一项关于实施循证心理健康干预策略的系统评价
A Systematic Review of Strategies for Implementing Empirically Supported Mental Health Interventions.
作者信息
Powell Byron J, Proctor Enola K, Glass Joseph E
机构信息
Brown School, Washington University in St. Louis.
School of Social Work, University of Wisconsin-Madison.
出版信息
Res Soc Work Pract. 2014 Mar 1;24(2):192-212. doi: 10.1177/1049731513505778.
Abstract
OBJECTIVE
This systematic review examines experimental studies that test the effectiveness of strategies intended to integrate empirically supported mental health interventions into routine care settings. Our goal was to characterize the state of the literature and to provide direction for future implementation studies.
METHODS
A literature search was conducted using electronic databases and a manual search.
RESULTS
Eleven studies were identified that tested implementation strategies with a randomized (n = 10) or controlled clinical trial design (n = 1). The wide range of clinical interventions, implementation strategies, and outcomes evaluated precluded meta-analysis. However, the majority of studies (n = 7; 64%) found a statistically significant effect in the hypothesized direction for at least one implementation or clinical outcome.
CONCLUSIONS
There is a clear need for more rigorous research on the effectiveness of implementation strategies, and we provide several suggestions that could improve this research area.
摘要
目的
本系统评价考察了旨在将经验证有效的心理健康干预措施整合到常规护理环境中的策略的有效性的实验研究。我们的目标是描述文献现状，并为未来的实施研究提供方向。
方法
通过电子数据库和手工检索进行文献搜索。
结果
共识别出11项研究，这些研究采用随机（n = 10）或对照临床试验设计（n = 1）测试了实施策略。所评估的临床干预、实施策略和结果范围广泛，无法进行荟萃分析。然而，大多数研究（n = 7；64%）发现，至少有一个实施或临床结果在假设方向上具有统计学显著效果。
结论
显然需要对实施策略的有效性进行更严格的研究，我们提供了一些可改进该研究领域的建议。
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