Evidence-based behavioral medicine: What is it and how do we achieve it?

Evidence-based behavioral medicine: What is it and how do we achieve it?
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DOI:
10.1207/s15324796abm2603_01
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发表时间:
2003-12-01
影响因子:
3.8
通讯作者:
Whitlock, EP
Whitlock, EP
中科院分区:
心理学2区
文献类型:
--
作者:
Davidson, KW;Goldstein, M;Whitlock, EP

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循证医学的最终目标是改善患者的治疗效果和护理质量。需要对现有已发表的证据进行系统审查,以确定能够改善行为、健康和福祉的干预措施。权威文献综述依赖于已发表的研究和研究报告的质量。制定试验报告综合标准(CONSORT)声明(www.consort-statement.org)是为了改进医学期刊上涉及随机临床试验(rct)的干预措施的设计和报告。我们描述了22条CONSORT指南,并解释了它们在行为医学研究和循证实践中的应用。还提出了其他行为医学特定指南(例如,治疗依从性)。临床医生、教育工作者、政策制定者和设计、报告、评估或审查随机对照试验的研究人员使用这些指南将加强研究本身,并加快应用行为医学研究以改进行为医学实践的过程和结果的努力。
The goal of evidence-based medicine is ultimately to improve patient outcomes and quality of care. Systematic reviews of the available published evidence are required to identify interventions that lead to improvements in behavior, health, and wellbeing. Authoritative literature reviews depend on the quality of published research and re search reports. The Consolidated Standards for Reporting Trials (CONSORT) Statement (www.consort-statement.org) was developed to improve the design and reporting of interventions involving randomized clinical trials (RCTs) in medical journals. We describe the 22 CONSORT guidelines and explain their application to behavioral medicine research and to evidence-based practice. Additional behavioral medicine-specific guidelines (e. g., treatment adherence) are also presented. Use of these guidelines by clinicians, educators, policymakers, and researchers who design, report, and evaluate or review RCTs will strengthen the research itself and accelerate efforts to apply behavioral medicine research to improve the processes and outcomes of behavioral medicine practice.