메타분석연구에서 나타난 프로그램 구성요소의 실태: 증거기반 프로그램 개발의 관점에서
The Feature of the Program components in the Meta Analysis Research: Evidence Based Program Development Perspective
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메타분석을 프로그램 개발 측면에서 조사한 연구가 부족한 상황에서 본 연구는 최근 18년간 발표된 메타분석연구논문에 나타난 프로그램 구성요소의 실태를 분석하고, 이를 토대로 ‘프로그램 구성요소의 증거수준’을 파악하여 프로그램 개발활동에서 어떤 의미를 주는가를 탐색하였다. 연구대상은 2000년부터 2017년 6월 현재까지 전국주요학술지에서 검색된 사회복지, 심리, 상담, 보건 영역의 110개 메타분석연구논문(5,781개 프로그램 평가논문)이며 분석방법은 내용분석을 활용하였다. 분석결과는 다음과 같다. 조사된 메타분석논문은 인구대상, 문제, 프로그램 유형에서 범위를 좁혀 연구하는 경향이 많았지만, 여러 이질적인 유형을 포함하여 분석하는 경우도 상당했다. 통계분석방법에서는 프로그램 효과성에 대한 이질적 배경이 되는 요인을 설명할 수 있는 조절효과분석이 상대적으로 적었다. 메타분석을 위한 프로그램 구성요소 선정은 연구자의 임의적인 선택도 매우 많았으며, 특정한 구성요소들 중심으로 편중되게 조사하는 경향이 있었다. 프로그램 구성요소의 효과성과 관계된 통계적인 유의성 비율에 대한 분석결과에서는 대상자의 연령과 문제 심각성, 제공자의 전문성, 개입강도와 개입활동내용이 높은 수준의 ‘프로그램 구성요소 증거수준’을 보여주고 있었다. 연구결과에 대한 논의와 프로그램 메타분석의 유용성을 높이기 위한 과제도 제시되었다.
Abstract
In the absence of a research study on meta-analysis in terms of program development, the purpose of the study is to analyze the contents of the meta-analysis research studies which has been conducted for 18 years, and is to identify the level of program component evidence for the development of social work program. In order to achieve these purposes, the study analyzed the feature and usefulness of the 110 meta-analysis studies(5,781 program evaluation studies)published from 2010 to June 2017 in major academic journals related to the areas of the social welfare, psychology, counseling and health. The major findings are as follows. The 110 meta-analysis studies tended to narrow down the scope of the population, problems, and program types, but they also included a lot of heterogeneous types. In the statistical methods, there were relatively few studies to explain the factors behind the heterogeneity of program effectiveness. In addition, researchers tended to select program components arbitrarily with bias on specific components. The important program components with the statistical validity are as follows; the age of the subjects, the severity of the problem, the expertise of the providers, and the strength and activities of the intervention, The academic meanings of the study results was discussed, and the direction of future research was presented to increase the usefulness of the meta-analysis for program development.
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