In defense of the randomized controlled trial for health promotion research

In defense of the randomized controlled trial for health promotion research
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DOI:
10.2105/ajph.2004.061713
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发表时间:
2006-07-01
影响因子:
12.7
通讯作者:
Zucker, D
Zucker, D
中科院分区:
医学2区
文献类型:
--
作者:
Rosen, L;Manor, O;Zucker, D

文献摘要

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关于生活方式在死亡率、发病率和生活质量中所起作用的压倒性证据,将现代健康促进这一年轻领域推向了中心舞台。这一领域充满了关于适当评价方法的激烈辩论。越来越多的随机设计被认为不适合健康促进研究。我们回顾了对随机试验的批评,这些批评引起了哲学和实践问题,我们将展示如何通过微小的设计修改来克服这些批评。通过反驳反对随机试验的论点,我们的工作有助于为健康促进研究建立一个健全的方法论基础。
The overwhelming evidence about the role lifestyle plays in mortality, morbidity, and quality of life has pushed the young field of modern health promotion to center stage. The field is beset with intense debate about appropriate evaluation methodologies. Increasingly, randomized designs are considered inappropriate for health promotion research.We have reviewed criticisms against randomized trials that raise philosophical and practical issues, and we will show how most of these criticisms can be overcome with minor design modifications. By providing rebuttal to arguments against randomized trials, our work contributes to building a sound methodological base for health promotion research.