An Integrative Review of Outcome Measures Used in Occupational Therapy Research for School-Age Children with Cerebral Palsy in Iran
An Integrative Review
Abstract
Introduction: Identifying the currently-used outcome measures for clients with cerebral palsy (CP) in the Iranian occupational therapy (OT) research can declare the new trend of such researchers and identify the more focused domains regarding such individuals. Accordingly, this integrative review aims to define the utilized outcome measures for school-age children with CP in the Iranian OT research.
Materials and Methods: We conducted an integrated review of online Persian and English databases, namely PubMed, Web of Science, Otseeker, Cochrane, Medline, Embase, CINAHL, PsycInfo, OVID Medline, Magiran, ISC, SID, IranMEDEX, Irandoc, and IRCT, along with the Google Scholar search engine from January 2000 to March 2021.
Results: Out of 605 potentially relevant articles that were initially retrieved, 51 articles met the inclusion criteria, and their used outcome measure(s) was identified. A total of 42 identified outcome measure(s) were not diagnosis-specific and or child-report. A maximum of 15 tools, which assessed the motor components of CP children based on a biomedical bottom-up approach, was commonly used by the majority of studies.
Conclusion: Most Iranian OT studies utilized bottom-up outcome measures. Iranian OT researchers were suggested to highlight the current paradigm of OT in their research regarding school-age children with CP to comprehensively address their multiple challenges and needs according to a top-down client-centered approach.
2. McGuire DO, Tian LH, Yeargin-Allsopp M, Dowling NF, Christensen DL. Prevalence of cerebral palsy, intellectual disability, hearing loss, and blindness, National Health Interview Survey, 2009-2016. Disability and Health Journal. 2019;12(3):443-51; https://doi.org/10.1016/j.dhjo.2019.01.005.
3. Pashmdarfard M, Amini M, Hassani Mehraban A. Participation of Iranian Cerebral Palsy Children in Life Areas: A Systematic Review Article. Iranian Journal of Child Neurology. 2017;11(1):1-12, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5329754/.
4. Adams JV. Understanding function and other outcomes in cerebral palsy. Physical medicine and rehabilitation clinics of North America. 2009;20(3):567-75; https://doi.org/10.1016/j.pmr.2009.04.002.
5. Bjornson KF, Belza B, Kartin D, Logsdon RG, McLaughlin J. Self-Reported Health Status and Quality of Life in Youth With Cerebral Palsy and Typically Developing Youth. Archives of Physical Medicine and Rehabilitation. 2008;89(1):121-7; https://doi.org/10.1016/j.apmr.2007.09.016.
6. Haberfehlner H, Goudriaan M, Bonouvrié LA, Jansma EP, Harlaar J, Vermeulen RJ, et al. Instrumented assessment of motor function in dyskinetic cerebral palsy: a systematic review. Journal of NeuroEngineering and Rehabilitation. 2020;17(1):39; https://doi.org/10.1186/s12984-020-00658-6.
7. Sharifi A, Kamali M, Chabok A. Rehabilitation Needs of People with Cerebral Palsy: a qualitative Study. Medical journal of the Islamic Republic of Iran. 2014;28, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4154271/.
8. Novak I, Honan I. Effectiveness of paediatric occupational therapy for children with disabilities: A systematic review. Australian Occupational Therapy Journal. 2019;66(3):258-73; https://doi.org/10.1111/1440-1630.12573.
9. AOTA. AOTA's Centennial Vision and Executive Summary. AMERICAN JOURNAL OF OCCUPATIONAL THERAPY. 2007;61(6):613-4; https://doi.org/10.5014/ajot.61.6.613.
10. Garcia J, Copley J, Turpin M, Bennett S, McBryde C, McCosker JL. Evidence-based practice and clinical reasoning in occupational therapy: A cross-sectional survey in Chile. Australian Occupational Therapy Journal. 2021;68(2):169-79; https://doi.org/10.1111/1440-1630.12713.
11. Gartner FR, Bomhof-Roordink H, Smith IP, Stiggelbout AM, Pieterse AH, Scholl I, et al. The quality of instruments to assess the process of shared decision making: A systematic review. PLoS ONE 2018;13(2); https://doi.org/10.1371/journal.pone.0191747.
12. Schiariti V, Klassen AF, Cieza A, Sauve K, O'Donnell M, Armstrong R, et al. Comparing contents of outcome measures in cerebral palsy using the international classification of functioning (ICF-CY): A systematic review. European Journal of Paediatric Neurology. 2014;18(1):1-12; https://doi.org/10.1016/j.ejpn.2013.08.001.
13. World Health O. International classification of functioning, disability, and health. Geneva: World Health Organization; 2001,
14. Gilmore R, Sakzewski L, Boyd R. Upper limb activity measures for 5- to 16-year-old children with congenital hemiplegia: a systematic review. Developmental Medicine & Child Neurology. 2010;52(1):14-21; https://doi.org/10.1111/j.1469-8749.2009.03369.x.
15. Suk M, Hanson B. Musculoskeletal Outcomes Measures and Instruments. The Journal of Bone and Joint Surgery. 2011, https://doi.org/10.1308/rcsann.2011.93.1.89a; https://doi.org/10.1308/rcsann.2011.93.1.89a.
16. Raji P, Mehraban AH, Ahmadi M, Schiariti V. Assessment priorities in cerebral palsy using ICF core set by Iranian occupational therapists. Canadian Journal of Occupational Therapy. 2019;86(4):289-98; https://doi.org/10.1177/0008417419833400.
17. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. PLoS medicine. 2021;18(3); https://doi.org/10.1016/j.jclinepi.2021.02.003.
18. Cieza A, Geyh S, Chatterji S, Kostanjsek N, U¨ stu¨n B, Stucki G. ICF linking rules: an update based on lessons learned. Journal of Rehabilitation Medicine. 2005;37(4):212-8; https://doi.org/10.1080/16501970510040263.
19. Bautista M, Whittingham K, Edwards P, Boyd RN. Psychometric properties of parent and child reported sleep assessment tools in children with cerebral palsy: a systematic review. Developmental Medicine & Child Neurology. 2018;60(2):162-72; https://doi.org/10.1111/dmcn.13609.
20. Bahrampour M, Norman R, Byrnes J, Downes M, Scuffham PA. Utility Values for the CP-6D, a Cerebral Palsy-Specific Multi-Attribute Utility Instrument, Using a Discrete Choice Experiment. The Patient-Centered Outcomes Research. 2021;14(1):129-38; https://doi.org/10.1007/s40271-020-00468-x.
21. Mpundu-Kaambwa C, Chen G, Huynh E, Russo R, Ratcliffe J. A review of preference-based measures for the assessment of quality of life in children and adolescents with cerebral palsy. Quality of Life Research. 2018;27(7):1781-99; https://doi.org/10.1007/s11136-018-1837-0.
22. Gerber CN, Carcreff L, Paraschiv-Ionescu A, Armand S, Newman CJ. Multidimensional Measures of Physical Activity and Their Association with Gross Motor Capacity in Children and Adolescents with Cerebral Palsy. Sensors. 2020;20(20):5861; https://doi.org/10.3390/s20205861.
23. Inthachom R, Prasertsukdee S, Ryan SE, Kaewkungwal J, Limpaninlachat S. Evaluation of the multidimensional effects of adaptive seating interventions for young children with non-ambulatory cerebral palsy. Disability and Rehabilitation: Assistive Technology. 2020, 10.1080/17483107.2020.1731613:1-9; 10.1080/17483107.2020.1731613.
24. Sienko SE. An exploratory study investigating the multidimensional factors impacting the health and well-being of young adults with cerebral palsy. Disability and Rehabilitation. 2018;40(6):660-6; https://doi.org/10.1080/09638288.2016.1274340.
25. Schiariti V, Tatla S, Sauve K, O'Donnell M. Toolbox of multiple-item measures aligning with the ICF Core Sets for children and youth with cerebral palsy. European Journal of Paediatric Neurology. 2017;21(2):252-63; https://doi.org/10.1016/j.ejpn.2016.10.007.
26. Mäenpää H, Autti-Rämö I, Varho T, Forsten W, Haataja L. Multiprofessional evaluation in clinical practice: establishing a core set of outcome measures for children with cerebral palsy. Developmental Medicine & Child Neurology. 2017;59(3):322-8; https://doi.org/10.1111/dmcn.13289.
27. Morris C, Kurinczuk JJ, Fitzpatrick R. Child or family assessed measures of activity performance and participation for children with cerebral palsy: a structured review. CCH Child: Care, Health and Development. 2005;31(4):397-407.
28. Mukhtiar K, Ibrahim S, Ahmed M. Application of ICF-CY Core Sets in Children with Spastic Cerebral Palsy. Journal of Pediatric Neurology. 2020;18(01):017-21; https://doi.org/10.1055/s-0039-1685157.
29. Brewer K, Pollock N, Wright FV. Addressing the Challenges of Collaborative Goal Setting with Children and Their Families. Physical & Occupational Therapy in Pediatrics. 2014;34(2):138-52; https://doi.org/10.3109/01942638.2013.794187.
30. Pashmdarfard M, Amini M. Comparing Participation of Iranian Children With Cerebral Palsy in Life Activities With Participation of Typically Developing Children. Journal of Modern Rehabilitation. 2019;12(2), https://jmr.tums.ac.ir/index.php/jmr/article/view/162.
31. Peters C, Chang A, Morales A, Barnes K, Allegretti AJCBdTO. An integrative review of assessments used in occupational therapy interventions for children with cerebral palsy. 2019;27:168-85; https://doi.org/10.4322/2526-8910.ctoAR1856.
32. World Health O. International classification of functioning, disability and health : ICF : short version. Geneva: World Health Organization; 2001.
33. Bickenbach J, Cieza A, Selb M, Stucki G. ICF core sets manual for clinical practice. 2021, https://elibrary.hogrefe.com/book/99.110005/9781616765729.
34. Groleger K. The Gross Motor Function Classification System for cerebral palsy : a possible tool for collaborative partnership between services and parents. International Journal of Rehabilitation Research. 2004;27; https://doi.org/10.1111/j.1469-8749.2000.tb00093.x.
35. AOTA. Occupational Therapy Practice Framework: Domain and Process—Fourth Edition. American Journal of Occupational Therapy. 2020;74(Supplement_2):7412410010p1-p87; https://doi.org/10.5014/ajot.2020.74S2001.
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Issue | Vol 17 No 4 (2023) | |
Section | Review Article(s) | |
DOI | https://doi.org/10.18502/jmr.v17i4.13883 | |
Keywords | ||
Cerebral palsy Outcome assessment Children Occupational therapy |
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