基于证据的程序资源网站行为医疗干预措施评级的差异
Miranda Jade Lee-Easton1, Stephen Magura1
1Western Michigan University, Kalamazoo, MI, USA.
概括
基于证据的程序资源网站 (EBPRs) 在评分干预时经常存在分歧. 意见分歧主要来自于不同的评级标准,而不是引用的研究. 了解这些差异有助于选择有效的行为健康干预措施.
科学领域:
- 行为健康 行为健康
- 医疗保健服务研究 医疗服务研究
- 信息科学 信息科学 信息科学
背景情况:
- 行为健康领域的决策者需要工具来识别基于证据的干预措施.
- 基于证据的程序资源网站 (EBPR) 是这样的工具,但可能不同意干预评级.
- 这些分歧的原因尚不清楚.
研究的目的:
- 检查EBPR如何评价干预措施.
- 在对同一项干预措施进行评级时,确定EBPR之间分歧的来源.
- 测试不同的评级范式或证据基础导致分歧的假设.
主要方法:
- 确定了15个EBPR进行分析.
- 用于"证据级别"和使用的评级标准的编码EBPR.
- 在共同评价EBPR对之间的共同标准和研究中计算了Jaccard相似性.
- 采用了千平方,相关性和后勤回归分析.
主要成果:
- 在共享的Cochrane偏差风险标准和对干预评级的协议之间发现了负相关性.
- 共享研究的数量与对干预评级的共识之间没有关系.
- 评级标准的差异是EBPR之间分歧的主要原因.
结论:
- 评价行为健康干预措施的EBPR之间的分歧主要是由于其评级标准的差异.
- 由EBPRs使用的特定研究不会显著影响对干预评级的协议.
- 澄清EBPR方法对于一致的干预选择至关重要.
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