scale

规模
  • 文章类型: Editorial
    大量证据表明,育儿计划对儿童和家庭产生积极影响,突出了大规模实施这些计划的潜在公共卫生益处。尽管有证据和全球关注,除了通过随机试验高度控制的育儿计划,对计划的有效性或如何解释在社区环境中实施时通常观察到的较差结果知之甚少。研究人员,从业者,和政策制定者必须共同努力,以确定在现实世界的服务系统中促进采用和维持基于证据的育儿计划所需要的东西,以及如何通过这些系统交付时提高计划的有效性。收集,分析,使用促进者保真度数据是研究人员和从业人员可以做出贡献的重要前沿。在这篇评论中,我们概述了评估促进者保真度和利用这些评估产生的数据的价值;描述研究中的差距,知识,和实践;并推荐研究和实践方向。在提出建议时,我们描述了一个协作过程,以制定初步指南-育儿计划实施指南或FIPP-在报告促进者保真度时使用。请读者完成在线调查,以提供对指南初稿的意见和反馈。
    在线版本包含10.1007/s43477-023-00092-5提供的补充材料。
    The sizeable body of evidence indicating that parenting programs have a positive impact on children and families highlights the potential public health benefits of their implementation on a large scale. Despite evidence and global attention, beyond the highly controlled delivery of parenting programs via randomized trials, little is known about program effectiveness or how to explain the poorer results commonly observed when implemented in community settings. Researchers, practitioners, and policymakers must work together to identify what is needed to spur adoption and sustainment of evidence-based parenting programs in real-world service systems and how to enhance program effectiveness when delivered via these systems. Collecting, analyzing, and using facilitator fidelity data is an important frontier through which researchers and practitioners can contribute. In this commentary, we outline the value of assessing facilitator fidelity and utilizing the data generated from these assessments; describe gaps in research, knowledge, and practice; and recommend directions for research and practice. In making recommendations, we describe a collaborative process to develop a preliminary guideline-the Fidelity of Implementation in Parenting Programs Guideline or FIPP-to use when reporting on facilitator fidelity. Readers are invited to complete an online survey to provide comments and feedback on the first draft of the guideline.
    UNASSIGNED: The online version contains supplementary material available at 10.1007/s43477-023-00092-5.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    目标:“牙科焦虑症”(DA)的患病率通常被低估,牙科医师可以使用多种诊断方法。很难区分需要跨学科方法的牙科恐惧症和DA,这可以由牙科医生单独管理。适当使用诊断工具是成功管理高度焦虑和/或恐惧症患者的关键。目的是提供一种指南,以识别牙科恐惧并将DA与高度焦虑甚至有恐惧症的患者区分开。数据来源:总计,在PubMed中选择了8,929篇用于制定德国“成人牙科焦虑”指南的文章,WebofScience,Embase,和MedPilot进行筛选以诊断DA障碍。本次审查的重点是使用量表来测量DA水平。对51篇综述的文章中用于评估DA水平的方法和工具进行了评估,以其实用性和在日常实践中的适用性来区分恐惧症(即,DA障碍)和非病理性焦虑。此外,确定问卷/工具的内部一致性(Cronbachalpha)。结论:所有用德语验证的DA问卷均具有可接受的至出色的内部一致性(0.7至0.986)。唯一有效的无问卷方法是皮肤电反应测量。为了评估成人的DA和诊断DA疾病,通过任何合适的问卷或甚至几个问卷结合患者的行为观察的方式进行调查是目前的选择方法。
    Objectives: The prevalence of \"dental anxiety\" (DA) is often underestimated and numerous diagnostic methods are available for dental practitioners. It is difficult to differentiate between a dental phobia requiring an interdisciplinary approach and DA, which can be managed by dental practitioners alone. The appropriate use of diagnostic tools is key for the successful management of highly anxious and/or phobic patients. The aim was to provide a guideline to recognize dental fear and to differentiate DA from patients who are highly anxious or even have a phobia. Data sources: In total, 8,929 articles that were selected for the development of the German guidelines for \"Dental anxiety in adults\" in PubMed, Web of Science, Embase, and MedPilot were filtered for diagnosis of DA disorder. The focus for this review was on the use of scales to measure DA levels. The methods and tools used in the 51 reviewed articles to assess DA levels were evaluated in terms of their practicability and suitability in daily practice to differentiate between phobia (ie, DA disorder) and nonpathologic anxiety. In addition, the internal consistency (Cronbach alpha) of the questionnaires/tools was determined. Conclusion: All identified DA questionnaires validated in the German language had an acceptable to excellent internal consistency (0.7 to 0.986). The only validated questionnaire-free method was galvanic skin reaction measurement. For the assessment of DA and diagnosis of a DA disorder in adults, the survey by means of any suitable questionnaire or even several questionnaires in combination with a behavioral observation of the patient is currently the method of choice.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

公众号