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运用可能变化范围模型确定针对儿童和青少年的循证干预措施:一项荟萃分析实例

Identifying evidence-based interventions for children and adolescents using the range of possible changes model: a meta-analytic illustration.

作者信息

De Los Reyes Andres, Kazdin Alan E

机构信息

Department of Psychology, University of Maryland at College Park, Biology/Psychology Building, Room 3123H, College Park, MD 20742, USA.

出版信息

Behav Modif. 2009 Sep;33(5):583-617. doi: 10.1177/0145445509343203. Epub 2009 Aug 14.

Abstract

The article discusses a study involving a framework (range of possible changes [RPC] Model) developed and applied to identify patterns in consistent and inconsistent intervention outcomes effects by informant, measurement method, and method of statistical analysis to the meta-analytic study of trials testing two evidence-based interventions for children and adolescents (youth-focused cognitive-behavioral treatment for child anxiety problems; parent-focused behavioral parent training for childhood conduct problems). This article illustrates how findings gleaned from applying the RPC Model allow for unique opportunities for hypothesis generation based on the patterns of consistent outcomes effects. Based on the RPC Model, studies can be closely examined to identify the specific instances in which interventions yield robust effects, and the authors illustrate how examining effects in this way can lead to new understandings of interventions and the outcomes they produce. Findings suggest that researchers can employ previously underutilized patterns of consistencies and inconsistencies in outcomes effects as new resources for identifying evidence-based interventions.

摘要

本文讨论了一项研究,该研究涉及一个开发并应用的框架(可能变化范围[RPC]模型),用于通过信息提供者、测量方法以及统计分析方法,在对两项针对儿童和青少年的循证干预措施(针对儿童焦虑问题的以青少年为重点的认知行为疗法;针对儿童行为问题的以父母为重点的行为父母培训)进行的试验的荟萃分析研究中,识别一致和不一致的干预结果效应模式。本文说明了应用RPC模型所获得的研究结果如何基于一致结果效应的模式为假设生成提供独特机会。基于RPC模型,可以仔细审查各项研究,以确定干预措施产生强大效果的具体情况,作者还说明了以这种方式审查效果如何能够带来对干预措施及其产生的结果的新理解。研究结果表明,研究人员可以将以前未充分利用的结果效应的一致性和不一致性模式用作识别循证干预措施的新资源。

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