A vision of the next generation of behavioral therapies research in the addictions
A vision of the next generation of behavioral therapies research in the addictions
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DOI：
10.1111/j.1360-0443.2007.01798.x
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发表时间：
2007-06-01
期刊：
影响因子：
6
通讯作者：
Rounsaville, Bruce J.
中科院分区：
文献类型：
--
作者：
Carroll, Kathleen M.;Rounsaville, Bruce J.
经验支持的疗法走向何方，抑或枯萎？在行为疗法方面日益严谨的研究已经产生了大量有效的疗法，但相对较少的工作，表明将经验支持疗法（ESTs）整合到标准实践中可以显著改善患者的预后。评价无害环境技术及其在临床实践中的有效性的方法和策略是一项相当新的创新，许多悬而未决的问题仍然存在，例如在不同无害环境技术之间的选择以及在传播工作中应强调哪种类型的无害环境技术，哪种类型的临床医生应接受哪种类型的无害环境技术的培训，对各种类型的临床医生最有效的培训策略，需要持续的监督，以保持最低水平的治疗保真度和技能。在这篇综述中，我们呼吁更广泛地使用与无害环境技术传播有关的新的研究战略和方法；这些可能包括适应性设计、确定行动机制以促进更加强调有效的变革原则、培训和采用试验以及包括计算机辅助治疗和计算机辅助培训在内的新的执行战略。
Whither, or wither, empirically supported therapies? Increasingly rigorous research in behavioral therapies has yielded a large number of effective therapies, but comparatively little work, demonstrating that integrating empirically supported therapies (ESTs) into standard practice results in meaningful improvements in patient outcomes. Methodology and strategies for evaluating ESTs and their effectiveness in clinical practice is a fairly recent innovation, and a host of unanswered questions remain regarding issues such as selection among different ESTs and what type of ESTs should be emphasized in dissemination efforts, what type of clinicians should be trained in what type of ESTs, the most effective training strategies for various types of clinicians, the need for ongoing supervision to maintain minimum levels of treatment fidelity and skill. In this review, we call for broader use of new research strategies and methods relevant to dissemination of ESTs; these may include adaptive designs, identification of mechanisms of action to foster greater emphasis on effective change principles, training and adoption trials, as well as novel implementation strategies including computer-assisted therapy and computer-assisted training.