从系统性审查和对影响评估的元分析得出的概括逻辑
1Graduate School of Social Work and Social Research, Bryn Mawr College, Bryn Mawr, PA, USA.
Evaluation review
|January 23, 2024
概括
系统评论提供因果推断,但与一般化性作斗争. 一种新的方法评估干预效应如何适用于各种现实环境,改善基于证据的决策.
科学领域:
- 公共卫生 公共卫生
- 生物统计学 生物统计学
- 心理学 心理学 心理学
背景情况:
- 系统性审查和元分析对于因果推断和告知政策至关重要.
- 从综述中对各种背景的发现进行概括,缺乏一个成熟的框架.
- 评估研究证据在实践中的适用性是一个重大挑战.
研究的目的:
- 提出一个务实的方法来评估系统审查和元分析中发现的概括性.
- 将这种方法应用于对青年和家庭心理社会干预措施的审查.
- 突出影响概括性的当前评估实践的局限性.
主要方法:
- 该方法整合了采样理论,认识体系不确定性和通用因果推断原则.
- 应用于基于证据的心理社会干预措施的两个系统审查和元分析.
- 检查了有关人口和治疗的包括评估的代表性.
主要成果:
- 系统性审查中的评估可能不代表目标人群或治疗方法.
- 可概括性受到偏差风险,不确定的估计和不充分的描述性数据的限制.
- 系统审查可以测试概括性,探索异质性,并确定效果调节者.
结论:
- 来自系统审查的聚合估计可能不代表更广泛的背景.
- 对影响评估和系统审查报告的进一步改进是必要的.
- 需要使用可通用性评估的实用方法来指导各种环境中的干预应用.
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