Luebbe Aaron M, Radcliffe Alison M, Callands Tamora A, Green Debbie, Thorn Beverly E
Department of Psychological Sciences, University of Missouri-Columbia, Columbia, MO 65211, USA.
J Clin Psychol. 2007 Jul;63(7):643-55. doi: 10.1002/jclp.20379.
The evidence-based practice movement in psychology (EBPP) is a relatively recent initiative to improve client care by integrating the best available research evidence with clinicians' expertise in the context of patient values and preferences. As this movement gains momentum in the field of psychology, training programs will likely need to modify their curricula to include training in the process of EBPP. An online survey was conducted of clinical psychology graduate students in programs that identified themselves as having a scientist-practitioner or clinical science model (N = 1,195). Understanding of, experiences with, attitudes towards, and training in EBPP was assessed. Students had a generally favorable view of psychology's move toward EBPP. Although students reported a moderate amount of exposure to and experiences with EBPP, misunderstandings about the principles of EBPP were prevalent. Compared to students planning primarily clinical practice careers, students planning primarily clinical research careers were more favorable towards EBPP, expected EBPP to be more influential in their future careers, and were more likely to use research, but less likely to use client preferences to guide treatment planning. Recommendations for modifying training programs to promote EBPP are discussed.
心理学领域的循证实践运动(EBPP)是一项相对较新的倡议,旨在通过在患者价值观和偏好的背景下,将最佳可得研究证据与临床医生的专业知识相结合,来改善患者护理。随着这一运动在心理学领域势头渐强,培训项目可能需要修改其课程,以纳入循证实践过程的培训。对自认为采用科学家 - 从业者或临床科学模式的项目中的临床心理学研究生进行了一项在线调查(N = 1195)。评估了学生对循证实践的理解、经历、态度以及相关培训情况。学生们对心理学向循证实践的转变总体持积极态度。尽管学生们报告称有一定程度接触循证实践并有所体验,但对循证实践原则的误解仍然普遍存在。与主要计划从事临床实践职业的学生相比,主要计划从事临床研究职业的学生对循证实践更为认可,预计循证实践在他们未来的职业生涯中更具影响力,并且更有可能运用研究,但不太可能利用患者偏好来指导治疗计划。文中讨论了修改培训项目以促进循证实践的建议。