Outpatient interventions for adolescent substance abuse: A quality of evidence review
Outpatient interventions for adolescent substance abuse: A quality of evidence review
复制标题
DOI：
10.1037/0022-006x.76.4.531
复制
发表时间：
2008-08-01
影响因子：
5.9
通讯作者：
Curry, John F.
中科院分区：
文献类型：
--
作者：
Becker, Sara J.;Curry, John F.
以前的审查门诊干预青少年药物滥用的程度有限，他们认为个别研究的方法质量。作者评估了31项关于青少年药物滥用门诊干预的随机试验的14个试验质量属性。计算每项研究的证据质量评分，并用于比较支持不同门诊干预措施的证据。在所有研究中，经常报告的方法学属性包括存在主动比较条件、报告基线数据、使用治疗手册和验证自我报告的结局。不常报告的属性包括把握度和样本量的确定、将参与者随机分配到条件的技术、假设和主要结局的规范、治疗依从性评级的使用、盲法评估和分析中的脱落率。在2项或2项以上方法学更强的研究中有直接优势证据的治疗模式包括生态家庭疗法、简短的动机干预和认知行为疗法。
Previous reviews of outpatient interventions for adolescent substance abuse have been limited in the extent to which they considered the methodological quality of individual studies. The authors assessed 31 randomized trials of outpatient interventions for adolescent substance abuse on 14 attributes of trial quality. A quality of evidence score was calculated for each study and used to compare the evidence in support of different outpatient interventions. Across studies, frequently reported methodological attributes included presence of an active comparison condition, reporting of baseline data, use of treatment manuals, and verification of self-reported outcomes. Infrequently reported attributes included power and determination of sample size, techniques to randomize participants to condition, specification of hypotheses and primary outcomes, use of treatment adherence ratings, blind assessment, and inclusion of dropouts in the analysis. Treatment models with evidence of immediate superiority in 2 or more methodologically stronger studies included ecological family therapy, brief motivational interventions, and cognitive-behavioral therapy.