References to Evidence-based Program Registry (EBPR) websites for behavioral health in U.S. state government statutes and regulations.
References to Evidence-based Program Registry (EBPR) websites for behavioral health in U.S. state government statutes and regulations.
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DOI：
10.1177/19367244221078278
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发表时间：
2022-06
影响因子：
--
通讯作者：
Greenman, Gregory 2nd
中科院分区：
文献类型：
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作者：
Lee, Miranda J;Maranda, Michael J;Magura, Stephen;Greenman, Gregory 2nd
美国各州政府有责任监管和许可行为医疗干预措施，如成瘾和精神疾病，并越来越重视实施循证计划（EBP）。这方面的一个严重障碍是对什么是“循证”缺乏明确性或一致意见。这项研究的目的是确定在何种程度上以及在何种情况下，基于网络的循证计划注册（EBPR）被引用在州政府法规和条例（“任务”）有关行为医疗保健。例如：What Works Clearinghouse; National Register of Evidence-based Programs and Practices;科克伦系统评价数据库。该研究采用了Westlaw法律的研究数据库，在所有50个州的法规和规章范围内搜索30个与行为医疗保健相关的已知EBPR网站。在与行为医疗保健有关的州法规和条例中，EBPR引用的流行率较低; 20个州共有33项引用EBPR的任务。这些授权通常不依赖于EBPR作为将项目或实践分类为“循证”的唯一可接受来源。相反，EBPR是结合内部状态或外部信息来源来命名的，这些信息来源可能不如EBPR有效，以确定什么是“基于证据的”。需要在负责制定政策的州立法者和监管机构中培养对基于科学的EBPR的更高认识及其优势的更好理解，以增加或改善美国行为医疗保健中循证计划和实践的使用。
U.S. state governments have the responsibility to regulate and license behavioral healthcare interventions, such as for addiction and mental illness, with increasing emphasis on implementing evidence-based programs (EBPs). A serious obstacle to this is lack of clarity or agreement about what constitutes “evidence-based.” The study’s purpose was to determine the extent to which and in what contexts web-based Evidence-based Program Registries (EBPRs) are referenced in state government statutes and regulations (“mandates”) concerning behavioral healthcare. Examples are: What Works Clearinghouse; National Register of Evidence-based Programs and Practices; Cochrane Database of Systematic Reviews. The study employed the Westlaw Legal Research Database to search for 30 known EBPR websites relevant to behavioral healthcare within the statutes and regulations of all 50 states. There was low prevalence of EBPR references in state statutes and regulations pertaining to behavioral healthcare; 20 states had a total of 33 mandates that referenced an EBPR. These mandates usually do not rely on an EBPR as the sole acceptable source for classifying a program or practice as “evidence-based.” Instead, EBPRs were named in conjunction with internal state or external sources of information about putative program effectiveness, which may be less valid than EBPRs, to determine what is “evidence-based.” Greater awareness of scientifically - based EBPRs and greater understanding of their advantages need to be fostered among state legislators and regulators charged with making policy to increase or improve the use of evidence-based programs and practices in behavioral healthcare in the U.S.