open forum: towards broadening the evidence base submitted to nice in support of the psychological...
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OPEN FORUM: Towards broadening the evidence base submitted to NICE in support of the psychological therapies
OPEN FORUM: Towards broadening the evidence base submitted to NICE in support of the psychological therapies
Michael BarkhamCentre for Psychological Services Research
University of Sheffield
[email protected] Ravenscar 2010
Centre for Psychological Services Research.
OverviewOverview
New millennium:
• Privileging of trials data as dominant framework for defining evidence
• Increasing relevance of broader range of research paradigms, especially with practitioners leading to mixed methods & pluralism
2008:
• Rawlins, M.D. (2008). De testimonio: on the evidence for decisions about the use of therapeutic interventions. The Harveian Oration. London: Royal College of Physicians.
• Revision of Depression Guidelines - consultation exercise & report
2009:
• Mental Health Providers Forum (MHPF)
• Four panels: Philosophy, Science, User, & Campaign
© Centre for Psychological Services Research, University of Sheffield
OverviewOverview
Members of science panel
Michael Barkham University of Sheffield
Jeremy Clarke New Savoy Partnership
Mick Cooper University of Strathclyde
Robert Elliott University of Strathclyde
Chris Evans University of Nottingham & Notts NHS Trust
Michael J Lambert Brigham Young University
Wolfgang Lutz University of Trier
John Mellor-Clark CORE Information Management Services
Nick Midgely University College London & Anna Freud Centre
John McLeod University of Abertay
Nancy Rowland British Association of Counselling & Psychotherapy
William B Stiles Miami University
David Winter University of Hertfordshire
© Centre for Psychological Services Research, University of Sheffield
OverviewOverview
Purpose:
• To construct an inclusive model for synthesizing research evidence in the psychological therapies
• Mimic teleo-analytic approach [teleo = thorough/complete]
Types of research:
1. Randomized controlled trials 2. Meta-analytic studies 3. Large-scale practice-based studies 4. Qualitative approach 5. Case studies 6. Change process research 7. Client preference studies 8. Service delivery research 9. Group focused approach10. Health economics approach
© Centre for Psychological Services Research, University of Sheffield
OverviewOverview
Plan:
• To document strengths and limitations of research approaches
• Find ways of showing how broader evidence yields credible evidence
• Find examples whereby trials evidence is misleading (i.e., fallible)
• Focus on one presentation (e.g., depression) to show how synthesis of
available evidence might yield differing but credible results
• Learn from other disciplines (e.g., education, public health)
• Broaden science panel (include users)
• Increase national & international members
© Centre for Psychological Services Research, University of Sheffield
