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美国儿童与青少年精神病学会2005年研究论坛:加速循证实践在儿童精神病学中的应用

AACAP 2005 Research Forum: speeding the adoption of evidence-based practice in pediatric psychiatry.

作者信息

March John S, Szatmari Peter, Bukstein Oscar, Chrisman Allan, Kondo Douglas, Hamilton John D, Kremer Charlotte M E, Kratochvil Christopher J

机构信息

Drs. March, Chrisman, and Kondo are with the Department of Psychiatry, Duke University Medical Center, Durham, NC; Dr. Szatmari is with the Department of Psychiatry at McMaster University, Hamilton, Ontario; Canada; Dr. Bukstein is with Western Psychiatric Institute and Clinic, University of Pittsburgh; Dr. Hamilton is with The Permanente Medical Group of California; Dr. Kremer is with Pfizer, Inc.; Dr. Kratochvil is with the Department of Psychiatry, University of Nebraska Medical Center, Omaha..

Drs. March, Chrisman, and Kondo are with the Department of Psychiatry, Duke University Medical Center, Durham, NC; Dr. Szatmari is with the Department of Psychiatry at McMaster University, Hamilton, Ontario; Canada; Dr. Bukstein is with Western Psychiatric Institute and Clinic, University of Pittsburgh; Dr. Hamilton is with The Permanente Medical Group of California; Dr. Kremer is with Pfizer, Inc.; Dr. Kratochvil is with the Department of Psychiatry, University of Nebraska Medical Center, Omaha.

出版信息

J Am Acad Child Adolesc Psychiatry. 2007 Sep;46(9):1098-1110. doi: 10.1097/chi.0b013e318074eb48.

Abstract

OBJECTIVES

At the 2005 Annual Meeting of the American Academy of Child and Adolescent Psychiatry (AACAP), the Academy's Workgroup on Research conducted a Research Forum entitled "Increasing Research Literacy Through the Adoption of Evidence-Based Practice (EBP) in Pediatric Psychiatry."

METHOD

Forum participants focused on speeding the adoption of EBP across five areas: EBP as the preferred heuristic for teaching research literacy, use of EBP in training programs, dissemination of EBP in clinical practice, EBP in partnership with industry, and EBP as a framework for developing practice guidelines.

RESULTS

EBP provides an easy-to-understand method for accessing and evaluating the research literature and then applying this information to decisions about patient care. Although EBP has been gaining greater visibility in pediatric psychiatry, it is far from the preferred heuristic. To move the field toward fully embracing EBP will require greater understanding of what EBP is (and is not), educating mental health professionals in EBP skills, access to EBP resources, and a commitment to apply EBP to the conceptualization and design of research protocols and practice guidelines.

CONCLUSIONS

Pediatric psychiatry would benefit from a principled commitment to follow other areas of medicine in adopting EBP.

摘要

目标

在2005年美国儿童与青少年精神病学会(AACAP)年会上,该学会的研究工作组举办了一场名为“通过在儿童精神病学中采用循证实践(EBP)提高研究素养”的研究论坛。

方法

论坛参与者聚焦于在五个领域加速循证实践的采用:循证实践作为教授研究素养的首选启发法、循证实践在培训项目中的应用、循证实践在临床实践中的传播、与行业合作的循证实践以及循证实践作为制定实践指南的框架。

结果

循证实践提供了一种易于理解的方法,用于获取和评估研究文献,然后将这些信息应用于患者护理决策。尽管循证实践在儿童精神病学中越来越受关注,但它远非首选的启发法。要推动该领域全面接受循证实践,需要更深入地理解循证实践是什么(以及不是什么),对心理健康专业人员进行循证实践技能教育,提供循证实践资源,并致力于将循证实践应用于研究方案和实践指南的概念化与设计。

结论

儿童精神病学若能像其他医学领域一样有原则地致力于采用循证实践,将会从中受益。

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