Systematic review of measurement property evidence for eight financial management instruments in populations with acquired cognitive impairment

Publication date: Available online 7 March 2018
Source:Archives of Physical Medicine and Rehabilitation
Author(s): Lisa Engel, Adora Chui, Dorcas E. Beaton, Robin E. Green, Deirdre R. Dawson
ObjectiveTo critically appraise the measurement property evidence (i.e., psychometric) for eight observation-based financial management assessment instruments.Data sourcesSeven databases were searched in May 2015.Study SelectionTwo reviewers used an independent decision-agreement process to select studies of measurement property evidence relevant to populations with adulthood acquired cognitive impairment, appraise the quality of the evidence, and extract data. Twenty-one articles were selected.Data extractionThis review used the COnsensus-based Standards for the selection of health Measurement Instruments review (COSMIN) guidelines and four-point tool to appraise evidence. After appraising the methodological quality, adequacy of results and volume of evidence per instrument were synthesized. Measurement property evidence with high risk of bias was excluded from the synthesis.Data synthesisVolume of measurement property evidence per instrument is low; most instruments had one to three included studies. Many included studies had poor methodological quality per measurement property evidence area examined. Six of the eight instruments reviewed had supporting construct validity/hypothesis-testing evidence of fair methodological quality. There is a dearth of acceptable quality content validity, reliability, and responsiveness evidence for all eight instruments.ConclusionsRehabilitation practitioners assess financial management functions in adults with acquired cognitive impairments. However, there is limited published evidence to support using any of the reviewed instruments. Practitioners should exercise caution when interpreting results of these instruments. This review highlights the importance of appraising the quality of measurement property evidence prior to examining the adequacy of the results and synthesizing the evidence.



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