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Comparing rating paradigms for evidence-based program registers in behavioral health: Evidentiary criteria and implications for assessing programs

机译:比较行为健康中基于证据的计划注册者的评级范例:证据标准和对计划评估的影响

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摘要

Decision makers need timely and credible information about the effectiveness of behavioral health interventions. Online evidence-based program registers (EBPRs) have been developed to address this need. However, the methods by which these registers determine programs and practices as being "evidence-based" has not been investigated in detail. This paper examines the evidentiary criteria EBPRs use to rate programs and the implications for how different registers rate the same programs. Although the registers tend to employ a standard Campbellian hierarchy of evidence to assess evaluation results, there is also considerable disagreement among the registers about what constitutes an adequate research design and sufficient data for designating a program as evidence-based. Additionally, differences exist in how registers report findings of "no effect," which may deprive users of important information. Of all programs on the 15 registers that rate individual programs, 79% appear on only one register. Among a random sample of 100 programs rated by more than one register, 42% were inconsistently rated by the multiple registers to some degree.
机译:决策者需要有关行为健康干预措施有效性的及时,可靠的信息。为了解决这一需求,已经开发了基于在线证据的程序注册器(EBPR)。但是,尚未详细研究这些寄存器将程序和实践确定为“基于证据”的方法。本文研究了EBPR对程序进行评分的证据标准,以及不同注册人对同一程序进行评分的含义。尽管登记者倾向于采用标准的坎贝尔证据层次来评估评估结果,但登记者之间在构成适当的研究设计和足够的数据以将程序指定为基于证据的数据方面也存在很大分歧。此外,注册人报告“无效”调查结果的方式也存在差异,这可能会使用户失去重要信息。在对单个程序进行评级的15个寄存器中的所有程序中,只有79个出现在一个寄存器中。在由一个以上寄存器评定的100个程序的随​​机样本中,多个寄存器在一定程度上不一致地评定了42%。

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