Center for Adolescent and Family Studies, Indiana University, Bloomington, USA.
Fam Process. 2011 Sep;50(3):377-92. doi: 10.1111/j.1545-5300.2011.01363.x.
Guidelines for Evidence-Based Treatments in Family Therapy are intended to help guide clinicians, researchers, and policy makers in identifying specific clinical interventions and treatment programs for couples and families that have scientifically based evidence to support their efficacy. In contrast to criteria, which simply identify treatments that "work" and have been employed in the evaluation of other psychotherapies, these guidelines propose a three-tiered levels-of-evidence-based model that moves from "evidence-informed," to "evidence-based," to "evidence-based and ready for dissemination and transportation within diverse community settings." Each level reflects an interaction between the specificity of the intervention, the strength and readth of the outcomes, and the quality of the studies that form the evidence. These guidelines uniquely promote a clinically based "matrix" approach in which the empirical support is evaluated according to various dimensions including strength of the outcomes, the applicability across cultural contexts, and demonstration of specific change mechanisms. The guidelines are offered not only as a basis for understanding the evidence for diverse clinical approaches in couple and family therapy within the systemic tradition of the field, but also as an alternative aspirational model for evaluating all psychotherapies.
《家庭治疗循证治疗指南》旨在帮助指导临床医生、研究人员和政策制定者识别具有科学依据支持其疗效的特定临床干预措施和治疗计划，适用于夫妻和家庭。与仅确定“有效”且已在其他心理治疗评估中使用的治疗方法的标准不同，这些指南提出了一个三级基于证据的模型，从“基于证据的信息”到“基于证据的”，再到“基于证据且准备在不同社区环境中传播和应用”。每个级别都反映了干预措施的特异性、结果的强度和广度以及构成证据的研究质量之间的相互作用。这些指南独特地促进了一种基于临床的“矩阵”方法，根据包括结果强度、跨文化背景的适用性以及特定变化机制的证明在内的各种维度来评估实证支持。这些指南不仅提供了一个理解系统治疗领域中夫妻和家庭治疗中各种临床方法的证据的基础，而且还为评估所有心理治疗提供了一个理想的替代模型。
