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康复研究的临床相关设计:个案模型

Clinically relevant designs for rehabilitation research: the idiographic model.

作者信息

Ottenbacher K J

机构信息

State University of New York, Buffalo 14214.

出版信息

Am J Phys Med Rehabil. 1990 Dec;69(6):286-92. doi: 10.1097/00002060-199012000-00002.

Abstract

Traditional rehabilitation research involves designs emphasizing between-subject statistical evaluation and comparisons across two or more groups. The argument is made that these designs are often of limited use in clinical environments characterized by small samples and large within-group variability. The idiographic model of research design is presented as on alternative to traditional group comparison design. Idiographic, or single-subject, research emphasizes continuous monitoring of patient performance within a specified design framework. The advantages and limitations of both single-subject and group comparison designs are presented. Both designs can help establish the efficacy of rehabilitation practice and contribute to rehabilitation science.

摘要

传统的康复研究涉及强调受试者间统计评估以及两组或更多组间比较的设计。有人认为,这些设计在以小样本和组内较大变异性为特征的临床环境中往往用途有限。研究设计的个案模型被提出作为传统组间比较设计的替代方案。个案研究,即单受试者研究,强调在特定设计框架内对患者表现进行持续监测。文中介绍了单受试者设计和组间比较设计的优缺点。这两种设计都有助于确立康复实践的有效性,并为康复科学做出贡献。

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