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关于临床试验有效性的基于发育学的研究:评估发育问题如何影响有酒精使用问题的青少年治疗反应的入门指南。

Developmentally informed research on the effectiveness of clinical trials: a primer for assessing how developmental issues may influence treatment responses among adolescents with alcohol use problems.

作者信息

Wagner Eric F

机构信息

Community-Based Intervention Research Group, Florida International University, MARC 310, 11200 SW 8th St, Miami, FL 33199-0001, USA.

出版信息

Pediatrics. 2008 Apr;121 Suppl 4:S337-47. doi: 10.1542/peds.2007-2243F.

Abstract

The goal of this article is to familiarize readers with the adolescent developmental issues and processes most likely to affect responses to treatment for alcohol use problems. Although the need for research that blends developmental science and treatment outcome research is widely acknowledged, scant information exists about developmentally informed approaches to treatment research with alcohol-abusing teens. Exactly how developmental issues may influence treatment responses among adolescents with alcohol use problems remains an open question. In the hope of moving developmentally informed research forward, this article reports findings from a literature review regarding the degree to which developmental issues and processes have been considered in adolescent alcohol treatment research. Moreover, promising concepts and methods from applied developmental science are discussed, as are various developmental processes and transitions that may influence adolescent risk behavior. Finally, guidance is provided regarding how applied developmental science conceptualizations and methods may be incorporated successfully into randomized, clinical trials with adolescents with alcohol use problems.

摘要

本文的目的是让读者熟悉那些最有可能影响酒精使用问题治疗反应的青少年发育问题及过程。尽管将发育科学与治疗结果研究相结合的研究需求已得到广泛认可,但关于针对酗酒青少年的发育知情治疗研究方法的信息却很少。发育问题究竟如何影响有酒精使用问题的青少年的治疗反应仍是一个悬而未决的问题。为推动发育知情研究的进展,本文报告了一项文献综述的结果,该综述涉及在青少年酒精治疗研究中对发育问题及过程的考虑程度。此外,还讨论了应用发育科学中一些有前景的概念和方法,以及可能影响青少年风险行为的各种发育过程和转变。最后,提供了关于如何将应用发育科学的概念和方法成功纳入针对有酒精使用问题青少年的随机临床试验的指导。

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