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Broadening the evidentiary basis for clinical practice guidelines: Recommendations from qualitative psychotherapy researchers.
American Psychologist ( IF 12.3 ) Pub Date : 2024-08-12 , DOI: 10.1037/amp0001363
Heidi M Levitt 1 , Andreas Hamburger 2 , Clara E Hill 3 , John McLeod 4 , Antonio Pascual-Leone 5 , Ladislav Timulak 6 , Michael B Buchholz 2 , Joerg Frommer 7 , Jairo Fuertes 8 , Shigeru Iwakabe 9 , Claudio Martínez 10 , Zenobia Morrill 11 , Sarah Knox 12 , Phil Langer 2 , J Christopher Muran 8 , Hanne Weie Oddli 13 , Tomáš Řiháček 14 , Alemka Tomicic 10 , Rivka Tuval-Mashiach 15
Affiliation  

To improve the provision of psychotherapy, many countries have now established clinical practice guidelines for the treatment of specific disorders and mental health concerns. These guidelines have typically been based on evidence from meta-analyses of randomized clinical trials with minimal consideration of findings from qualitative research designs. This said, there has been growing interest in incorporating qualitative research in guideline development processes from both stakeholders and guideline development bodies. In this international collaboration, 19 qualitative psychotherapy researchers from 10 countries articulated the benefits of including qualitative findings within the guideline development process and generated recommendations for guideline developers. The underlying question of this report was "Why and how should qualitative research be used in efforts to develop guidance for psychotherapy practice?" The advantages of reviewing qualitative findings included the ability to identify treatment patterns at the level of in-session dynamics, cultural contexts, interpersonal relationships, and internal experiences, thereby creating guidance that is responsive to clients' needs in the moment-to-moment therapy process. Recommendations are offered at the systemic level (e.g., guideline formation processes, methods of education, research funding priorities). Also, methodological advice is offered for guideline developers when selecting to incorporate qualitative research in the implementation of an expanded guideline development process. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

中文翻译:


扩大临床实践指南的证据基础:定性心理治疗研究人员的建议。



为了改善心理治疗的提供,许多国家现已制定了治疗特定疾病和心理健康问题的临床实践指南。这些指南通常基于随机临床试验荟萃分析的证据,很少考虑定性研究设计的结果。也就是说,利益相关者和指南制定机构越来越有兴趣将定性研究纳入指南制定过​​程。在这次国际合作中,来自 10 个国家的 19 名定性心理治疗研究人员阐述了将定性研究结果纳入指南制定过​​程的好处,并为指南制定者提出了建议。该报告的根本问题是“为什么以及如何应该使用定性研究来制定心理治疗实践指南?”审查定性研究结果的优点包括能够在疗程动态、文化背景、人际关系和内部经验水平上识别治疗模式,从而创建响应客户即时治疗需求的指导过程。在系统层面提供建议(例如,指南形成过程、教育方法、研究资助优先事项)。此外,当指南制定者选择将定性研究纳入实施扩展指南制定过​​程时,还可以为指南制定者提供方法学建议。 (PsycInfo 数据库记录 (c) 2024 APA,保留所有权利)。
更新日期:2024-08-12
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