Evidentiary Pluralism as a Strategy for Research and Evidence-Based Practice in Rehabilitation Psychology.

Evidentiary Pluralism as a Strategy for Research and Evidence-Based Practice in Rehabilitation Psychology.
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证据多元化作为康复心理学研究和循证实践的策略。

DOI:
10.1037/a0012963
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发表时间:
2008
影响因子:
2.7
通讯作者:
Reed,GeoffreyM
Reed,GeoffreyM
中科院分区:
医学3区
文献类型:
--
作者:
Tucker,JalieA;Reed,GeoffreyM

文献摘要

被引文献

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目的:本文探讨了证据多元化的效用,这是一种在康复心理学背景下选择服务于内容问题的方法的研究策略。讨论了倾向于随机对照临床试验(RCT)而不是其他证据的分层观点,并且考虑随机对照临床试验,因为它们与该领域的问题相交叉。随机对照试验对于确定治疗效果至关重要,但它们是否一致是指导实践的最佳证据需要严格评估。结论:作者认为,由于治疗只是随着时间的推移影响功能、残疾和参与的几个变量之一,因此应以知情的方式选择一套扩展的概念和数据分析方法,以支持扩展的研究议程,其中调查治疗和治疗外对康复过程和结果的影响。考虑了证据多元化的好处,包括有助于缩小较窄的临床康复模型和公共卫生残疾模型之间差距的好处。(PsycInfo 数据库记录 (c) 2020 APA,保留所有权利)
Objective: This article examines the utility of evidentiary pluralism, a research strategy that selects methods in service of content questions, in the context of rehabilitation psychology. Hierarchical views that favor randomized controlled clinical trials (RCTs) over other evidence are discussed, and RCTs are considered as they intersect with issues in the field. RCTs are vital for establishing treatment efficacy, but whether they are uniformly the best evidence to inform practice is critically evaluated. Conclusions: The authors argue that because treatment is only one of several variables that influence functioning, disability, and participation over time, an expanded set of conceptual and data analytic approaches should be selected in an informed way to support an expanded research agenda in which therapeutic and extratherapeutic influences on rehabilitation processes and outcomes is investigated. The benefits of evidentiary pluralism are considered, including those that help close the gap between the narrower clinical rehabilitation model and a public health disability model.(PsycInfo Database Record (c) 2020 APA, all rights reserved)