精神病早期干预服务的基本要素：专家临床医生的意见
Essential elements of an early intervention service for psychosis: the opinions of expert clinicians.
作者信息
Marshall Max, Lockwood Austin, Lewis Shôn, Fiander Matthew
机构信息
School of Psychiatry and Behavioural Sciences, University of Manchester, Academic Unit, Royal Preston Hospital, Fulwood, Preston PR2 9HT, UK.
出版信息
BMC Psychiatry. 2004 Jul 1;4:17. doi: 10.1186/1471-244X-4-17.
Abstract
BACKGROUND
Early intervention teams attempt to improve outcome in schizophrenia through earlier detection and the provision of phase-specific treatments. Whilst the number of early intervention teams is growing, there is a lack of clarity over their essential structural and functional elements.
METHODS
A 'Delphi' exercise was carried out to identify how far there was consensus on the essential elements of early intervention teams in a group of 21 UK expert clinicians. Using published guidelines, an initial list was constructed containing 151 elements from ten categories of team structure and function.
RESULTS
Overall there was expert consensus on the importance of 136 (90%) of these elements. Of the items on which there was consensus, 106 (70.2%) were rated essential, meaning that in their absence the functioning of the team would be severely impaired.
CONCLUSION
This degree of consensus over essential elements suggests that it is reasonable to define a model for UK early intervention teams, from which a measure of fidelity could be derived.
摘要
背景
早期干预团队试图通过更早的检测和提供特定阶段的治疗来改善精神分裂症的治疗结果。虽然早期干预团队的数量在不断增加，但对于其基本的结构和功能要素仍缺乏明确认识。
方法
开展了一项“德尔菲”调查，以确定21名英国专家临床医生对早期干预团队基本要素的共识程度。根据已发表的指南，构建了一份初始清单，其中包含来自团队结构和功能十类的151个要素。
结果
总体而言，这些要素中有136个（90%）的重要性达成了专家共识。在达成共识的项目中，106个（70.2%）被评为必不可少，这意味着如果没有这些要素，团队的运作将严重受损。
结论
对基本要素的这种共识程度表明，为英国早期干预团队定义一个模型是合理的，从中可以得出一种保真度衡量标准。
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