Howe H E
J Clin Psychol. 1981 Jan;37(1):110-7. doi: 10.1002/1097-4679(198101)37:1<110::aid-jclp2270370121>3.0.co;2-z.
Described a scheme for evaluating the utility of test data in decision-making. The scheme, which is based upon a dispositional model of assessment, asks three sequential, binary questions about the total assessment procedure. The three questions focus on whether meaningful referral questions are asked, whether an accurate understanding of the client is achieved, and whether the available interventions are related effectively to the individual client's needs. The scheme is applied to a group of vocational rehabilitation clients (N = 58) from a rural area. Results showed the scheme to be reliable in evaluating the results of the assessments. The categorization showed a surprisingly high percentage of cases in which no meaningful referral questions were asked. Further, the scheme highlighted the differences between a diagnostic model of testing and dispositional assessment. For example, requiring the assessor to understand the treatment context as well as the client results in a more conservative estimate of the assessments' successes. It also results in evaluations that are more meaningful in terms of meeting the client's goals. Finally possible effects of the rural context in which the assessments were conducted on the types of errors made were discussed.
描述了一种在决策中评估测试数据效用的方案。该方案基于一种评估倾向模型,针对整个评估过程提出了三个连续的二元问题。这三个问题聚焦于是否提出了有意义的转介问题、是否对客户有准确的了解以及现有的干预措施是否有效地针对个体客户的需求。该方案应用于来自农村地区的一组职业康复客户(N = 58)。结果表明该方案在评估评估结果时是可靠的。分类显示,未提出有意义转介问题的案例比例高得出奇。此外,该方案突出了测试诊断模型和倾向评估之间的差异。例如,要求评估者了解治疗背景以及客户情况,会对评估的成功做出更保守的估计。这也会导致在实现客户目标方面更有意义的评估。最后讨论了进行评估的农村背景对所犯错误类型可能产生的影响。