Practice-based psychological intervention research that is conducted by practitioners in pediatric clinical settings raises special challenges that need to be met to maximize opportunity for success. Based on our experiences in intervention research conducted in clinical settings by practicing pediatric psychologists and health care providers, we consider issues in designing and implementing intervention research, resource development, interdisciplinary collaboration, ethical issues, data analysis, and application of findings in clinical practice. Recommendations to enhance the implementation of psychological intervention research in pediatric clinical settings include balancing feasibility versus validity in study design, considering multiple approaches to study designs and data analyses, identifying and managing ethical issues, facilitating interdisciplinary collaborations, developing resources, and enhancing opportunities for research training.
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References
1.
BlumN. J., & DBPNet Steering Committee. (2012). The Developmental Pediatric Research Network: Another step in the development of the field. Journal of Developmental and Behavioral Pediatrics, 33, 78–83. doi:10.1097/DBP.0b013e31823e05bb
2.
BorckardtJ. J.NashM. R.MurphyM. D.MooreM.ShawD., & O’NeilP. (2008). Clinical practice as natural laboratory for psychotherapy research: A guide to case-based time-series analysis. American Psychologist, 63, 77–95.
3.
CampbellD. T., & StanleyJ. C. (1966). Experimental and quasi experimental designs for research. Chicago, IL: Rand McNally.
4.
CampbellM.FitzpatrickR.HainesA.KinmonthA. L.SandercockP.SpiegelhalterD., & TyrerP. (2000). Framework for design and evaluation of complex interventions to improve health. BMJ: British Medical Journal, 321, 694–696. doi:10.1136/bmj.321.7262.694
5.
ChorpitaB.DaleidenE., & WeiszJ. (2005). Modularity in the design and application of therapeutic interventions. Applied and Preventive Psychology, 11, 141–156. doi:10.1016/j.appsy.2005.05.002
6.
CortinaS. (2013, March). Provider-based adherence promotion in juvenile idiopathic arthritis. Presentation for Place Outcomes Awards, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH.
7.
CortinaS.SomersM.RohanJ. M., & DrotarD. (2013). Clinical effectiveness of comprehensive psychological intervention for nonadherence to medical treatment: A case series. Journal of Pediatric Psychology, 38, 649–663. doi:10.1093/jpepsy/jss175
8.
CrandallW.KappelmanM. D.CollettiR. B.LeibowitzI.GrunowJ. E.AliS.. . .MargolisP. (2011). Improve Care Now: The development of a pediatric inflammatory disease improvement network. Inflammatory Bowel Disease, 17, 450–457. doi:10.1002/ibd.21394
9.
DrotarD. (1989). Psychological research in pediatric settings: Lessons from the field. Journal of Pediatric Psychology, 14, 63–74. doi:10.1093/jpepsy/14.1.63
10.
DrotarD. (2000). Handbook of research in pediatric and clinical child psychology: Practical strategies and methods. New York, NY: Kluwer Academic/Plenum Press. doi:10.1007/978-1-4615-4165-3
11.
DrotarD. (2006). Psychological interventions in childhood chronic illness. Washington, DC: American Psychological Association. doi:10.1037/11412-000
12.
DrotarD. (2013). Reflections on developing collaborative research in pediatric psychology: Implications and future directions. Journal of Pediatric Psychology, 38, 700–707. doi:10.1093/jpepsy/jst026
13.
DrotarD.CortinaS.CrosbyL. E.HommelK. A.ModiA. C., & PaiA. L. H. (in press). Competency based postdoctoral research training for clinical psychologists: An example and implications. Training and Education in Professional Psychology.
14.
DrotarD., & LemanekK. (2001). Steps toward a clinically relevant science of interventions in pediatric settings: Introduction to the special issue. Journal of Pediatric Psychology, 26, 385–394. doi:10.1093/jpepsy/26.7.385
15.
GablerN. B.DuanN.VohraS., & KravitzR. L. (2011). N-of-1 trials in the medical literature: A systematic review. Medical Care, 49, 761–768. doi:10.1097/MLR.0b013e318215d90d
16.
