resource settings.
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DOI：
10.1016/s2352-4642(17)30117-7
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发表时间：
2017-12
期刊：
影响因子：
--
通讯作者：
Newton CR
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文献类型：
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作者：
Gladstone M;Abubakar A;Idro R;Langfitt J;Newton CR
评论：柳叶刀。COM/儿童-青少年，2017年12月第1卷259了解在多中心队列研究中使用这些成果衡量标准。需要测量ICF框架的所有区域、与本地设置相关并允许跨设置进行比较的工具。这些工具将使研究人员能够更有力地研究干预措施的效果，这些干预措施可能会治疗、支持或防止越来越多的儿童从早产、窒息、新生儿败血症、脑膜炎和新出现的病毒感染(如先天性寨卡病毒感染和脑炎)中存活下来，但他们并不茁壮成长。随着我们在新千年的前进，这种重点的转移需要提高跨全球不同环境共享专业知识和合作的能力，不仅在儿童早期发展领域，而且在残疾和ICF的框架内。我们建议测量框架应该是一致的，以支持跨环境的荟萃分析，但这种一致性应该与确保所有工具在文化上适当和与背景相关以确保有效性相平衡。如果没有相关领域(心理学、神经科学、心理健康、基于治疗的专业、教育和社会科学)的专业知识、资金和能力建设，议程、想法和取得进展的途径将受到限制。最后，残疾议程需要继续与家庭和利益攸关方的意见联系在一起，以使今后能够取得有意义的进展。
Comment www. thelancet. com/child-adolescent Vol 1 December 2017 259 understanding of the use of these outcome measures in multicentre cohort studies. Tools that measure all areas of the ICF framework, are pertinent to local settings, and allow comparison across settings are needed. Such tools will allow researchers to study more robustly the effect of interventions that might treat, support, or prevent an ever-increasing number of children surviving from premature birth, asphyxia, neonatal sepsis, meningitis, and emerging viral infections (eg, congenital Zika virus infection and encephalitis) but who are not thriving.As we move forward in the new millennium, this shift in focus necessitates an increase in capacity to share expertise and collaborate across diverse global settings, not just within the world of early child development, but more broadly within the framework of disability and the ICF. We propose that the framework of measurement should be consistent to support metaanalysis across settings, but this consistency should be balanced with ensuring that all tools are culturally appropriate and contextually relevant to ensure validity. Without expertise, funding, and capacity building in allied areas (psychology, neuroscience, mental health, therapy-based specialities, education, and social sciences), the agenda, ideas, and ways to progress will be restricted. Finally, the disability agendas need to continue to be connected with views from families and stakeholders, to enable meaningful progression in the future.