针对后天性脑损伤或脊髓损伤患者的结构化、有时间限制的同伴指导活动计划:对特征和结果的混合方法系统回顾。

IF 2.1 4区 医学 Q1 REHABILITATION Disability and Rehabilitation Pub Date : 2024-11-01 Epub Date: 2024-02-06 DOI:10.1080/09638288.2024.2310185
P Wedege, S Mæland, F E Abrahamsen, A Divanoglou
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引用次数: 0

摘要

目的:确定针对后天性脑损伤或脊髓损伤患者的结构化、有时间限制的同伴指导活动计划的特点和结果:采用混合方法进行系统综述,并采用先进的聚合定性元整合综合设计。检索了七个数据库,由两名审稿人独立筛选、选择和提取数据,并对纳入研究的方法学质量进行评估:综述包括 10 项原创研究:5 项定性研究、4 项定量研究和 1 项混合方法研究。同伴指导计划在欧洲、大洋洲、美国和非洲开展,持续时间从两天到两周半不等。这些计划的重点各不相同,但都以某种方式解决了被指导者的独立性、健康或生活质量问题。没有一项是以理论框架为基础的。计划的参与对认知、情绪、独立性和社交生活产生了积极影响。被指导者和同伴指导者创造的安全和支持性环境促进了这些成果的实现。参与计划对生活满意度和社区参与度的影响尚无定论:尽管持续时间较短,但有组织、有时间限制的同伴指导活动计划可以加强后天性脑损伤或脊髓损伤患者的社区康复。建议朋辈辅导计划以理论框架为基础。
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Structured, time-limited peer mentorship activity programmes for individuals with acquired brain or spinal cord injuries: a mixed methods systematic review of characteristics and outcomes.

Purpose: To determine the characteristics and outcomes of structured, time-limited peer mentorship activity programmes for individuals with acquired brain or spinal cord injury.

Materials and methods: A mixed methods systematic review with an advanced convergent qualitative meta-integration synthesis design was adopted. Seven databases were searched, with two reviewers independently screening, selecting, and extracting data and evaluating the methodological quality of the included studies.

Results: The review included ten original studies: five qualitative, four quantitative, and one mixed methods. The peer mentorship programmes were conducted in Europe, Oceania, the United States, and Africa, lasting from two days to 2.5 weeks. The programmes had diverse focuses, but all addressed mentees' independence, health, or quality of life in some way. None was based on a theoretical framework. Programme participation positively impacted cognition, emotions, independence, and social life. The safe and supportive environments the mentees and peer mentors created facilitated the outcomes. The evidence of programme participation on life satisfaction and community participation was inconclusive.

Conclusion: Despite their short duration, structured, time-limited peer mentorship activity programmes can strengthen community rehabilitation of individuals with acquired brain or spinal cord injury. It is recommended that peer mentorship programmes are grounded on a theoretical framework.

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来源期刊
Disability and Rehabilitation
Disability and Rehabilitation 医学-康复医学
CiteScore
5.00
自引率
9.10%
发文量
415
审稿时长
3-6 weeks
期刊介绍: Disability and Rehabilitation along with Disability and Rehabilitation: Assistive Technology are international multidisciplinary journals which seek to encourage a better understanding of all aspects of disability and to promote rehabilitation science, practice and policy aspects of the rehabilitation process.
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