评估大学咨询服务的证据基础及其使用CORE措施的有效性:系统性审查和元分析
Caitlin Collins1, Emma Broglia1, Michael Barkham1
1School of Psychology, The University of Sheffield, United Kingdom of Great Britain and Northern Ireland.
Journal of affective disorders
|December 9, 2024
概括
大学咨询服务有效地减少了学生的心理困扰,特别是在使用多种疗法时. 常规的结果措施对于证明有效性至关重要,尽管采用仍然是一个挑战.
科学领域:
- 心理学 心理学 心理学
- 高等教育研究 高等教育研究
- 临床心理学 临床心理学
背景情况:
- 常规结果测量 (ROM),如常规评估结果测量中的临床结果 (CORE-OM),对于评估心理功能和在大学咨询服务 (UCSs) 中展示基于证据的实践至关重要.
- 在高等教育服务中,有限的数据使用和ROM的采用限制了对其有效性的理解.
- 本系统性审查和元分析涉及内部UCS和ROM利用的证据基础.
研究的目的:
- 系统地审查和元分析内部大学咨询服务 (UCSs) 有效性的证据.
- 评估常规结果测量 (ROMs) 对大学生心理功能评估的影响.
- 为了比较使用多种疗法和单一疗法的UCS的有效性.
主要方法:
- 按照PRISMA指导方针进行系统审查和元分析,并预先在PROSPERO上注册该协议.
- 从2021年3月到2024年5月进行的Scopus,PsycInfo,Opengrey,参考列表和谢菲尔德星的搜索.
- 进行了子组分析,以比较采用多种疗法和单一疗法的服务的有效性.
主要成果:
- 分析包括13项研究 (N=14,795),并对15项研究进行了叙事综合 (N=28,237).
- CORE-OM数据显示,前后效应的大小 (g=1.19),表明学生心理困扰显著减少.
- 使用一系列疗法的服务与使用单一疗法 (g=0.90) 的服务相比,显示了显著更大的效果大小 (g=1.34).
结论:
- 尽管研究数量有限,但质量很好,UCS证明比没有治疗基准更有效.
- 大学辅导服务在改善学生心理健康方面表现出相当大的有效性.
- 建议增加ROM的采用和一致使用,以提高UCS有效性的评估,并确定需要改进的领域.
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