渡渡鸟与共同因素：冒险疗法直接比较试验的范围综述。
Of Dodo birds and common factors: A scoping review of direct comparison trials in adventure therapy.
机构信息
Charles Sturt University, Australia.
University of Victoria, Canada.
出版信息
Complement Ther Clin Pract. 2018 May;31:16-24. doi: 10.1016/j.ctcp.2018.01.005. Epub 2018 Jan 31.
BACKGROUND
Adventure therapy (AT) is a term that includes therapies such as wilderness therapy and adventure-based counseling. With growing empirical support for AT, the diversity of studies make it difficult to attribute outcomes to specific treatment factors.
OBJECTIVES
Researchers explored whether AT, often perceived as an alternative therapy, works because of AT's unique components, or whether factors shared by all therapies were responsible.
METHODS
A scoping review was undertaken utilizing a search of major databases, unpublished dissertations, and a hand search for direct comparison trials matching AT with another therapeutic intervention.
RESULTS
881 publications were identified. 105 quantitative studies were included following a title and abstract review. Only 13 met the full inclusion criteria. Little to no differences were found to isolate specific therapeutic factors.
CONCLUSIONS
We discuss the implications of these results considering the movement toward evidence-based practice and recommend future research to eclipse our current understanding of AT.
背景
探险疗法（AT）是一个术语，包括荒野疗法和基于探险的咨询等疗法。随着对 AT 的经验支持不断增加，研究的多样性使得难以将结果归因于特定的治疗因素。
目的
研究人员探讨了 AT，通常被视为一种替代疗法，是否因其独特的组成部分而有效，或者是否是所有疗法共有的因素起了作用。
方法
采用了一项范围综述，利用对主要数据库、未发表的论文以及对与另一种治疗干预措施相匹配的直接比较试验的手工搜索进行了搜索。
结果
确定了 881 篇出版物。经过标题和摘要审查，共纳入了 105 项定量研究。只有 13 项完全符合纳入标准。几乎没有发现可以分离出特定治疗因素的差异。
结论
我们考虑到向循证实践发展的意义，讨论了这些结果的影响，并建议进行未来的研究以超越我们目前对 AT 的理解。
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