Use of empirically supported interventions for psychopathology: can the participatory approach move us beyond the research-to-practice gap?
Use of empirically supported interventions for psychopathology: can the participatory approach move us beyond the research-to-practice gap?
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对精神病学的经验支持的干预措施的使用：参与式方法可以使我们超越练习差距？
DOI：
10.1016/j.brat.2009.02.007
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发表时间：
2009-04
影响因子：
4.1
通讯作者：
Woda S
中科院分区：
文献类型：
--
作者：
Becker CB;Stice E;Shaw H;Woda S
经验支持的精神病理学干预措施（ESIs）的传播或分发仍然是一个重大挑战。本文回顾了社区伙伴关系研究（community partnership research， CPR）的原理，并探讨了为什么CPR可以改善心理系统的分布。CPR的好处包括建立信任，汇集资源和知识，以及通过让社区成员直接参与研究的设计和实施，更好地为社区服务。此外，在使用CPR建立社区信任之后，研究人员可能会更好地与社区合作，通过社区网络进一步分发ESIs。本文回顾了基于失调的饮食失调预防干预措施的案例，以提供CPR如何促进社区（在本例中是姐妹会）采用和分发ESI的例子。然而，心肺复苏术也面临着许多挑战，因为它很耗时，并且并不总是与随机对照试验中使用的资助机制和研究设计相一致。此外，心肺复苏术不一定能解决培训提供者面临的挑战，尽管它可能有助于解决问题。最后，我们建议心肺复苏术的好处远远大于挑战，并希望更多的研究人员采用这些做法，以便更多的人可以从经验支持的心理干预中受益。
Dissemination, or distribution, of empirically-supported interventions (ESIs) for psychopathology remains a significant challenge. This paper reviews the principles of community-partnership research (CPR) and explores why CPR might improve distribution of psychological ESIs. Benefits of CPR include building trust, pooling resources and knowledge, and better serving a community by directly involving its members in the design and implementation of research. In addition, after establishing a community’s trust using CPR, researchers are likely to be better positioned to partner with communities in the further distribution of ESIs via community networks. This paper reviews the case of dissonance-based eating disorder prevention interventions to provide an example of how CPR can facilitate the adoption and distribution of an ESI by a community, in this case, sororities. CPR also presents a number of challenges, however, because it is time consuming and does not always align with funding mechanisms and research designs used in randomized controlled trials. Further, CPR does not necessarily solve the challenge of training providers, though it may help with problem solving. Ultimately, we suggest that the benefits of CPR far outweigh the challenges, and hope that more researchers will adopt these practices so that more individuals can benefit from empirically supported psychological interventions.
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