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首页> 外文期刊>The Australian and New Zealand journal of psychiatry >Appraising evidence for intervention effectiveness in early psychosis: conceptual framework and review of evaluation approaches.
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Appraising evidence for intervention effectiveness in early psychosis: conceptual framework and review of evaluation approaches.

机译：评估早期精神病干预效果的证据：概念框架和评估方法的审查。

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The literature that is relevant to evaluation of treatment effectiveness is large, scattered and difficult to assemble for appraisal. This scoping review first develops a conceptual framework to help organize the field, and second, uses the framework to appraise early psychosis intervention (EPI) studies. Literature searches were used to identify representative study designs, which were then sorted according to evaluation approach. The groupings provided a conceptual framework upon which a map of the field could be drawn. Key words were cross-checked against definitions in dictionaries of scientific terms and the National Library of Medicine Medical Subject Headings (MeSH) browser. Using the final list of key words as search terms, the EPI evaluation literature was appraised. Experimental studies could be grouped into two classes: efficacy and effectiveness randomized controlled trials. Non-experimental studies could be subgrouped into at least four overlapping categories: clinical epidemiological; health service evaluations; quality assurance studies; and, quasi-experimental assessments of treatment effects. Applying this framework to appraise EPI studies indicated promising evidence for the effectiveness of EPI irrespective of study design type, and a clearer picture of where future evaluation efforts should be focused. Reliance on clinical trials alone will restrict the type of information that can inform clinical practice. There is convergent evidence for the benefits of specialized EPI service functions across a range of study designs. Greater investment in health services research and quality assurance approaches in evaluating EPI effectiveness should be made, which will involve scaling up of study sizes and development of an EPI programme fidelity rating template. The degree of complexity of the evaluation field suggests that greater focus on research methodology in the training of Australasian psychiatrists is urgently needed.
机译：与治疗效果评估有关的文献很大，分散且难以收集用于评估。此范围界定审查首先建立了一个概念框架以帮助组织该领域，其次，使用该框架评估早期精神病干预（EPI）研究。文献检索用于确定代表性的研究设计，然后根据评估方法对其进行分类。这些分组提供了可以绘制田野地图的概念框架。根据科学术语词典和国家医学图书馆医学主题词（MeSH）浏览器中的定义对关键词进行了交叉检查。使用关键词的最终列表作为搜索词，对EPI评估文献进行了评估。实验研究可分为两类：有效性和有效性随机对照试验。非实验研究可以至少分为四个重叠的类别：临床流行病学;卫生服务评估;质量保证研究;以及对治疗效果的半实验评估。将这一框架用于评估EPI研究表明，无论研究设计类型如何，EPI有效性的有希望的证据，以及未来评估工作应重点放在哪里的清晰图片。仅依靠临床试验将限制可以为临床实践提供信息的信息类型。有广泛的证据表明，专门的EPI服务功能在一系列研究设计中的好处。应该加大对卫生服务研究和质量保证方法的投资，以评估EPI有效性，这将涉及扩大研究规模和开发EPI计划保真度评级模板。评价领域的复杂程度表明，迫切需要在研究澳大利亚方法学精神病学家方面更加重视研究方法。

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