Mock V, Hill M N, Dienemann J A, Grimm P M, Shivnan J C
Johns Hopkins Oncology Center, Baltimore, Maryland, USA.
Cancer Pract. 1996 Sep-Oct;4(5):267-73.
The difficulties encountered by investigators in conducting behavioral research with oncology patients have received little attention in the literature. This article provides a practical guide to problems that might be anticipated in the planning and conduct of behavioral research.
Problems include subject accrual and retention, development of a multidisciplinary research team, control of confounding variables, psychosocial instrumentation issues, and acceptance of the need for behavioral research. Methodological and feasibility issues are examined. Strategies for addressing the issues are presented.
Successful behavioral research in oncology requires firm grounding in clinical practice. Clinicians can improve the quality of research and thus, the scientific base for practice by joining or facilitating multidisciplinary research efforts.
肿瘤患者行为研究中研究者所遇到的困难在文献中很少受到关注。本文为行为研究规划与实施中可能预见的问题提供了实用指南。
问题包括受试者招募与留存、多学科研究团队的组建、混杂变量的控制、心理社会测量工具问题以及对行为研究必要性的接受度。探讨了方法学和可行性问题,并提出了解决这些问题的策略。
肿瘤学领域成功的行为研究需要扎实的临床实践基础。临床医生可通过参与或推动多学科研究工作来提高研究质量,进而提升实践的科学依据。