Abstracts of the UK Stroke Forum 2013 Conference. December 3-5, 2013. Harrogate, North Yorkshire, United Kingdom.
Abstracts of the UK Stroke Forum 2013 Conference. December 3-5, 2013. Harrogate, North Yorkshire, United Kingdom.
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英国中风论坛 2013 年会议摘要。
DOI：
10.1111/ijs.12213
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发表时间：
2013
期刊：
影响因子：
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通讯作者：
Fiona Ross
中科院分区：
文献类型：
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作者：
Ruth Harris;S. Sims;Gillian Hewitt;Mark Joy;S. Brearley;Geoff Cloud;Vari Drennan;Nan Greenwood;Fiona Jones;Lalit Kalra;Ann Mackenzie;Fiona Ross
引言：建议受医疗状况影响的人群积极参与系统性综述;确保完成的综述具有临床相关性。 我们的目的是让卒中幸存者、护理人员和物理治疗师参与一项关于卒中患者物理治疗方法的科克伦系统评价。
方法：我们召集了一个利益相关者小组，包括13名有目的地选择的中风幸存者，护理人员和物理治疗师。 名义组技术用于围绕审查目的和方法达成共识决定，重点是临床相关性。该小组特别讨论了干预措施的分类和纳入来自一些国际试验的证据，并对两个关键声明进行了投票：A.“目前的类别是适当的和临床相关的”; B.“这些国际试验应纳入我们对物理治疗方法的审查”。 确定了符合每种说法的比例。协商一致决定会议进行录音和逐字转录。使用NVivo软件对定性数据进行编码和分析。
结果：84%的小组成员不同意陈述A。 100%同意陈述B。两个关键的主题，和几个次主题，从转录的数据出现。关键主题是：（1）应修改当前的干预类别，以纳入所有国际证据;（2）当前物理治疗分类法存在局限性，并关注与英国临床实践的相关性。
结论：参与科克伦系统评价卒中患者物理治疗方法的关键利益相关者影响了评价范围和形式的决定，并确保了输出的相关性和可访问性。
Introduction: It has been recommended that people affected by a healthcare condition are actively involved in systematic reviews; ensuring completed reviews are clinically relevant. We aimed to engage stroke survivors, carers and physiotherapists in a Cochrane systematic review of physiotherapy treatment approaches for patients with stroke.
Method: We convened a stakeholder group, comprising 13 purposively selected stroke survivors, carers and physiotherapists. Nominal group techniques were used to reach consensus decisions around review aims and methods, focusing on clinical relevance. The group specifically discussed the categorisation of interventions and inclusion of evidence from a number of international trials, and voted on two key statements: A. “The current categories are appropriate and clinically relevant”; B. “These international trials should be included in our review of physiotherapy treatment approaches”. The proportion agreeing with each statement was determined. Consensus decision meetings were audio-recorded and transcribed verbatim. Qualitative data were coded and analysed using NVivo software.
Results: 84% of group members disagreed with statement A. 100% agreed with statement B. Two key themes, and several sub-themes, emerged from transcribed data. Key themes were: (1) current intervention categories should be amended to enable inclusion of all international evidence; (2) there are limitations with current physiotherapy taxonomies and concerns surrounding the relevance to clinical practice in the UK.
Conclusion: Involving key stakeholders in a Cochrane systematic review of physiotherapy treatment approaches for patients with stroke has influenced decisions around the scope and format of the review, and ensured relevance and accessibility of the output.