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首页> 外文期刊>Frontiers in Psychology >Inside the Clockwork of the ECHO Factorial Trial: A Conceptual Model With Proposed Mediators for Prevention of Emotional Problems in Children
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Inside the Clockwork of the ECHO Factorial Trial: A Conceptual Model With Proposed Mediators for Prevention of Emotional Problems in Children

机译：在Echo因子试验的钟表机构内：一个概念模型，提出了用于预防儿童情绪问题的介质

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摘要

Having interventions that are not only evidence-based and effective but also cost-effective and efficient is important for the prevention and treatment of child and adolescent emotional problems. A randomized clinical trial (RCT) tests the total interventions effect but does not address specific components of the intervention. In this article the hypothesis and a conceptual model of the ECHO study are presented and discussed. The ECHO intervention consists of three different components each containing two levels of intervention. By using a cluster randomized factorial design, children aged 8–12 at 40 schools across Norway will be randomized to eight different experimental conditions investigating the optimal balance between effect, cost-effectiveness, and efficiency. The article presents the design and the different components being tested and discusses how optimalization can be reached through this innovative design. The article also discusses how interventions can be improved by investigating and understanding the mechanisms of change within psychological interventions. For each of the three components in the study we consider the mediators that could be active within the intervention and how the study investigates such mediation. The results will contribute to a better understanding of how psychological interventions work and how we intend to optimize the EMOTION intervention.
机译：涉及不仅是基于证据和有效的干预，而且具有成本效益和高效对于预防和治疗儿童和青少年情绪问题是重要的。随机临床试验（RCT）测试总干预效果，但没有解决干预的特定组成部分。在本文中，提出并讨论了回声研究的假设和概念模型。回声干预由三个不同的组件组成，每个组件包含两个干预级别。通过使用集群随机造票，挪威40所学校的8-12岁的儿童将随机化到八个不同的实验条件，调查效果，成本效益和效率之间的最佳平衡。本文介绍了设计和正在测试的不同组件，并讨论如何通过这种创新设计来达到最佳化。本文还讨论了通过调查和理解心理干预内的变革机制如何改善干预措施。对于研究中的三个组成部分中的每一个，我们考虑在干预内部可能有效的调解员以及该研究如何调查这种调解。结果将有助于更好地了解心理干预如何工作以及我们打算如何优化情感干预。

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