@article{ref1,
title="Quality appraisal of systematic reviews for behavioral treatments of attention disorders in traumatic brain injury",
journal="Journal of head trauma rehabilitation",
year="2019",
author="Roitsch, Jane and Redman, Rachael and Michalek, Anne M. P. and Johnson, Rachel K. and Raymer, Anastasia M.",
volume="34",
number="4",
pages="E42-E50",
abstract="OBJECTIVE: This review appraised the quality of systematic reviews (SRs) and meta-analyses (MAs) to summarize research on behavioral interventions for attention disorders in persons with traumatic brain injury. <br><br>METHODS: A search of 7 databases revealed 15 MAs/SRs reporting outcomes for attention treatments in traumatic brain injury. Two examiners independently coded the quality of reviews with the Critical Appraisal of Systematic Review or Meta-Analysis and the Evidence in Augmentative and Alternative Communication Systematic Review Scale. <br><br>RESULTS: The findings of both scales were highly correlated. Four reviews were conducted with high methodologic rigor indicated by a score of 60% or greater on both scales. No other study scored above 45%. Among the well-conducted SRs/MAs, evidence for direct attention training effects was limited to basic attention exercises, with little generalization to functional activities. Strategy training for activities and tasks requiring attentional abilities had a stronger evidence base in 1 rigorous MA. <br><br>CONCLUSIONS: This appraisal provides valuable practice information. The conclusions of 4 rigorous reviews suggest that there is only limited positive scientific support for the effects of attention treatments for traumatic brain injury. Future SRs/MAs would benefit from adherence to review guidelines.<p /> <p>Language: en</p>",
language="en",
issn="0885-9701",
doi="10.1097/HTR.0000000000000444",
url="http://dx.doi.org/10.1097/HTR.0000000000000444"
}