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数据驱动的心理治疗、基于测量的护理和精准心理健康。

Data-informed psychological therapy, measurement-based care, and precision mental health.

机构信息

Department of Psychology, Division of Clinical Psychology and Psychotherapy, University of Trier.

出版信息

J Consult Clin Psychol. 2024 Oct;92(10):671-673. doi: 10.1037/ccp0000904.

DOI:10.1037/ccp0000904
PMID:39480287
Abstract

Measurement-based care, that is, incorporating data-informed decision support for therapists into psychological therapy, has undergone significant advancements over the past 2 decades. Technological innovations such as computerized data assessment and feedback tools have facilitated its widespread adoption across various settings. For instance, clinicians can utilize psychometric data to personalize therapeutic approaches, strategies, or modules and track a patient's response to therapy in real time (e.g., Lutz, Schwartz, & Delgadillo, 2022). Furthermore, new algorithm-based clinical support tools used within measurement-based care can optimize treatment for such patients at risk for treatment failure. Consequently, measurement-based care is evolving into a data-informed and precision psychological therapy concept that can be viewed as a low-intensity transtheoretical adjunct to evidence-based treatments. It can be integrated at multiple care points into clinical practice regardless of the clinical modality, manual, or program used in a given health care system. Therefore, it emerges as an important component of clinical competence, practice, and training, akin to continuous monitoring of physical health indicators (e.g., insulin, fever, or blood pressure). In this viewpoint article, we summarize the core concepts of data-informed psychological therapy that customizes individual psychological interventions to meet specific patient needs. We also explore implications and future steps to integrate this approach into clinical practice . (PsycInfo Database Record (c) 2024 APA, all rights reserved).

摘要

基于测量的护理,即将数据驱动的决策支持融入心理治疗师的心理治疗中,在过去的 20 年中取得了重大进展。技术创新,如计算机化的数据评估和反馈工具,促进了其在各种环境中的广泛应用。例如,临床医生可以利用心理计量数据为患者量身定制治疗方法、策略或模块,并实时跟踪患者对治疗的反应(例如,Lutz、Schwartz 和 Delgadillo,2022)。此外,基于算法的新临床支持工具在基于测量的护理中的应用可以为这些有治疗失败风险的患者优化治疗。因此,基于测量的护理正在发展成为一种数据驱动和精准的心理治疗概念,可以被视为对基于证据的治疗的低强度跨理论辅助。它可以在临床实践的多个护理点上进行整合,无论在给定的医疗保健系统中使用何种临床模式、手册或程序。因此,它成为临床能力、实践和培训的重要组成部分,就像对身体健康指标(如胰岛素、体温或血压)进行持续监测一样。在这篇观点文章中,我们总结了数据驱动心理治疗的核心概念,即根据特定患者的需求定制个性化的心理干预措施。我们还探讨了将这种方法整合到临床实践中的影响和未来步骤。(PsycInfo 数据库记录(c)2024 APA,保留所有权利)。

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