Ogez David, Péloquin Katherine, Bertout Laurence, Bourque Claude-Julie, Curnier Daniel, Drouin Simon, Laverdière Caroline, Marcil Valérie, Ribeiro Rebeca, Callaci Melissa, Rondeau Emélie, Sinnett Daniel, Sultan Serge
Sainte-Justine University Health Centre, Montréal, QC, Canada.
Department of Psychology, Université de Montréal, Montréal, QC, Canada.
J Clin Psychol Med Settings. 2019 Dec;26(4):550-574. doi: 10.1007/s10880-019-09612-8.
Intervention programs have been developed to help parents cope with their child's cancer. Despite some studies reporting a high level of evidence, it is unclear how these programs build on each other. Appraising models of change is critical to advance scientific knowledge and provide evidence-based interventions. This review aims to identify existing programs, explicitly formulate their underlying models, evaluate how they translate into concrete activities, as well as identify and discuss their development process. Eleven programs based on models of change from cognitive-behavioral, systemic and counselling theories were identified. Many models included a sound theoretical framework, targeted outcomes, as well as implementation strategies. In most cases, preliminary development studies were conducted, but details were rarely provided on how development stages informed the redesign of intervention programs. Acceptability and treatment fidelity were not available for one-third of the programs. Future reports should document the development and design redesign stages prior to conducting efficacy trials, as this step would provide crucial details to critically appraise programs.
已经开发了干预项目来帮助家长应对孩子患癌症的情况。尽管一些研究报告了高水平的证据，但尚不清楚这些项目之间是如何相互借鉴的。评估变革模式对于推进科学知识和提供循证干预至关重要。本综述旨在识别现有项目，明确阐述其潜在模式，评估它们如何转化为具体活动，以及识别并讨论其开发过程。确定了11个基于认知行为、系统和咨询理论变革模式的项目。许多模式包括完善的理论框架、目标成果以及实施策略。在大多数情况下，进行了初步的开发研究，但很少提供关于开发阶段如何为干预项目的重新设计提供信息的细节。三分之一的项目没有提供可接受性和治疗保真度方面的信息。未来的报告应在进行疗效试验之前记录开发和重新设计阶段，因为这一步骤将提供关键细节，以便对项目进行严格评估。
