Miller W R, Cooney N L
Department of Psychology, University of New Mexico, Albuquerque 87131-1161.
J Stud Alcohol Suppl. 1994 Dec;12:38-45. doi: 10.15288/jsas.1994.s12.38.
The process of designing studies of client-treatment matching involves a number of methodological complexities. Besides the large number of potential client characteristics and a range of possible outcome variables, a variety of treatment attributes can be matched including modality, intensity, duration, format, setting, therapist and goal. Hindsight matching designs (which can include hypothesis testing) examine interactions between client characteristics and treatments to which they were not intentionally matched. Foresight matching designs involve a prospective experimental test of a matching hypothesis, comparing the outcomes of cases matched by specific decision rules with other cases not so matched. Under certain conditions, these hindsight and foresight matching designs are logically equivalent. Mathematical modeling of clinical judgment offers yet another promising avenue for future studies of matching schemas. Glaser's core-shell strategy provides a practical model for implementing clinical systems and research on matching within ongoing services.
设计客户与治疗匹配研究的过程涉及许多方法上的复杂性。除了大量潜在的客户特征和一系列可能的结果变量外，还可以匹配多种治疗属性，包括方式、强度、持续时间、形式、环境、治疗师和目标。事后匹配设计（可能包括假设检验）研究客户特征与并非有意匹配的治疗之间的相互作用。事前匹配设计涉及对匹配假设的前瞻性实验测试，将根据特定决策规则匹配的案例结果与未如此匹配的其他案例结果进行比较。在某些条件下，这些事后和事前匹配设计在逻辑上是等效的。临床判断的数学建模为匹配模式的未来研究提供了另一条有前景的途径。格拉泽的核心-外壳策略为在持续服务中实施临床系统和匹配研究提供了一个实用模型。
