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    Examination of the analytic quality of behavioral health randomized clinical trials

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    Authors
    Spring, Bonnie J.
    Pagoto, Sherry L.
    Knatterud, Genell L.
    Kozak, Andrea T.
    Hedeker, Donald
    UMass Chan Affiliations
    Department of Medicine, Division of Preventive and Behavioral Medicine
    Document Type
    Journal Article
    Publication Date
    2006-11-23
    Keywords
    Behavioral Medicine
    *Bibliometrics
    Data Interpretation, Statistical
    Evidence-Based Medicine
    Humans
    Periodicals as Topic
    Practice Guidelines as Topic
    Randomized Controlled Trials as Topic
    United States
    Behavioral Disciplines and Activities
    Behavior and Behavior Mechanisms
    Community Health and Preventive Medicine
    Preventive Medicine
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    Link to Full Text
    http://dx.doi.org/10.1002/jclp.20334
    Abstract
    Adoption of evidence-based practice (EBP) policy has implications for clinicians and researchers alike. In fields that have already adopted EBP, evidence-based practice guidelines derive from systematic reviews of research evidence. Ultimately, such guidelines serve as tools used by practitioners. Systematic reviews of treatment efficacy and effectiveness reserve their strongest endorsements for treatments that are supported by high-quality randomized clinical trials (RCTs). It is unknown how well RCTs reported in behavioral science journals fare compared to quality standards set forth in fields that pioneered the evidence-based movement. We compared analytic quality features of all behavioral health RCTs (n = 73) published in three leading behavioral journals and two leading medical journals between January 2000 and July 2003. A behavioral health trial was operationalized as one employing a behavioral treatment modality to prevent or treat an acute or chronic physical disease or condition. Findings revealed areas of weakness in analytic aspects of the behavioral health RCTs reported in both sets of journals. Weaknesses were more pronounced in behavioral journals. The authors offer recommendations for improving the analytic quality of behavioral health RCTs to ensure that evidence about behavioral treatments is highly weighted in systematic reviews.
    Source
    J Clin Psychol. 2007 Jan;63(1):53-71. Link to article on publisher's site
    DOI
    10.1002/jclp.20334
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/44989
    PubMed ID
    17115429
    Related Resources
    Link to Article in PubMed
    ae974a485f413a2113503eed53cd6c53
    10.1002/jclp.20334
    Scopus Count
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    Population and Quantitative Health Sciences Publications

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