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问题博和博障碍的动机-采访-知情干预措施:系统性审查和元分析
David P Forman1, Joseph R Boughter2, Nicholas W McAfee3
1Department of Psychology, University of New Mexico.
概括
这次审查发现,在博研究中,动机面试 (MI) 完整性的证据有限. 根据MI的干预措施对博行为和症状严重程度的影响很小,这表明以前的分析可能高估了影响.
科学领域:
- 行为心理学 行为心理学
- 临床心理学 临床心理学
- 公共卫生 公共卫生
背景情况:
- 激励面试 (MI) 是一种辅导方法,用于帮助个人改变行为.
- 博问题和博障碍是严重的公共卫生问题,需要有效的干预措施.
- 在临床试验中评估MI的完整性和有效性对于基于证据的实践至关重要.
研究的目的:
- 在随机对照试验 (RCT) 中系统地审查激励面试 (MI) 的完整性.
- 对MI知情干预与对照条件对博行为和症状严重性的影响进行元分析.
主要方法:
- 在五个数据库中对已发表和未发表的RCT进行系统审查.
- 纳入标准:随机分配参与者到MI信息或对照条件的研究.
- 在治疗后和随访时对Hedges的g效应大小进行随机效应元分析.
主要成果:
- 确定了七项研究 (796名参与者);MI干预缺乏明确的描述,不符合MI完整性标准.
- 博频率,支出和症状严重程度的结果在治疗后和随访时,在心脏病告知和对照组之间几乎是相同的.
- 所有结局的效果大小在治疗后和随访时都接近于零.
结论:
- 关于MI的完整性和有效性在博问题上存在有限的知识.
- 以前的元分析可能高估了MI告知干预的孤立效应.
- 未来的研究需要客观的忠实性监测和设计,以隔离MI对博结果的影响.
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