Mapping Evidence-Based Treatments for Children and Adolescents: Application of the Distillation and Matching Model to 615 Treatments From 322 Randomized Trials

Mapping Evidence-Based Treatments for Children and Adolescents: Application of the Distillation and Matching Model to 615 Treatments From 322 Randomized Trials
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DOI:
10.1037/a0014565
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发表时间:
2009-06-01
影响因子:
5.9
通讯作者:
Daleiden, Eric L.
Daleiden, Eric L.
中科院分区:
心理学1区
文献类型:
--
作者:
Chorpita, Bruce F.;Daleiden, Eric L.

文献摘要

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这项研究将蒸馏和匹配模型应用于 322 项儿童心理健康治疗的随机临床试验。该模型涉及通过一组描述离散临床策略(称为实践元素)的代码来减少 615 个治疗方案描述的初始数据。然后将实践要素总结为概况,并根据经验与客户因素(即观察到的问题、年龄、性别和种族)相匹配。概况相似性分析的结果表明,文献分为多个问题领域,其中一些年龄和种族的特殊案例以更高阶的分裂形式出现。这是第一项根据其组成治疗程序以经验方式汇总循证治疗方案的研究,其结果既指出了根据匹配因素的治疗程序的整体组织,也指出了当前儿童和青少年治疗文献中的差距。
This study applied the distillation and matching model to 322 randomized clinical trials for child mental health treatments. The model involved initial data reduction of 615 treatment protocol descriptions by means of a set of codes describing discrete clinical strategies, referred to as practice elements. Practice elements were then summarized in profiles, which were empirically matched to client factors (i.e., observed problem, age, gender, and ethnicity). Results of a profile similarity analysis demonstrated a branching of the literature into multiple problem areas, within which some age and ethnicity special cases emerged as higher order splits. This is the 1st study to aggregate evidence-based treatment protocols empirically according to their constituent treatment procedures, and the results point both to the overall organization of therapy procedures according to matching factors and to gaps in the current child and adolescent treatment literature.