RESUMEN
OBJECTIVE: To determine the effectiveness of an index in increasing recognition of misleading problem framing in articles and manuscripts. DESIGN: A propaganda index consisting of 32 items was developed drawing on related literature. Seventeen subjects who review manuscripts for possible publication were requested to read five recent published reports of randomized controlled trials concerning social anxiety and to identify indicators of propaganda (defined as encouraging beliefs and actions with the least thought possible). They then re-read the same five articles using a propaganda index to note instances of propaganda. DATA SOURCE: Convenience sample of individuals who review manuscripts for possible publication and sample of recent published reports of randomized controlled trials regarding social anxiety in five different journals by different authors, blinded by author and journal. RESULTS: Data showed that there was a high rate of propagandistic problem framing in reports of RCTs regarding social anxiety such as hiding well argued alternative views and vagueness. This occurred in 117 out of 160 opportunities over five research reports. A convenience sample of 17 academics spotted only 4.5 percent of propaganda indicators. This increased to 64 percent with use of the 32 item propaganda index. Use of a propaganda index increased recognition of related indicators. However many instances remained undetected. CONCLUSION: This propaganda index warrants further exploration as a complement to reporting guidelines such as CONSORT and PRISMA.
Asunto(s)
Indización y Redacción de Resúmenes/métodos , Revisión de la Investigación por Pares/métodos , Revisión de la Investigación por Pares/normas , Propaganda , Ansiedad , Investigación Biomédica/normas , Humanos , Ensayos Clínicos Controlados Aleatorios como Asunto , Conducta SocialRESUMEN
Comments on The dissemination and implementation of evidence-based psychological treatments: A review of current efforts (see record 2010-02208-010) by Kathryn R. McHugh and David H. Barlow. The lead article in the FebruaryMarch issue by McHugh and Barlow (2010) emphasized the need for "dissemination and implementation of evidence-based psychological treatments." The authors identified a number of intervention programs as evidence based and in need of dissemination. One is multisystemic therapy (MST). They claimed that this program is among "the most successful dissemination efforts...pursued by treatment developers" (p. 79). McHugh and Barlow's (2010) discussion of the implementation of MST in Hawaii is troubling, because it neglected to mention concerns about the perceived lack of cultural sensitivity of the MST program in that state.
Asunto(s)
Terapia Conductista/métodos , Trastornos Mentales/terapia , Práctica Clínica Basada en la Evidencia , Humanos , Literatura de Revisión como AsuntoRESUMEN
Evidence-informed practice and policy at the macro level offers great potential for honoring ethical guidelines to integrate practice and research, to involve clients as informed participants, to respond ethically to problems of scarce resources, to enhance social and economic justice, and to empower clients. The process and philosophy of evidence-informed practice and care as described in original sources suggest a decision-making process designed to help social workers to integrate ethical, evidentiary, and application concerns. As with all innovations, objections will and should be raised. There are many challenges and obstacles to integrating evidentiary, ethical, and application concerns in practice.