Self-management: a systematic review of outcome measures adopted in self-management interventions for stroke.
Self-management: a systematic review of outcome measures adopted in self-management interventions for stroke.
复制标题
DOI：
10.3109/09638288.2012.737080
复制
发表时间：
2013-08
影响因子：
2.2
通讯作者：
Latter S
中科院分区：
文献类型：
--
作者：
Boger EJ;Demain S;Latter S
系统回顾卒中自我管理干预（SMIs）中使用的结果测量的心理测量特性，以(1)告知研究人员、临床医生和专员使用的测量的特性；(2)为卒中自我管理测量的未来发展提出建议。电子数据库、政府网站、通用互联网搜索引擎和手工搜索参考书目。根据纳入标准选择摘要，检索并使用COSMIN清单进行评估和系统评分。确定了来自6个国家的13项中风自我管理研究。采用43种不同的测量方法（平均5.08/项研究，标准差2.19）来评估自我smi。没有研究将自我管理视为一个谨慎的概念。6项（46%）研究包含未经测试的测量方法。11项（85%）研究包括至少一项测量方法，但没有报道卒中人群的信度和效度。使用与自我管理相关的间接或代理指标的结果测量，其可靠性和有效性值得怀疑，导致无法敏感地评估卒中自我管理的有效性。进一步探讨中风患者自我管理的概念是如何运作的，将有助于明确具体自我管理活动的性质和范围，并有助于选择现有的适当措施或制定新的措施。对复杂干预措施（如自我管理干预措施）的评估需要明确的结果预期和有效可靠的测量。这篇综述表明缺乏专门衡量中风自我管理的结果指标。少数用作SM代理指标的结果测量满足COSMIN检查表中概述的一些质量标准。临床医生应选择适当反映预期结果的措施，适当考虑干预的理论基础。需要进一步的工作来确定目前使用的哪些措施（如果有的话）准确地反映了发电厂的自我管理。与此同时，研究人员应该寻求开发中风自我管理的心理测量学上的有效措施，以协助有效评估此类干预措施。
To systematically review the psychometric properties of outcome measures used in stroke self-management interventions (SMIs) to (1) inform researchers, clinicians and commissioners about the properties of the measures in use and (2) make recommendations for the future development of self-management measurement in stroke. Electronic databases, government websites, generic internet search engines and hand searches of reference lists. Abstracts were selected against inclusion criteria and retrieved for appraisal and systematically scored, using the COSMIN checklist. Thirteen studies of stroke self-management originating from six countries were identified. Forty-three different measures (mean 5.08/study, SD 2.19) were adopted to evaluate self-SMIs. No studies measured self-management as a discreet concept. Six (46%) studies included untested measures. Eleven (85%) studies included at least one measure without reported reliability and validity in stroke populations. The use of outcome measures which are related, indirect or proxy indicators of self-management and that have questionable reliability and validity, contributes to an inability to sensitively evaluate the effectiveness of stroke self-SMIs. Further enquiry into how the concept of self-management in stroke operates, would help to clarify the nature and range of specific self-management activities to be targeted and aid the selection of existing appropriate measures or the development of new measures. The evaluation of complex interventions such as self-management interventions is aided by clear outcome expectations and valid and reliable measurement. This review demonstrates a lack of outcome measures that specifically measure self-management of stroke. A minority of outcome measures that were used as proxy indicators for SM fulfill some of the criteria for quality outlined in the COSMIN checklist. Clinicians should select measures which appropriately reflect expected outcomes, giving due consideration to the theoretical underpinnings of the intervention. Further work is required to establish which measures currently in use, if any, accurately reflect stoke self-management. In the meantime, researchers should seek to develop psychometrically sound measures of stroke self-management to assist effective evaluation of such interventions in stroke.
登录
查看更多内容
影响因子：
4.3
作者：
Brock, KA;Goldie, PA;Greenwood, KM
通讯作者：
Greenwood, KM
影响因子：
1.3
作者：
Blakeman, Tom;Bower, Peter;Chew-Graham, Carolyn
通讯作者：
Chew-Graham, Carolyn
影响因子：
3.4
作者：
Aben, I;Verhey, F;Honig, A
通讯作者：
Honig, A
影响因子：
120.7
作者：
Bodenheimer, T;Lorig, K;Grumbach, K
通讯作者：
Grumbach, K
影响因子：
--
作者：
Campbell, M;Fitzpatrick, R;Tyrer, P
通讯作者：
Tyrer, P