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1.中国中医科学院针灸研究所,北京100700
2.乔治全球健康研究院,新南威尔士大学医学院,悉尼2000,澳大利亚
Received:28 November 2023,
Published:12 March 2024
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陈欢,岗卫娟,欧阳梦璐,等.过程评价及其在针刺临床研究中应用的思考与建议[J].中国针灸,2024,44(3):327-332.
CHEN Huan,GANG Weijuan,OUYANG Menglu,et al.Process evaluation and its application in clinical research of acupuncture: preliminary considerations[J].Chinese Acupuncture & Moxibustion,2024,44(03):327-332.
陈欢,岗卫娟,欧阳梦璐,等.过程评价及其在针刺临床研究中应用的思考与建议[J].中国针灸,2024,44(3):327-332. DOI: 10.13703/j.0255-2930.20231128-k0006.
CHEN Huan,GANG Weijuan,OUYANG Menglu,et al.Process evaluation and its application in clinical research of acupuncture: preliminary considerations[J].Chinese Acupuncture & Moxibustion,2024,44(03):327-332. DOI: 10.13703/j.0255-2930.20231128-k0006.
过程评价(PE)通过评估复杂干预的实施情况以及与结果密切相关的背景影响因素等,帮助充分解释干预的效果,是随机对照试验的重要方法学补充,但尚未在针刺临床研究中充分应用。本研究通过梳理中英文文献,总结了PE的主要方法学框架,以及在针刺临床研究中的应用现状;在此基础上结合针刺干预和实施的特点,初步探讨在针刺临床研究中开展PE的角度以及针刺干预实施过程中的相关影响因素;随后从规划、设计和实施、分析及报告等多个阶段着手,就关键研究内容提出初步的建议,为今后开展针刺临床研究的过程评价提供可借鉴的思路,为全面评价和解释针刺干预的疗效探索新的方法和路径。
As an important supplementary approach to randomized controlled trial
process evaluation(PE) aims to evaluate implementation of complex intervention and contextual factors associated with variation in outcomes
in order to explain the observed results in a comprehensive manner. However
PE has not been well applied in the clinical research of acupuncture. Based on existing literature
this paper summarized the main methodological frameworks of PE
as well as the status-quo of its application in acupuncture research. Meanwhile
it explored the research perspectives and implementation factors that were potentially relevant to PE in parallel with acupuncture trials. In addition
the paper put forward preliminary considerations on key contents corresponding to each step during the development of PE for acupuncture trials
in order to provide useful reference and innovative pathway for future studies that strive for comprehensive evaluation of acupuncture's effect.
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