伊朗儿童和青少年的作业疗法评估工具:范围审查。

IF 1.6 Q2 MEDICINE, GENERAL & INTERNAL Iranian Journal of Medical Sciences Pub Date : 2024-09-01 DOI:10.30476/ijms.2024.100756.3325
Ehsan Jamshidian, Aynaz Jabbari, Fatemeh Dehghan, Elahe Fathi Azar, Hooshang Mirzaie
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引用次数: 0

摘要

背景:在职业治疗中,评估工具对于提供以客户为中心的护理、临床决策、循证记录和确定预期结果至关重要。本研究调查了伊朗现有的儿童和青少年职业疗法评估工具:从 MEDLINE、PubMed Central、Web of Science、Embase、Scopus、SID、Magiran 和 Google Scholar 开始到 2022 年 5 月 24 日进行了全面搜索。两名审稿人对记录进行了筛选,并采用了纳入标准,重点关注同行评议的英语或波斯语文章,涉及伊朗 0-18 岁的儿童和青少年。采用基于共识的健康测量工具选择标准(COSMIN)偏倚风险检查表和建议、评估、发展和评价分级(GRADE)方法对每项研究的方法学质量和每种测量工具的证据质量进行了评估:对 2010 年至 2021 年间发表的 66 篇文章进行了审查,确定了 51 种评估工具。大多数工具(70.7%)针对发育正常的儿童和脑瘫患者,青少年(5 个)和婴儿(1 个)的选择有限。这些工具主要侧重于评估身体功能(47.06%),尤其是感觉运动功能。虽然许多工具显示出良好的可靠性(66.67%)和显著的内容效度(31.37%),但支持其他心理测量特性的高质量证据却很少:本研究为伊朗儿童和青少年确定了 51 种职业治疗评估工具。然而,本研究发现了一些令人担忧的趋势,如缺乏针对特定人群的工具、过度依赖翻译工具以及主要侧重于身体功能。此外,使用这些工具进行研究的方法质量也令人担忧。
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Occupational Therapy Assessment Tools for Children and Adolescents in Iran: A Scoping Review.

Background: Assessment tools are essential in occupational therapy for providing client-centered care, clinical decision-making, evidence-based documentation, and defining expected outcomes. This study investigated available occupational therapy assessment tools for children and adolescents in Iran.

Methods: A comprehensive search was conducted in MEDLINE, PubMed Central, Web of Science, Embase, Scopus, SID, Magiran, and Google Scholar from their inception until May 24, 2022. Two reviewers screened records and applied inclusion criteria focused on peer-reviewed articles in English or Persian, covering children and adolescents aged 0-18 years old in Iran. The methodological quality of each study and the evidence quality of each measurement tool was assessed using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) Risk of Bias Checklist, and the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) approach.

Results: A review of 66 articles published between 2010 and 2021, identified 51 assessment tools. The majority of tools (70.7%) targeted typically developing children and those with cerebral palsy, with limited options for adolescents (n=5) and infants (n=1). These tools primarily focused on assessing body functions (47.06%), particularly sensory-motor functions. While numerous tools demonstrated good reliability (66.67%) and significant content validity (31.37%), there was a paucity of high-quality evidence supporting other psychometric properties.

Conclusion: This study identified 51 occupational therapy assessment tools for Iranian children and adolescents. However, the present research identified some concerning trends, such as lack of tools available for specific populations, an overreliance on translated tools, and a predominant focus on body functions. Moreover, there were concerns about the methodological quality of studies using these tools.

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来源期刊
Iranian Journal of Medical Sciences
Iranian Journal of Medical Sciences MEDICINE, GENERAL & INTERNAL-
CiteScore
3.20
自引率
0.00%
发文量
84
审稿时长
12 weeks
期刊介绍: The Iranian Journal of Medical Sciences (IJMS) is an international quarterly biomedical publication, which is sponsored by Shiraz University of Medical Sciences. The IJMS intends to provide a scientific medium of com­muni­cation for researchers throughout the globe. The journal welcomes original clinical articles as well as clinically oriented basic science re­search experiences on prevalent diseases in the region and analysis of various regional problems.
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