Kemper Kathi J, Mo Xiaokui, Lynn Joanne
The Ohio State University, Columbus, OH, USA
The Ohio State University, Columbus, OH, USA.
J Evid Based Complementary Altern Med. 2015 Apr;20(2):98-103. doi: 10.1177/2156587214561328. Epub 2014 Dec 16.
Observational studies evaluating elective training programs may be biased if learners who enroll differ from nonenrollees. To assess self-selection bias, we compared participants who enrolled in 2 different online courses in complementary and alternative medical therapies.
Participants were recruited from entering classes in medicine, nursing, social work, and dietetics, and residencies in family medicine and pediatrics. The 2 electives were (a) herbs and dietary supplements and (b) mind-body skills training. Participants completed standardized questionnaires before training.
The 218 participants had an average age of 28 years; 76% were trainees. There were no significant differences between enrollees in mind-body skills and herbs and dietary supplements with regard to age, gender, stress levels, mind-body training or practice, mindfulness, empathy, compassion, or resilience.
Those who enroll in mind-body skills are not measurably different than those who enroll in herbs and dietary supplements. There is no evidence of self-selection bias or "preaching to the choir."
如果参加选修培训项目的学习者与未参加者存在差异,那么评估选修培训项目的观察性研究可能存在偏差。为了评估自我选择偏差,我们比较了参加两种不同的补充和替代医学疗法在线课程的参与者。
参与者从医学、护理、社会工作和营养学专业的入学班级以及家庭医学和儿科学专业的住院医师中招募。这两门选修课分别是:(a)草药和膳食补充剂,(b)身心技能培训。参与者在培训前完成标准化问卷。
218名参与者的平均年龄为28岁;76%为学员。参加身心技能培训和草药与膳食补充剂课程的学员在年龄、性别、压力水平、身心训练或实践、正念、同理心、同情心或恢复力方面没有显著差异。
参加身心技能培训的人与参加草药和膳食补充剂课程的人在可测量的方面没有差异。没有证据表明存在自我选择偏差或“对唱诗班布道”。