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Title: Quality of guidelines for cognitive rehabilitation following traumatic brain injury
Epworth Authors: Ponsford, Jennie
Other Authors: Bragge, Peter
Marshall, Shawn
Piccenna, Loretta
Tate, Robyn
Wiseman-Hakes, Catherine
Velikonja, Diana
Puttuwage, Loyal
Pitt, Veronica
Stergiou-Kita, Mary
Teasell, Robert
Bayley, Mark
Keywords: Clinical Practice Guidelines
Traumatic Brain Injury
Cognitive Rehabilitation
Monash-Epworth Rehabilitation Research Centre, Richmond, Victoria, Australia.
Issue Date: Jul-2014
Citation: J Head Trauma Rehabil. 2014 Jul-Aug;29(4):277-89
Abstract: Introduction: 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.
DOI: 10.1097/HTR.0000000000000066
PubMed URL:
ISSN: 0885-9701
Journal Title: Journal of Head Trauma Rehabilitation
Type: Journal Article
Affiliated Organisations: Monash University
The Alfred Hospital
The Ottawa Hospital Rehabilitation Center, University of Ottawa
UHN-Toronto Rehabilitation Institute and Division of Physiatry, Department of Medicine, University of Toronto
Rehabilitation Studies Unit, Sydney Medical School - Northern, The University of Sydney
Lawson Research Institute and Western University, London, Ontario
Bloorview Research Institute, Holland
Bloorview Kids Rehabilitation Hospital, Toronto, Ontario
Toronto Rehabilitation Institute
Acquired Brain Injury Program, Hamilton Health Sciences, DeGroote School of Medicine, McMaster University, Hamilton, Ontario
Type of Clinical Study or Trial: Review
Appears in Collections:Neurosciences

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