Methods for disseminating research products and increasing evidence-based practice: Promises, obstacles, and future directions
Methods for disseminating research products and increasing evidence-based practice: Promises, obstacles, and future directions
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DOI：
10.1093/clipsy/9.4.367
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发表时间：
2002-12-01
影响因子：
5.8
通讯作者：
Addis, ME
中科院分区：
文献类型：
--
作者：
Addis, ME
虽然心理治疗传播研究的几种不同的基本原理已经得到了很好的阐述，但将研究成果应用于临床实践的最有效方法尚未确定。两种通常提出的方法是传播经验支持的治疗方法和传播一般的循证立场到临床决策。这两种方法的障碍包括：(a)对从业人员使用研究产品的能力的实际限制；(b)缺乏对不同实践背景下经验支持的治疗方法和现有服务的过程和结果的研究；(c)缺乏对研究产品对包括从业人员、客户和管理人员在内的最终用户的可接受性的研究；(d)缺乏对本科生、研究生整合科学与实践的培训的研究。在研究生阶段，(e)支持或惩罚基于证据的决策的系统性经济突发事件，以及(f)将传播构建为从研究到临床实践的分层和单向传播过程的趋势。详细审议了每一个障碍，然后就如何扩大传播工作的范围提出建议。
Although several different rationales for psychotherapy dissemination research have been well articulated, the most effective means for bringing research products to clinical practice have yet to be determined. Two commonly proposed methods are the dissemination of empirically supported treatments and the dissemination of general evidence-based stances to clinical decision making. Obstacles to either approach include (a) practical constraints on practitioners' ability to use research products, (b) lack of research on process and outcome of both empirically supported treatments and existing services in different practice contexts, (c) lack of research on acceptability of research products to end users including practitioners, clients, and administrators, (d) lack of research on training in the integration of science and practice at the undergraduate, graduate, and postgraduate levels, (e) systemic economic contingencies that favor or punish evidence-based decision making, and (f) the tendency to construct dissemination as a hierarchical and unidirectional process of transmission from research to clinical practice. Each obstacle is considered in detail and followed by recommendations for ways to broaden the scope of dissemination efforts.