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述评:在临床评估中使用心理生理学测量的成本效益:有效性、决策和增值。

Commentary: moving toward cost-effectiveness in using psychophysiological measures in clinical assessment: validity, decision making, and adding value.

机构信息

a Department of Psychology , University of North Carolina at Chapel Hill.

出版信息

J Clin Child Adolesc Psychol. 2015;44(2):352-61. doi: 10.1080/15374416.2014.913252.

DOI:10.1080/15374416.2014.913252
PMID:25664769
Abstract

Psychophysiological measures offer a variety of potential advantages, including more direct assessment of certain processes, as well as provision of information that may contrast with other sources. The role of psychophysiological measures in clinical practice will be best defined when researchers (a) switch to research designs and statistical models that better approximate how clinicians administer assessments and make clinical decisions in practice, (b) systematically compare the validity of psychophysiological measures to incumbent methods for assessing similar criteria, (c) test whether psychophysiological measures show either greater validity or clinically meaningful incremental validity, and (d) factor in fiscal costs as well as the utilities that the client attaches to different assessment outcomes. The statistical methods are now readily available, along with the interpretive models for integrating assessment results into client-centered decision making. These, combined with technology reducing the cost of psychophysiological measurement and improving ease of interpretation, poise the field for a rapid transformation of assessment practice, but only if we let go of old habits of research.

摘要

心理生理学测量方法提供了多种潜在的优势,包括对某些过程的更直接评估,以及提供可能与其他来源不同的信息。当研究人员 (a) 转向研究设计和统计模型,这些设计和模型更接近临床医生在实践中进行评估和做出临床决策的方式,(b) 系统地比较心理生理学测量方法与用于评估类似标准的现有方法的有效性,(c) 测试心理生理学测量方法是否具有更高的有效性或具有临床意义的增量有效性,以及 (d) 将财务成本以及客户对不同评估结果的效用纳入考虑因素时,心理生理学测量方法在临床实践中的作用将得到最好的定义。现在已经有了现成的统计方法,以及将评估结果整合到以客户为中心的决策中的解释模型。这些方法,再加上降低心理生理学测量成本和提高解释易用性的技术,为评估实践的快速转变做好了准备,但前提是我们要摒弃旧的研究习惯。

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