Information without Implementation: A Practical Example for Developing a Best Practice Education Control Group.

Information without Implementation: A Practical Example for Developing a Best Practice Education Control Group.
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DOI:
10.1080/15402002.2015.1036271
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发表时间:
2016-09
影响因子:
3.1
通讯作者:
Korff MV
Korff MV
中科院分区:
医学3区
文献类型:
--
作者:
Balderson BH;McCurry SM;Vitiello MV;Shortreed SM;Rybarczyk BD;Keefe FJ;Korff MV

文献摘要

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本文考虑了建立一个纯教育控制组的方法,并提出了一个简单的方法来设计严格的和被广泛接受的控制组。该方法已在一项大型随机试验中得到证实。生活方式试验(n=367)比较了三组干预:1)骨关节炎疼痛的认知行为治疗(CBT), 2)骨关节炎疼痛和失眠的认知行为治疗(CBT),以及3)教育控制(EOC)。EOC模拟了干预措施,排除了假设的治疗成分,并控制了非特异性治疗效果。结果表明,这种方法产生了一个高度可信和可接受的对照组。这种方法可以为在行为干预试验中建立高质量的控制组提供有效和实用的指导。
This paper considers methodology for developing an education only control group and proposes a simple approach to designing rigorous and well-accepted control groups. This approach is demonstrated in a large randomized trial. The Lifestyles trial (n=367) compared three group interventions: 1) cognitive-behavioral treatment (CBT) for osteoarthritis pain, 2) CBT for osteoarthritis pain and insomnia, and 3) education only control (EOC). EOC emulated the interventions excluding hypothesized treatment components and controlling for non-specific treatment effects. Results showed this approach resulted in a control group that was highly credible and acceptable to patients. This approach can be an effective and practical guide for developing high quality control groups in trials of behavioral interventions.