Intervention Review

Personal assistance for children and adolescents (0-18) with physical impairments

  1. Evan Mayo-Wilson1,*,
  2. Paul Montgomery2,
  3. Jane A Dennis3

Editorial Group: Cochrane Developmental, Psychosocial and Learning Problems Group

Published Online: 16 JUL 2008

Assessed as up-to-date: 28 JUN 2005

DOI: 10.1002/14651858.CD006277.pub2


How to Cite

Mayo-Wilson E, Montgomery P, Dennis JA. Personal assistance for children and adolescents (0-18) with physical impairments. Cochrane Database of Systematic Reviews 2008, Issue 3. Art. No.: CD006277. DOI: 10.1002/14651858.CD006277.pub2.

Author Information

  1. 1

    University of Oxford, The Centre for Evidence-Based Intervention , Oxford, UK

  2. 2

    University of Oxford, The Centre for Evidence-Based Intervention, Oxford, UK

  3. 3

    University of Bristol, School for Policy Studies, Bristol, UK

*Evan Mayo-Wilson, The Centre for Evidence-Based Intervention , University of Oxford, Barnett House, 32 Wellington Square, Oxford, OX1 2ER, UK. evan.mayo-wilson@socres.ox.ac.uk.

Publication History

  1. Publication Status: New
  2. Published Online: 16 JUL 2008

SEARCH

 

Abstract

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要

Background

There is a high and increasing prevalence of impairments among children and adolescents in the West. Many countries offer personal assistance in the form of individualised support for people living in the community by a paid assistant other than a healthcare professional for at least 20 hours per week.

Objectives

To assess the effectiveness of personal assistance for children and adolescents with physical impairments, and the impacts of personal assistance on others, compared to other interventions.

Search methods

Electronic databases including CENTRAL, MEDLINE, EMBASE, CINAHL, PsycINFO, ERIC, Dissertation Abstracts International and a variety of specialist Swedish databases were searched from 1980 to June 2005; reference lists were checked; 345 experts, organisations, government bodies and charities were contacted in an attempt to locate relevant research.

Selection criteria

Children and adolescents with physical impairments (0-18 years) living in the community who require assistance to perform tasks of daily living (e.g., bathing and eating) and participate in normal activities due to permanent impairments. Controlled studies of personal assistance in which participants were prospectively assigned to study groups and in which control group outcomes were measured concurrently with intervention group outcomes were included.

Data collection and analysis

Titles and abstracts were examined by two reviewers. 130 full papers were examined. None met the inclusion criteria.

Main results

No eligible studies were found.

Authors' conclusions

Research in this field is limited. When implementing new programmes, recipients could be randomly assigned to different forms of assistance. While advocates may support personal assistance for myriad reasons, this review demonstrates that further studies are required to determine which models of personal assistance are most effective and efficient for particular people.

 

Plain language summary

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要

Studies urgently needed to assess effects of Personal Assistance for children and teens with physical impairments

Personal assistance is here defined as paid support of at least 20 hours per week for people with impairments. This review investigated the effectiveness of personal assistance versus any other form of care for children and adolescents with physical impairments. A literature search identified no studies that met the inclusion criteria. This review is part of a series of reviews; evidence from related reviews about different populations might be informative to researchers and practitioners.

 

摘要

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要

背景

對於有肢體障礙的兒童和青少年(0 – 18歲)之個人協助

在西方國家,有障礙的兒童和青少年的盛行率相當高且仍在增加中。許多國家提供個人協助的服務,聘用非健康照護專業的給薪助理人員,為住在社區的人提供每星期至少20小時的個別支持。

目標

為了評估個人協助相較於其他介入措施,對有肢體障礙的兒童和青少年之成效,以及對他人的影響。

搜尋策略

我們搜尋了從1980年到2005年6月的電子資料庫,包括Central,MEDLINE,EMBASE,CINAHL,PsycINFO,ERIC, Dissertation Abstracts International,以及多種專業瑞典資料庫;也檢查了參考文獻目錄,並且聯絡了345個專家、組織、政府機構和慈善機構,嘗試去確定相關研究的地點。

選擇標準

居住在社區的有肢體障礙的兒童和青少年(0 – 18歲),因永久性的損害而需要協助來執行日常生活的事務(如洗澡、吃飯),和參與正常活動。收納的試驗為關於個人協助的對照試驗,其中受試者以前瞻性方式,被分配到不同的研究組別中,並且同時測量介入組和對照組的結果預後。

資料收集與分析

兩位審稿者審查標題和摘要,共計審查了130篇論文全文,沒有任何一篇符合納入標準。

主要結論

沒有發現符合資格的研究。

作者結論

在此一領域的研究有限。當實施新方案時,受助人會被隨機分配到不同形式的協助。雖然倡導者可能因各種原因而支持個人協助,此篇回顧顯示,仍需要進一步的研究來確定針對此一特殊族群,何種個人協助的模式最為有效且效率最高。

翻譯人

本摘要由成功大學附設醫院黃惠群翻譯。

此翻譯計畫由臺灣國家衛生研究院 (National Health Research Institutes, Taiwan) 統籌。

總結

迫切需要評估個人協助對有肢體障礙的兒童和青少年之有效性的研究:個人協助在此定義為對於有障礙的人,每週至少20小時的付費支持服務。本篇回顧探討個人協助,相較於其他形式的照顧,對於有肢體障礙的兒童和青少年的有效性。文獻檢索沒有發現任何符合納入標準的研究。本篇回顧是此一系列回顧的一部分,其他針對不同族群的相關的回顧的證據也許可以提供研究者和臨床人員一些資訊。