Article

Cognitive rehabilitation following traumatic brain injury can aid
in optimizing function, independence, and quality of life by addressing
impairments in attention, executive function, cognitive communication, and
memory. This study aimed to identify and evaluate the methodological quality of
clinical practice guidelines for cognitive rehabilitation following traumatic
brain injury. METHODS: Systematic searching of databases and Web sites was
undertaken between January and March 2012 to identify freely available, English
language clinical practice guidelines from 2002 onward. Eligible guidelines were
evaluated using the validated Appraisal of Guidelines for Research and Evaluation
II instrument. RESULTS: The 11 guidelines that met inclusion criteria were
independently rated by 4 raters. Results of quality appraisal indicated that
guidelines generally employed systematic search and appraisal methods and
produced unambiguous, clearly identifiable recommendations. Conversely, only 1
guideline incorporated implementation and audit information, and there was poor
reporting of processes for formulating, reviewing, and ensuring currency of
recommendations and incorporating patient preferences. Intraclass correlation
coefficients for agreement between raters showed high agreement (intraclass
correlation coefficient > 0.80) for all guidelines except for 1 (moderate
agreement; intraclass correlation coefficient = 0.76). CONCLUSION: Future
guidelines should address identified limitations by providing implementation
information and audit criteria, along with better reporting of guideline
development processes and stakeholder engagement.

Langue : ANGLAIS