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从研究到实践:在儿童心理健康研究中选择、测量和报告适当结果的重要性。

From Research to Practice: The Importance of Appropriate Outcome Selection, Measurement, and Reporting in Pediatric Mental Health Research.

机构信息

Cundill Centre for Children and Youth Depression, Centre for Addiction and Mental Health, Ontario, Canada; The Hospital for Sick Children, and the University of Toronto, Ontario, Canada.

Child Health Evaluative Sciences, The Hospital for Sick Children Research Institute, Toronto, Ontario, Canada; Institute of Health Policy, Management and Evaluation, University of Toronto, Ontario, Canada.

出版信息

J Am Acad Child Adolesc Psychiatry. 2020 Apr;59(4):497-500. doi: 10.1016/j.jaac.2019.08.468.

Abstract

Results of randomized controlled trials (RCTs) and, ideally, the synthesis of RCT results into meta-analyses, drive both clinical and policy decision making about health care interventions and inform new avenues for research. Selection of the right health outcomes to measure, analyze, and report on when designing a trial therefore is key in ensuring that the research will be useful and will have maximum impact. As in many areas of medicine, wide variability exists in pediatric mental health research as to which outcomes are selected, how they are measured, and how they are reported. Variability in outcome selection and measurement may stem from various factors, including a tendency to select what is feasible or historical to measure rather than a focus on what is important to measure and how best to measure it. The resulting variability limits comparing and combining the results from different trials addressing a similar question in meta-analyses, hindering the translation of research to practice. The objective of this article is to highlight the importance of outcome selection, measurement, and reporting in the translation of research to clinical practice.

摘要

随机对照试验(RCT)的结果,理想情况下,将 RCT 结果综合为荟萃分析,为医疗干预措施的临床和政策决策提供依据,并为新的研究途径提供信息。因此,在设计试验时选择正确的健康结果进行测量、分析和报告是确保研究有用并产生最大影响的关键。与医学的许多领域一样,儿科心理健康研究中选择哪些结果、如何测量以及如何报告结果存在很大差异。结果选择和测量的变异性可能源于多种因素,包括倾向于选择可行的或历史上可测量的结果,而不是关注重要的测量内容以及如何最好地测量它。这种变异性限制了在荟萃分析中比较和组合针对类似问题的不同试验的结果,阻碍了研究向实践的转化。本文的目的是强调在研究转化为临床实践中,结果选择、测量和报告的重要性。

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