Centre of Excellence in Youth Mental Health, ORYGEN Research Centre, The University of Melbourne, Parkville, Victoria, Australia.
J Eval Clin Pract. 2010 Dec;16(6):1025-30. doi: 10.1111/j.1365-2753.2008.01112.x.
RATIONALE, AIMS AND OBJECTIVES: Within the field of evidence-based practice, a process termed 'evidence mapping' is emerging as a less exhaustive yet systematic and replicable methodology that allows an understanding of the extent and distribution of evidence in a broad clinical area, highlighting both what is known and where gaps in evidence exist. This article describes the general principles of mapping methodology by using illustrations derived from our experience conducting an evidence map of interventions for youth mental-health disorders.
Evidence maps are based on an explicit research question relating to the field of enquiry, which may vary in depth, but should be informed by end-users. The research question then drives the search for, and collection of, appropriate studies utilizing explicit and reproducible methods at each stage. This includes clear definition of components of the research question, development of a thorough and reproducible search strategy, development of explicit inclusion and exclusion criteria, and transparent decisions about the level of information to be obtained from each study.
Evidence mapping is emerging as a rigorous methodology for gathering and disseminating up-to-date information to end-users. Thoughtful planning and assessment of available resources (e.g. staff, time, budget) are required by those applying this methodology to their particular field of clinical enquiry given the potential scope of the work. The needs of the end-user need to be balanced with available resources. Information derived needs to be effectively communicated, with the uptake of that evidence into clinical practice the ultimate aim.
原理、目的和目标:在循证实践领域,一种称为“证据图谱”的方法正在兴起,它是一种不那么详尽但系统且可重复的方法,可以了解广泛临床领域证据的范围和分布,突出已知的和证据存在差距的地方。本文通过使用我们对青年心理健康障碍干预措施进行证据图谱的经验得出的说明来描述图谱方法的一般原则。
证据图谱基于与研究领域相关的明确研究问题,其深度可能不同,但应由最终用户提供信息。然后,研究问题推动了搜索,并利用每个阶段明确和可重复的方法收集了适当的研究。这包括明确定义研究问题的组成部分,制定全面且可重复的搜索策略,制定明确的纳入和排除标准,以及对从每项研究中获取信息的程度做出透明决策。
证据图谱正在成为向最终用户收集和传播最新信息的严格方法。鉴于工作的潜在范围,那些将这种方法应用于其特定临床研究领域的人需要对可用资源(例如人员、时间、预算)进行深思熟虑的规划和评估。最终用户的需求需要与可用资源相平衡。需要有效地传达所获得的信息,将证据纳入临床实践是最终目标。