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公立精神卫生服务机构中临床医生对标准化评估工具及其使用的态度。

Attitudes toward standardized assessment tools and their use among clinicians in a public mental health service.

作者信息

Bjaastad Jon Fauskanger, Jensen-Doss Amanda, Moltu Christian, Jakobsen Petter, Hagenberg Heine, Joa Inge

机构信息

Division of Psychiatry, Stavanger University Hospital , Stavanger , Norway.

Regional Centre for Child and Youth Mental Health and Child Welfare, NORCE Norwegian Research Centre , Bergen , Norway.

出版信息

Nord J Psychiatry. 2019 Oct;73(7):387-396. doi: 10.1080/08039488.2019.1642383. Epub 2019 Jul 19.

Abstract

The aim of the present study was to investigate the use and attitudes toward standardized assessment tools among clinicians in a public mental health service in Norway. A total of 606 clinicians provided feedback on their use and attitudes regarding psychometric qualities of such tools, their practicality, and their benefit over clinical judgment alone using the Attitudes toward Standardized Assessment (ASA) Scales. Clinicians working in the adult mental health field scored significantly higher on use of diagnostic interviews, pre-post evaluations, and ongoing evaluations, whereas clinicians working in the child/adolescent mental health field scored significantly higher on use of screening instruments and held more positive attitudes towards using standardized assessment tools. Attitudes toward standardized assessment tools predicted use of such tools, and results were found to be similar to a study on US clinicians. Whereas the US study only found attitudes regarding the practicality of using such instrument as an independent predictor of assessment use, the current study found that attitudes regarding psychometric qualities of such tools, their practicality, and their benefit over clinical judgment alone were independent predictors of use.

摘要

本研究的目的是调查挪威一家公共心理健康服务机构的临床医生对标准化评估工具的使用情况和态度。共有606名临床医生使用标准化评估态度(ASA)量表,就此类工具的心理测量质量、实用性以及相对于单纯临床判断的益处,提供了关于其使用情况和态度的反馈。从事成人心理健康领域工作的临床医生在诊断访谈、前后评估和持续评估的使用方面得分显著更高,而从事儿童/青少年心理健康领域工作的临床医生在筛查工具的使用方面得分显著更高,并且对使用标准化评估工具持有更积极的态度。对标准化评估工具的态度可预测此类工具的使用情况,研究结果与一项针对美国临床医生的研究相似。美国的研究仅发现关于使用此类工具实用性的态度是评估使用的独立预测因素,而当前研究发现,关于此类工具的心理测量质量、实用性以及相对于单纯临床判断的益处的态度,均是使用情况的独立预测因素。

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