青年有效性试验中的外部和内部有效性考虑:从COMET研究中吸取的教训
Amanda Jensen-Doss1, Grace Woodard1, Zabin Patel-Syed2
1Department of Psychology, University of Miami.
概括
有效性试验在招聘和保留方面面临挑战,这影响了概括性. 青少年情绪障碍结果监测社区研究 (COMET) 试验突出了这些问题,为未来的研究提供了建议.
科学领域:
- 临床心理学 临床心理学
- 公共卫生研究 公共卫生研究
- 实施科学 实施科学
背景情况:
- 有效性试验旨在提高干预措施的通用性和公共卫生影响.
- 这些试验中的挑战可能会威胁到外部和内部有效性.
研究的目的:
- 为了说明有效性试验中的挑战,使用来自两站随机试验的数据.
- 为未来的疗效研究提出建议.
主要方法:
- 青少年情绪障碍结果监测社区研究 (COMET) 是一项随机有效性试验.
- 它比较了19个社区心理健康诊所的三个干预措施:通常的治疗 (TAU),TAU与基于测量的护理 (TAU+) 以及MBC青少年情绪障碍跨诊断治疗的统一协议 (UPA).
- 对176名临床医生和196名青少年的参与者流动,特征和地点差异进行了分析.
主要成果:
- 招聘和留住临床医生和青少年证明具有挑战性,引发了代表性问题.
- 该研究成功招募了多样化的临床医生和青少年样本,包括种族/种族少数群体,低收入和临床复杂的年轻人.
- 在两个研究地点之间观察到关于参与者特征的显著差异.
结论:
- 招聘和留守方面的困难引发了对研究结果外部有效性的质疑.
- 场地差异对研究的内部有效性构成挑战.
- 该研究建议将实施科学方法纳入未来的有效性研究.
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