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循证行为医学:它是什么以及我们如何实现它?

Evidence-based behavioral medicine: what is it and how do we achieve it?

作者信息

Davidson Karina W, Goldstein Michael, Kaplan Robert M, Kaufmann Peter G, Knatterud Genell L, Orleans C Tracy, Spring Bonnie, Trudeau Kimberlee J, Whitlock Evelyn P

机构信息

Mt. Sinai School of Medicine, USA.

出版信息

Ann Behav Med. 2003 Dec;26(3):161-71. doi: 10.1207/S15324796ABM2603_01.

DOI:10.1207/S15324796ABM2603_01
PMID:14644692
Abstract

The goal of evidence-based medicine is ultimately to improve patient outcomes and quality of care. Systematic reviews of the available published evidence are required to identify interventions that lead to improvements in behavior, health, and well-being. Authoritative literature reviews depend on the quality of published research and research reports. The Consolidated Standards for Reporting Trials (CONSORT) Statement (www.consort-statement.org) was developed to improve the design and reporting of interventions involving randomized clinical trials (RCTs) in medical journals. We describe the 22 CONSORT guidelines and explain their application to behavioral medicine research and to evidence-based practice. Additional behavioral medicine-specific guidelines (e.g., treatment adherence) are also presented. Use of these guidelines by clinicians, educators, policymakers, and researchers who design, report, and evaluate or review RCTs will strengthen the research itself and accelerate efforts to apply behavioral medicine research to improve the processes and outcomes of behavioral medicine practice.

摘要

循证医学的最终目标是改善患者的治疗效果和护理质量。需要对现有的已发表证据进行系统评价,以确定能改善行为、健康和幸福感的干预措施。权威的文献综述取决于已发表研究和研究报告的质量。制定了《试验报告统一标准》(CONSORT)声明(www.consort-statement.org),以改进医学期刊中涉及随机临床试验(RCT)的干预措施的设计和报告。我们描述了22条CONSORT指南,并解释了它们在行为医学研究和循证实践中的应用。还介绍了其他特定于行为医学的指南(如治疗依从性)。设计、报告、评估或审查RCT的临床医生、教育工作者、政策制定者和研究人员使用这些指南,将加强研究本身,并加速应用行为医学研究来改善行为医学实践的过程和结果的努力。

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