1 Rhodes College, Memphis, TN, USA.
2 University of Missouri, Columbia, MO, USA.
Assessment. 2017 Mar;24(2):210-221. doi: 10.1177/1073191115604353. Epub 2016 Jul 28.
Assessment is an integral component of treatment. However, prior surveys indicate clinicians may not use standardized assessment strategies. We surveyed 1,510 clinicians and used multivariate analysis of variance to explore group differences in specific measure use. Clinicians used unstandardized measures more frequently than standardized measures, although psychologists used standardized measures more frequently than nonpsychologists. We also used latent profile analysis to classify clinicians based on their overall approach to assessment and examined associations between clinician-level variables and assessment class or profile membership. A four-profile model best fit the data. The largest profile consisted of clinicians who primarily used unstandardized assessments (76.7%), followed by broad-spectrum assessors who regularly use both standardized and unstandardized assessment (11.9%), and two smaller profiles of minimal (6.0%) and selective assessors (5.5%). Compared with broad-spectrum assessors, unstandardized and minimal assessors were less likely to report having adequate standardized measures training. Implications for clinical practice and training are discussed.
评估是治疗的一个组成部分。然而,先前的调查表明,临床医生可能没有使用标准化的评估策略。我们调查了 1510 名临床医生,并使用多元方差分析来探讨特定测量工具使用方面的群体差异。尽管心理学家比非心理学家更频繁地使用标准化测量工具,但临床医生更频繁地使用非标准化测量工具。我们还使用潜在剖面分析根据他们整体的评估方法对临床医生进行分类,并检查临床医生水平变量与评估类别或剖面成员之间的关联。四项剖面模型最符合数据。最大的剖面由主要使用非标准化评估的临床医生组成(76.7%),其次是经常使用标准化和非标准化评估的广谱评估者(11.9%),以及两个较小的最小(6.0%)和选择性评估者(5.5%)剖面。与广谱评估者相比,非标准化和最小评估者报告接受过足够的标准化措施培训的可能性较小。讨论了对临床实践和培训的影响。