超越雅各布森和特鲁亚克斯:在应对能力干预中估计临床意义轨迹,使用测量错误纠正多级建模
Antonio A Morgan-López1, Lissette M Saavedra1, Heather L McDaniel2
1RTI International.
Behavior therapy
|April 26, 2025
概括
单独交付的应对能力 (CP) 显著改善了儿童的外部化问题,比小组CP. 高级分析显示,ICP的个体改善率更高,负面结果更少,提高了干预精度.
科学领域:
- 儿童心理学 儿童心理学
- 干预科学 干预科学
- 统计建模 统计建模
背景情况:
- 应对能力 (CP) 是一种针对儿童外部化问题的预防性干预.
- 群体CP (GCP) 是常见的,但个体CP (ICP) 显示出更大的外部化问题的平均减少.
- 标准的随机试验分析忽略了个人的变化轨迹.
研究的目的:
- 为了比较ICP和GCP之间的外部化问题的临床显著变化 (CSC).
- 应用一种新的测量错误纠正多层建模方法来进行CSC评估.
- 为 CSC 开发个人级别的效果大小指标,以解决 II 型错误.
主要方法:
- 一个360名参与者的ICP/GCP试验的二次分析.
- 使用了一种新的CSC方法,包括测量错误校正和多层次建模.
- 开发并应用了CSC的个体级效果大小指标 (科恩的d).
主要成果:
- 与GCP (45%) 相比,在ICP中显著更多的年轻人 (73%) 在外部化问题方面表现出临床显著的改善 (d ≥ 0.5).
- 在GCP中,有更高比例的年轻人经历了越来越严重的外部化问题.
- 一半的样本显示非统计学意义上的改善超过d ≥0.5,表明传统的CSC中潜在的II型错误.
结论:
- 与GCP相比,ICP在减少儿童外部化问题方面表现出卓越的个人水平有效性.
- 先进的CSC分析比标准的随机对照试验分析提供了对干预结果的更细致的见解.
- 新的CSC方法提高了估计个人层面干预效应的准确性.
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