对单个案例实验设计的系统质量审查,使用成人临床人群的接受和承诺疗法
Safia A M Luck1, Nima Golijani-Moghaddam2, David L Dawson2
1School of Medicine, The University of Nottingham & Nottinghamshire Healthcare NHS Foundation Trust.
Behavior therapy
|June 27, 2024
概括
这次审查发现,在接受和承诺疗法 (ACT) 对成人的研究中,很少有单个案例实验设计 (SCED). 大多数审查的研究都不符合严格的质量标准,这表明临床行为科学需要改进方法.
科学领域:
- 语境行为科学 语境行为科学
- 临床心理学 临床心理学
- 心理治疗研究 心理治疗研究
背景情况:
- 最近的出版物主张干预疗效研究,该研究包括特征因素.
- 单个案例实验设计 (SCED) 对于捕捉个人层面的变化过程是有价值的.
- 接受和承诺疗法 (ACT) 是一种广泛使用的治疗方法.
研究的目的:
- 系统地审查成人临床群体的ACT文献中SCED的利用和方法质量.
- 评估是否遵守已确定的设计标准,例如来自What Works Clearinghouse (WWC) 的标准.
主要方法:
- 根据PRISMA指南进行了系统审查.
- 搜索包括CINAHL,MEDLINE,PsycINFO,PsycArticles和OpenGrey,并通过参考列表检查进行了补充.
- 研究与WWC单个案例设计标准进行了评估,重点是多个基线设计和随机化.
主要成果:
- 26项研究符合资格标准,主要采用多个基线设计.
- 大多数 (24项研究) 不符合WWC标准,通常是由于参与者竞争不足.
- 审查发现临床ACT文献中SCEDs的稀缺性,并突出了当前的方法限制.
结论:
- 在成人临床群体的ACT文献中,显著缺乏高质量的SCED.
- 当前的方法实践往往没有达到严格的设计标准.
- 未来的研究应该优先考虑强大的SCED方法,以提高个人层面对ACT疗效的理解.
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