GlasgowR. E.MagidD.BeckA.RitzwollerD., & EstabrooksP. (2005). Practical clinical trials for translating research to practice: Design and measurement recommendations. Medical Care, 43, 551–557. doi:10.1097/01.mlr.0000163645.41407.09
17.
HacksawA. (2009). A concise guide to clinical trials. New York, NY: Wiley Blackwell.
18.
HerzerM.RameyC. C.RohanJ. J., & CortinaS. S. (2012). Incorporating electronic monitoring feedback into clinical care: A novel and promising adherence promotion approach. Clinical Child Psychology and Psychiatry, 17, 505–518. doi:10.1177/1359104511421103
19.
HilliardM. E.RameyC.RohanJ.DrotarD., & CortinaS. (2011). Electronic monitoring feedback to promote adherence in an adolescent with Fanconi Anemia. Health Psychology, 30, 503–509. doi:10.1037/a0024020
20.
KahanaS.DrotarD., & FrazierT. (2008). Meta-analysis of psychological interventions to promote adherence to treatment in pediatric chronic health conditions. Journal of Pediatric Psychology, 33, 590–611. doi:10.1093/jpepsy/jsm128
KraemerH. C., & FrankE. (2010). Evaluation of comparative treatment trials: Assessing clinical benefits and risks for patients, rather than statistical effects on measures. JAMA: Journal of the American Medical Association, 304, 683–684. doi:10.1001/jama.2010.1133
23.
ManolovR.SolanasA.SierraV., & EvansJ. (2011). Choosing among techniques for quantifying single-case intervention effectiveness. Behavior Therapy, 42, 533–545. doi:10.1016/j.beth.2010.12.003
24.
RapoffM. A. (2010a). Editorial: Assessing and enhancing clinical significance/social validity of intervention research in pediatric psychology. Journal of Pediatric Psychology, 35, 114–119. doi:10.1093/jpepsy/jsp102
25.
RapoffM. A. (2010b). Adherence to pediatric medical regimens. New York, NY: Springer. doi:10.1007/978-1-4419-0570-3
26.
ReynoldsC. R., & KamphausR. W. (2004). Behavior Assessment System for Children—2nd ed. (BASC-2). Circle Pines, MN: AGS.
27.
RobertsM. C., & SteeleR. G., (Eds.). (2009). Handbook of pediatric psychology (4th ed.). New York, NY: Guilford Press.
28.
RohanJ. R. (2013). Commentary: Time series analysis in pediatric psychology. Clinical Practice in Pediatric Psychology, 4, 326–332.
29.
RohanJ. R.DrotarD.PerryA. R.McDowellK.MalkinJ., & KerscmarC. (2013). Training health care providers to conduct adherence promotion in pediatric settings: An example with pediatric asthma. Clinical Practice in Pediatric Psychology, 4, 314–325.
30.
ShemeshE.AnnunziatoR. A.NewcornJ. H.RockmoreL.BiererL. M.CohenJ. A., & YehudaR. (2006). Assessment of posttraumatic stress symptoms in children who are medically ill and children presenting to a child trauma program. Annals of the New York Academy of Sciences, 1071, 472–477. doi:10.1196/annals.1364.044
31.
SmithJ. D. (2012). Single-case experimental designs: A systematic review of published research and current standards. Psychological Methods, 17, 510–550. doi:10.1037/a0029312
32.
SpauldingS. A.DevineK.DuncanC.WilsonN., & HoganM. (2012). Electronic monitoring and feedback to improve adherence in pediatric asthma. Journal of Pediatric Psychology, 37, 64–74. doi:10.1093/jpepsy/jsr059
33.
TabachnickB. G., & FidellL. S. (2007). Using multivariate statistics (5th ed.). Boston, MA: Pearson Education.
34.
VarniJ. W.BurwinkleT. M.SeidM., & SkarrD. (2003). The PedsQL 4.0 as a pediatric population health measure: Feasibility, reliability, and validity. Ambulatory Pediatrics, 3, 329–341. doi:10.1367/1539-4409(2003)003<0329:TPAAPP>2.0.CO;2
