关于促进慢性病儿童、青少年和青年治疗依从性的心理干预措施的系统评价和荟萃分析。
Systematic review and meta-analysis of psychological interventions to promote treatment adherence in children, adolescents, and young adults with chronic illness.
作者信息
Pai Ahna L H, McGrady Meghan
机构信息
Center for Adherence and Self-Management, Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center
Center for Adherence and Self-Management, Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center.
出版信息
J Pediatr Psychol. 2014 Sep;39(8):918-31. doi: 10.1093/jpepsy/jsu038. Epub 2014 Jun 20.
OBJECTIVE
This meta-analysis examined the effectiveness of recent adherence-promoting interventions for youth with chronic health conditions.
METHODS
Peer-reviewed randomized controlled trials of adherence-promoting interventions for youth with a chronic illness published between 2007 and 2013 (n = 23) were reviewed. Intervention delivery (in-person vs. technology-based) and outcome measurement (e.g., self-report) were examined as potential moderators of treatment effects.
RESULTS
Mean effect sizes were small at posttreatment (d = 0.20, 95% confidence interval (CI): 0.08, 0.31, n = 23) and follow-up (d = 0.29, 95% CI: 0.15, 0.43, n = 9). Intervention delivery and outcome measurement did not account for variation in treatment effects (p > .05).
CONCLUSIONS
The small treatment effects of recent adherence-promoting intervention (APIs) reflect the methodological limitations of the included studies and the need to reexamine the delivery and mechanisms of adherence-promoting interventions.
目的
本荟萃分析探讨了近期针对患有慢性健康问题的青少年的依从性促进干预措施的有效性。
方法
回顾了2007年至2013年间发表的关于针对患有慢性病的青少年的依从性促进干预措施的同行评审随机对照试验（n = 23）。干预实施方式（面对面与基于技术）和结果测量（如自我报告）被作为治疗效果的潜在调节因素进行研究。
结果
治疗后平均效应量较小（d = 0.20，95%置信区间（CI）：0.08，0.31，n = 23），随访时平均效应量也较小（d = 0.29，95% CI：0.15，0.43，n = 9）。干预实施方式和结果测量并未解释治疗效果的差异（p >.05）。
结论
近期依从性促进干预措施（APIs）的治疗效果较小，反映了纳入研究的方法学局限性以及重新审视依从性促进干预措施的实施方式和作用机制的必要性。
Zotero 插件