基于互联网的抑郁症干预试验的利益冲突:系统审查和元回归
Thomas Munder1,2, Berit Barthelmes2,3, Lenny Weber2
1Department of Psychology, University of Kassel, Kassel, Germany.
概括
工业赞助和金融利益冲突在基于互联网的抑郁症干预试验中很常见. 这些因素,以及研究人员的忠诚度,可能会影响治疗效果,特别是在自我引导的干预中.
科学领域:
- 心理健康研究 心理健康研究
- 数字治疗学数字治疗学
- 临床试验方法论 临床试验方法论
背景情况:
- 基于互联网的干预 (IBI) 越来越多地用于抑郁症治疗.
- 了解IBI临床试验中的潜在偏差对于准确的疗效评估至关重要.
- 产业赞助 (INS),研究人员的金融利益冲突 (RFCI) 和研究人员忠诚 (RA) 是潜在的偏见来源.
研究的目的:
- 确定INS,RFCI和RA在临床试验中的患病率.
- 调查这些因素与治疗效果之间的关联.
主要方法:
- 对94项IBI (治疗师指导或自我指导) 与被动对照的比较进行了系统审查和元分析.
- 进行了元回归分析,以评估赞助,利益冲突,忠诚度和治疗效应之间的关系.
主要成果:
- 在38.24%的商业IBI试验中,Ins存在;在30.85%的RFCI和在79.79%的RA中存在.
- InS和RFCI与更大的治疗效果有关,特别是在自我引导的IBI中.
- 在本分析中,RA与治疗效应没有显著的关联.
结论:
- 在IBI抑郁症研究中,INS,RFCI和RA是普遍存在的,需要更多的关注.
- 由于INS和RFCI的影响,目前对自我引导IBI的疗效估计可能被高估了.
- 需要进一步的研究来澄清RA在IBI结果中的作用.
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