Abstract
Objective
To identify existing outcome measurement instruments (OMIs) assessing risk factors
for cardiometabolic disease in adolescents and adults with cerebral palsy (CP) reported
on in the literature or used in the field.
Data Sources
The COnsensus-based Standards for the selection of health Measurement Instruments
database of systematic reviews and 4 electronic databases (Embase, MEDLINE/Ovid, MEDLINE/Pubmed,
PsychINFO) were searched up to June 19, 2017, that yielded 2594 articles. Experts
in the field were consulted to identify any additional OMIs.
Study Selection
Two reviewers independently applied inclusion criteria to select eligible studies
using or evaluating measurement properties of OMIs assessing 1 of 8 outcomes: cardiorespiratory
endurance, body size, body composition, physical behavior, sleep, nutrition, blood
pressure, and blood lipids and glucose. Studies with an experimental or observational
design including ≥10 adolescents or adults with CP were included.
Data Extraction
One reviewer extracted data that were summarized for study and sample characteristics,
outcomes, OMIs used, and if applicable data on measurement properties. Two reviewers
rated the methodological quality and the quality of the OMIs. Feasibility for clinical
practice and research was rated by experts in the field.
Data Synthesis
Ninety OMIs were identified from 56 included articles and by the experts. Seventy
OMIs pertained to cardiorespiratory endurance, body size, body composition, and physical
behavior, whereas only 5 were identified for sleep and nutrition. Overall synthesis
revealed that there is moderate to poor evidence for good quality of OMIs in this
population. Based on feasibility for clinical practice, experts agreed on a single
OMI per outcome (and 2 for cardiorespiratory endurance) to be included in a core set.
Conclusion
Despite the range of available OMIs to assess risk factors for cardiometabolic disease
in adolescents and adults with CP, evidence of good quality is often lacking. Nonetheless,
a preliminary core set of 9 OMIs was systematically developed.
Keywords
List of abbreviations:
CDE (Common Data Element), COSMIN (Consensus-based Standards for the Selection of Health Measurement Instruments), CP (cerebral palsy), FFQ (Food Frequency Questionnaire), GMFCS (Gross Motor Function Classification System), OMI (outcome measurement instrument), PSQI (Pittsburgh Sleep Quality Index), RCT (randomized controlled trial)To read this article in full you will need to make a payment
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Article Info
Publication History
Published online: June 18, 2019
Footnotes
This study is part of a clinical research project entitled “Multimorbidity risk assessment and prevention through health-promoting behaviors (physical activity, nutrition, and sleep) in adolescents and adults with cerebral palsy,” funded by a Pedal-with-Pete grant from the American Academy for Cerebral Palsy and Developmental Medicine . Co-funding has been provided by Rijndam Rehabilitation , The Netherlands. Dr. Peterson is funded by the National Institutes of Health (grant no. 1KO1 HD074706 ) and the National Institute on Disability, Independent Living, and Rehabilitation Research (grant no. 90IF0102-01 ). Dr. Gorter holds the Scotiabank Chair in Child Health Research.
Identification
Copyright
© 2019 by the American Congress of Rehabilitation Medicine
