在行为改变干预的随机对照试验中记录伤害:范围审查和证据的地图
Diana Papaioannou1, Sienna Hamer-Kiwacz1, Cara Mooney1
1Clinical Trials Research Unit, Division of Population Health, University of Sheffield, Regent Court, 30 Regent Street, Sheffield, S1 4DA, UK.
Journal of clinical epidemiology
|February 9, 2024
概括
行为改变干预 (BCI) 可能会造成伤害. 本次审查确定了危害类别,危害机制,并建议改进BCI的记录方法,以提高患者安全.
科学领域:
- 健康行为研究研究健康行为研究
- 干预科学科学干预科学
- 患者安全 患者安全
背景情况:
- 随机对照试验 (RCT) 评估各种干预措施,包括医疗和行为改变干预措施 (BCI).
- 与BCI相关的危害在RCT中经常被记录得很差或不一致.
- 现有的文献缺乏全面的分类和方法来识别和记录与BCI相关的危害.
研究的目的:
- 整理和描述有关BCI产生的危害类别,定义和机制的文献.
- 确定检测可信危害的方法.
- 为BCI中对危害的一致和准确记录提供建议.
主要方法:
- 进行了全面的范围审查.
- 在三个数据库中进行了搜索:MEDLINE,PsycINFO和CINAHL,并通过参考列表和引用检查进行了补充.
- 包括讨论BCI相关危害,其类别,机制或记录方法的文章,无论研究设计如何.
主要成果:
- 该审查包括37篇文章,其中19篇为主题审查和18篇为危害对照审查做出了贡献.
- 确定的危害类别包括身体,心理,社会,文化,公平,经济和环境.
- 关于记录伤害的建议强调了比例的方法,多样化的观点 (例如,护理人员) 和定性方法;还描述了一种识别可信伤害的三步方法.
结论:
- 改变行为干预措施有可能造成伤害.
- 本综述综合了与BCI相关的危害类别和建议机制.
- 这些发现为开发标准化方法和建议在未来的BCI研究中识别和记录危害提供了基础.
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