Zimmerman Mark, McGlinchey Joseph B
Department of Psychiatry and Human Behavior, Brown University School of Medicine, Rhode Island Hospital, Providence, Rhode Island, USA.
Ann Clin Psychiatry. 2008 Jul-Sep;20(3):125-9. doi: 10.1080/10401230802177680.
Self-report questionnaires are a cost-effective option to monitor the outcome of clinical care. Even when using self-report scales, consideration should be given to how much time they take to complete and how burdensome they are perceived to be. In the present report from the Rhode Island Methods to Improve Diagnostic Assessment and Services (MIDAS) project, we compared the acceptability of completing two depression scales-the Beck Depression Inventory (BDI) and the Clinically Useful Depression Outcome Scale (CUDOS).
In the first study, 50 depressed psychiatric outpatients completed the CUDOS and a questionnaire assessing how burdensome it was to complete during the visit. In the second study, a separate sample of 50 depressed outpatients completed the CUDOS and BDI and a measure of scale acceptability.
Almost all patients completed the CUDOS in less than 3 minutes (mean = 102.7 seconds, SD = 42.7) and considered the questionnaire very little or a little burdensome (98.0%, n = 49). In the second study comparing the CUDOS and the BDI, significantly more patients indicated that the CUDOS took less time to complete and was less of a burden to complete. Nearly three times as many patients indicated that they would prefer to complete the CUDOS in order to monitor the outcome of treatment (40.0% vs. 14.0%, z = 2.31, p .05).
A consumer-friendly, reliable, and valid self-administered questionnaire can improve the efficiency of the clinical encounter. The brevity of the CUDOS lends itself to regular administration in clinical practice.
自我报告问卷是监测临床护理结果的一种经济有效的方式。即使使用自我报告量表，也应考虑完成它们需要多长时间以及被认为负担有多重。在罗德岛改善诊断评估和服务方法（MIDAS）项目的本报告中，我们比较了完成两种抑郁量表——贝克抑郁量表（BDI）和临床有用抑郁结果量表（CUDOS）的可接受性。
在第一项研究中，50名抑郁的精神科门诊患者完成了CUDOS以及一份评估在就诊期间完成该量表负担有多重的问卷。在第二项研究中，另一组50名抑郁门诊患者的样本完成了CUDOS、BDI以及一项量表可接受性的测量。
几乎所有患者在不到3分钟内完成了CUDOS（平均 = 102.7秒，标准差 = 42.7），并认为该问卷负担很小或有点负担（98.0%，n = 49）。在比较CUDOS和BDI的第二项研究中，显著更多患者表示CUDOS完成所需时间更少且完成负担更小。表示他们更愿意完成CUDOS以监测治疗结果的患者数量几乎是前者的三倍（40.0%对14.0%，z = 2.31，p <.05）。
一份方便用户、可靠且有效的自我管理问卷可以提高临床问诊的效率。CUDOS的简短性使其适合在临床实践中定期使用。
