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当证据表明“是、否、也许如此”时:关注并解读循证干预措施中的不一致发现。

When the Evidence Says, "Yes, No, and Maybe So": Attending to and Interpreting Inconsistent Findings Among Evidence-Based Interventions.

作者信息

De Los Reyes Andres, Kazdin Alan E

机构信息

Yale University.

出版信息

Curr Dir Psychol Sci. 2008 Feb 1;17(1):47-51. doi: 10.1111/j.1467-8721.2008.00546.x.

Abstract

An international, multi-disciplinary effort aims to identify evidence-based treatments (EBTs) or interventions. The goal of this effort is to identify specific techniques or programs that successfully target and change specific behaviors. In clinical psychology, EBTs are identified based on the outcomes of randomized controlled trials examining whether treatments outperform control or alternative treatment conditions. Treatment outcomes are measured in multiple ways. Consistently, different ways of gauging outcomes yield inconsistent conclusions. Historically, EBT research has not accounted for these inconsistencies. This paper highlights the implications of inconsistencies, describes a framework for redressing inconsistent findings, and illustrates how the framework guides future work examining how to administer and combine treatments to maximize treatment effects, and study treatments meta-analytically.

摘要

一项国际多学科研究旨在确定循证治疗方法(EBTs)或干预措施。这项研究的目标是找出能够成功针对并改变特定行为的具体技术或方案。在临床心理学中,EBTs是根据随机对照试验的结果来确定的,这些试验旨在检验治疗方法是否优于对照或替代治疗条件。治疗效果通过多种方式进行衡量。一直以来,不同的效果衡量方式得出的结论并不一致。从历史上看,EBT研究并未考虑到这些不一致性。本文强调了这些不一致性的影响,描述了纠正不一致研究结果的框架,并说明了该框架如何指导未来的工作,即研究如何实施和组合治疗方法以最大化治疗效果,以及如何进行治疗的荟萃分析。

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