现在是时候了:采用更快的方法来为残疾和康复领域的基于技术的干预措施生成研究证据。
The Time Is Now: A FASTER Approach to Generate Research Evidence for Technology-Based Interventions in the Field of Disability and Rehabilitation.
机构信息
Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Canada; KITE, Toronto Rehabilitation Institute, University Health Network, Toronto, Canada.
Department of Physical Therapy, Grand Valley State University, Grand Rapids, Michigan.
出版信息
Arch Phys Med Rehabil. 2021 Sep;102(9):1848-1859. doi: 10.1016/j.apmr.2021.04.009. Epub 2021 May 13.
Current approaches for generating high-quality research evidence for technology-based interventions in the field of disability and rehabilitation are inappropriate. Prevailing approaches often focus on randomized controlled trials as standard and apply clinical trial practices designed for pharmaceuticals; such approaches are unsuitable for technology-based interventions and are counterproductive to the goals of supporting people with disabilities and creating benefits for society. This communication is designed to: (1) advocate for the use of alternative approaches to generating evidence in the development and evaluation of technology-based interventions; (2) propose an alternative framework and guiding principles; and (3) stimulate action by multiple disciplines and sectors to discuss, adopt, and promote alternative approaches. Our Framework for Accelerated and Systematic Technology-based intervention development and Evaluation Research (FASTER) is informed by established innovation design processes, complex intervention development, evaluation, and implementation concepts as well as our collective experiences in technology-based interventions research and clinical rehabilitation practice. FASTER is intended to be meaningful, timely, and practical for researchers, technology developers, clinicians, and others who develop these interventions and seek evidence. We incorporate research methods and designs that better align with creating technology-based interventions and evidence for integration into practice. We propose future activities to improve the generation of research evidence, enable the selection of research methods and designs, and create standards for evidence evaluation to support rigor and applicability for technology-based interventions. With this communication we aim to improve and advance technology-based intervention integration from conception to use, thus responsibly accelerating innovation to have greater positive benefit for people and society.
当前生成基于技术的干预措施在残疾和康复领域的高质量研究证据的方法并不合适。流行的方法通常侧重于将随机对照试验作为标准,并应用专为药物设计的临床试验实践;这种方法不适合基于技术的干预措施,并且与支持残疾人和为社会创造利益的目标背道而驰。本通讯旨在:(1)倡导在基于技术的干预措施的开发和评估中使用替代方法来生成证据;(2)提出替代框架和指导原则;(3)鼓励多个学科和部门采取行动,讨论、采用和推广替代方法。我们的基于技术的干预措施加速和系统开发和评估研究框架(FASTER)是由既定的创新设计流程、复杂干预措施的开发、评估和实施概念以及我们在基于技术的干预措施研究和临床康复实践中的集体经验所启发的。FASTER 旨在对研究人员、技术开发人员、临床医生和其他开发这些干预措施并寻求证据的人具有意义、及时性和实用性。我们结合了更适合创建基于技术的干预措施和证据以整合到实践中的研究方法和设计。我们提出了未来的活动,以改善研究证据的生成,使研究方法和设计的选择成为可能,并为证据评估创建标准,以支持基于技术的干预措施的严谨性和适用性。通过本通讯,我们旨在改善和推进从概念到使用的基于技术的干预措施的整合,从而负责任地加速创新,为个人和社会带来更大的积极利益。