Behavioral Research in Technology and Engineering (BRiTE) Center, Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA.
Department of Psychiatry, Harvard Medical School, Boston, MA, USA; Massachusetts Mental Health Center, Boston, MA, USA.
J Psychiatr Res. 2022 Mar;147:13-23. doi: 10.1016/j.jpsychires.2021.12.053. Epub 2021 Dec 27.
Measurement-based care (MBC) involves the regular administration of outcome assessments to track and evaluate treatment progress and requires psychometrically sound instruments. While there are widely used patient-reported outcome measures (PROMs) for several psychiatric disorders and symptom categories (e.g., depression, anxiety), there is less consensus about self-report assessments for measurement-based care of schizophrenia. The present review provides an initial guide to this area by reporting on psychometric studies that introduce or evaluate PROMs designed for the ongoing treatment of schizophrenia. Out of an initial database of 6,153 articles, and review of 141 full-text articles, an analysis of 21 articles examining 12 measures is presented in this review. Findings suggest robust options exist for clinical and research institutions aiming to assess symptom outcomes in schizophrenia, with most measures showing strengths in internal consistency, test-retest reliability, and a number of measures with evidence of convergent or criterion validity. While there exist heterogeneous options, multiple measures demonstrated promising psychometric strengths. Future work validating consistent psychometric validity could involve measures which could be valuable in context of MBC for schizophrenia.
基于测量的护理（MBC）涉及定期进行结果评估，以跟踪和评估治疗进展，并需要心理测量学上合理的工具。虽然有许多用于几种精神障碍和症状类别的广泛使用的患者报告结局测量（PROM）（例如，抑郁，焦虑），但对于精神分裂症的基于测量的护理的自我报告评估则存在较少的共识。本综述通过报告介绍或评估专为精神分裂症持续治疗而设计的 PROM 的心理测量学研究，为该领域提供了初步指南。在最初的 6153 篇文章数据库和对 141 篇全文文章的审查中，本综述对 21 篇文章进行了分析，这些文章评估了 12 种措施。研究结果表明，对于旨在评估精神分裂症症状结果的临床和研究机构而言，存在强大的选择方案，大多数措施在内部一致性，测试 - 重测可靠性方面具有优势，并且一些措施具有收敛或标准有效性的证据。虽然存在异构选择，但多种措施显示出有希望的心理测量学优势。未来验证一致的心理测量有效性的工作可能涉及在精神分裂症的 MBC 情况下可能有价值的措施。
