Richards Kathy C, Enderlin Carol A, Beck Cornelia, McSweeney Jean C, Jones Tammy C, Roberson Paula K
College of Nursing, University of Arkansas for Medical Sciences, Little Rock 72205-7199, USA.
Res Theory Nurs Pract. 2007;21(4):271-85. doi: 10.1891/088971807782428029.
This article presents a metasynthesis of the literature from 1996 through 2005 on randomized clinical or controlled trials comparing effects of tailored interventions to those of control conditions or other interventions. A search was conducted for publications written in English using the terms "patient-centered interventions," "tailored interventions," and "individualized interventions," using Ovid and Elton B. Stephens Company (EBSCO) Host databases. A total of 245 publications were located after deleting duplicates. An additional six studies were identified from two syntheses of intervention research. A total of 63 studies met the inclusion criteria, and 49 of these reported that tailored interventions were superior to control conditions for one or more of the main outcomes. The evidence strongly supports the efficacy of tailored behavioral interventions and provides beginning support for the efficacy of tailored psychosocial and biological interventions.
本文对1996年至2005年间关于比较针对性干预措施与对照条件或其他干预措施效果的随机临床试验或对照试验的文献进行了综合分析。使用Ovid和艾尔顿·B·斯蒂芬斯公司(EBSCO)主机数据库,以“以患者为中心的干预措施”、“针对性干预措施”和“个性化干预措施”为关键词,搜索英文撰写的出版物。删除重复项后,共找到245篇出版物。从两项干预研究的综合分析中又确定了六项研究。共有63项研究符合纳入标准,其中49项报告称,针对性干预措施在一项或多项主要结局方面优于对照条件。证据有力地支持了针对性行为干预措施的有效性,并为针对性心理社会和生物干预措施的有效性提供了初步支持。