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为何研究设计与方法对于理解药物使用/滥用如此关键:特刊引言

Why Research Design and Methods Is So Crucial to Understanding Drug Use/Abuse: Introduction to the Special Issue.

作者信息

Scheier Lawrence M

机构信息

1 LARS Research Institute, Inc., Scottsdale, AZ 85260, USA.

出版信息

Eval Health Prof. 2018 Jun;41(2):135-154. doi: 10.1177/0163278718756161. Epub 2018 Feb 6.

Abstract

The collection of articles in this special issue both raise the bar and inspire new thinking with regard to both design and methodology concerns that influence drug use/abuse research. Thematically speaking, the articles focus on issues related to missing data, response formats, strategies for data harmonization, propensity scoring methods as an alternative to randomized control trials, integrative data analysis, statistical corrections to reduce bias from attrition, challenges faced from conducting large-scale evaluations, and employing abductive theory of method as an alternative to the more traditional hypothetico-deductive reasoning. Collectively, these issues are of paramount importance as they provide specific means to improve our investigative tools and refine the logical framework we employ to examine the problem of drug use/abuse. Each of the authors addresses a specific challenge outlining how it affects our current research efforts and then outlines remedies that can advance the field. To their credit, they have included issues that affect both etiology and prevention, thus broadening our horizons as we learn more about developmental processes causally related to drug use/abuse and intervention strategies that can mitigate developmental vulnerability. This is the essential dialogue required to advance our intellectual tool kit and improve the research skills we bring to bear on the important questions facing the field of drug use/abuse. Ultimately, the goal is to increase our ability to identify the causes and consequences of drug use/abuse and find ways to ameliorate these problems as we engage the public health agenda.

摘要

本期特刊中的文章集合既提高了标准,又在影响药物使用/滥用研究的设计和方法问题方面激发了新的思考。从主题上讲,这些文章聚焦于与缺失数据、回答格式、数据协调策略、倾向评分方法(作为随机对照试验的替代方法)、综合数据分析、减少损耗偏差的统计校正、进行大规模评估所面临的挑战以及采用溯因方法理论(作为更传统的假设-演绎推理的替代方法)等相关的问题。总体而言,这些问题至关重要,因为它们提供了改进我们调查工具以及完善我们用于研究药物使用/滥用问题的逻辑框架的具体方法。每一位作者都阐述了一个特定的挑战,概述了它如何影响我们当前的研究工作,然后概述了能够推动该领域发展的补救措施。值得称赞的是,他们纳入了影响病因学和预防的问题,从而在我们更多地了解与药物使用/滥用因果相关的发展过程以及能够减轻发展脆弱性的干预策略时拓宽了我们的视野。这是推进我们的知识工具包并提高我们用于解决药物使用/滥用领域重要问题的研究技能所必需的关键对话。最终目标是在我们参与公共卫生议程时,提高我们识别药物使用/滥用的原因和后果并找到改善这些问题的方法的能力。

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