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Behavioral therapies trials: a case example.

机译：行为疗法试验：一个案例。

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BACKGROUND: Behavior change is integral to the prevention and treatment of many disorders associated with deleterious lifestyles. Rigorous scientific testing of behavior change interventions is an important goal for nursing research. APPROACH: The stage model for behavioral therapy development is recommended as a useful framework for evaluating behavior change strategies. The NIH model specifies three stages from initial testing of novel behavioral therapies to their dissemination in community settings. Definitions of each step in a Stage I trial and a case example of Mindfulness-Based Stress Reduction (MBSR) in therapeutic community treatment are provided. RESULTS: It is feasible to adapt a behavioral therapy such as MBSR using the stage model framework. Steps in the process include: (a) determining pilot study design and describing the population; (b) modifying the intervention and developing the manual; (c) training the teachers; (d) implementing a pilot study; and (e) monitoring treatment integrity. DISCUSSION: The development of behavior therapies requires the same scientific rigor used in pharmacotherapy research. Stage I of the model enables consideration of the "dose" of a behavioral intervention necessary to achieve behavior change in a defined population. The stage model offers an excellent approach to achieving rigor in a variety of potentially useful therapies of interest to nurse researchers.
机译：背景：行为改变是预防和治疗与有害生活方式有关的许多疾病所不可或缺的。对行为改变干预措施进行严格的科学测试是护理研究的重要目标。方法：建议将行为疗法开发的阶段模型作为评估行为改变策略的有用框架。 NIH模型指定了从新的行为疗法的初始测试到在社区环境中传播的三个阶段。提供了阶段I试验中每个步骤的定义以及治疗性社区治疗中基于正念减压（MBSR）的案例。结果：使用阶段模型框架来适应行为疗法，例如MBSR是可行的。该过程的步骤包括：（a）确定试验研究设计并描述人群; （b）修改干预措施并编写手册; （c）培训教师; （d）进行试验研究; （e）监测治疗的完整性。讨论：行为疗法的发展需要与药物治疗研究相同的科学严谨性。该模型的第一阶段可以考虑为实现特定人群的行为改变所必需的行为干预的“剂量”。阶段模型提供了一种极好的方法，可以使护理研究人员感兴趣的各种潜在有用的疗法都能够达到严格的要求。

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