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利用行政数据系统评估儿童虐待预防:可重复性案例。

Assessing child maltreatment prevention via administrative data systems: A case example of reproducibility.

机构信息

Parenting & Family Research Center, University of South Carolina, 1233 Washington Street (2nd Floor), Columbia, SC 29208, United States.

出版信息

Child Abuse Negl. 2017 Feb;64:13-18. doi: 10.1016/j.chiabu.2016.12.005. Epub 2016 Dec 16.

Abstract

Critical issues about scientific reproducibility have been raised about biomedical research, including the reliability of data and analyses within a given study. The case example in this article examined a reproducibility issue pertaining to the use of administrative data systems for evaluation of child maltreatment (CM) prevention, making use of a prevention study conducted over a decade ago that provided a unique opportunity. The place-randomization study, which randomized counties to condition, found that community-wide implementation of a parenting and family support intervention produced positive impact on county-wide rates for substantiated CM cases and out-of-home placements, documented through a state information system. The key consideration is whether and to what extent the administrative record data re-examined retroactively a decade later for the original study's time period would yield comparable results to those based on data acquired at the time of the study. The results indicated that despite small changes over time, the same data patterns and statistical effects were reproducible for the two archival outcome variables. For substantiated CM, the reproduced analyses reflected higher effect sizes and a clear pattern of reduction as a function of intervention. For out-of-home placements, effect sizes were quite comparable to the original ones, reflecting preventive impact. Overall, this case study illustrated the verifiability of data reproducibility in the context of a population outcome evaluation, which underscores the importance of reliable population-prevalence measurement as an essential part of a comprehensive public health strategy aimed at the prevention of CM.

摘要

关于生物医学研究的科学可重复性已经提出了一些关键问题,包括给定研究中数据和分析的可靠性。本文中的案例研究检验了一个与使用行政数据系统评估儿童虐待 (CM) 预防相关的可重复性问题,该研究利用了十多年前进行的一项预防研究,该研究提供了一个独特的机会。这项位置随机化研究将县随机分配到条件组,发现对养育和家庭支持干预措施的全社区实施对全县经过证实的 CM 案件和家庭外安置率产生了积极影响,这通过州信息系统记录。关键问题是,回顾性地重新检查十多年前原始研究时间范围内的行政记录数据是否以及在何种程度上会产生与研究时获得的数据可比的结果。结果表明,尽管随着时间的推移发生了微小的变化,但对于两个档案结果变量,相同的数据模式和统计效应是可重复的。对于经过证实的 CM,复制分析反映了更高的效应大小和随着干预的减少而呈现出的明确模式。对于家庭外安置,效应大小与原始效应大小相当,反映了预防效果。总体而言,本案例研究说明了在人群结果评估背景下数据可重复性的可验证性,这强调了可靠的人群流行率测量作为旨在预防 CM 的综合公共卫生策略的重要组成部分的重要性。

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