To Utility and Beyond! Specifying and Advancing the Utility of Measurement-Based Care for Youth.
To Utility and Beyond! Specifying and Advancing the Utility of Measurement-Based Care for Youth.
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DOI：
10.1080/15374416.2022.2042698
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发表时间：
2022-07
影响因子：
4.2
通讯作者：
Beidas, Rinad S.
中科院分区：
文献类型：
--
作者：
McLeod, Bryce D.;Jensen-Doss, Amanda;Lyon, Aaron R.;Douglas, Susan;Beidas, Rinad S.
为青少年提供服务的精神卫生组织正面临着采用基于测量的护理（MBC）的压力，MBC被定义为连续收集客户报告数据，用于支持临床决策，作为标准护理的一部分。然而，很少有框架可以帮助领导确定如何为临床环境选择MBC方法。本文试图定义MBC方法如何显示临床效用以提供这样的框架。广义地说，我们将临床效用定义为证据，证明MBC方法有助于利益相关者在客户（即青年和护理者）、临床医生、主管和管理人员层面实现与护理质量相关的临床目标（即改善客户-临床医生联盟和临床结果）。更具体地说，我们对临床效用的定义分为与MBC方法在特定环境中的可用性和有用性相关的两类：(a)可实施性（即，证据表明在临床环境中易于使用）和(b)辅助临床活动的有用性（即，证据表明有可能改善沟通，使与护理质量相关的临床活动更容易或更有效）。这些类别提供了有关MBC方法使用的容易程度以及MBC数据将带来的潜在好处的有价值的信息。为了详细说明我们是如何得出这个定义的，我们回顾了先前的临床效用定义，讨论了先前的定义如何影响我们对MBC临床效用的定义，并提供了临床效用概念如何应用于MBC的示例。最后对未来的研究方向进行了讨论。
Mental health organizations that serve youth are under pressure to adopt measurement-based care (MBC), defined as the continuous collection of client-report data used to support clinical decision-making as part of standard care. However, few frameworks exist to help leadership ascertain how to select an MBC approach for a clinical setting. This paper seeks to define how an MBC approach can display clinical utility to provide such a framework. Broadly, we define clinical utility as evidence that an MBC approach assists stakeholders in fulfilling clinical goals related to care quality (i.e., improve client-clinician alliance and clinical outcomes) at the client (i.e., youth and caregiver), clinician, supervisor, and administrator levels. More specifically, our definition of clinical utility is divided into two categories relevant to the usability and usefulness of an MBC approach for a specific setting: (a) implementability (i.e., evidence indicating ease of use in a clinical setting) and (b) usefulness in aiding clinical activities (i.e., evidence indicating the potential to improve communication and make clinical activities related to care quality easier or more effective). These categories provide valuable information about how easy an MBC approach is to use and the potential benefits that the MBC data will confer. To detail how we arrived at this definition, we review prior definitions of clinical utility, discuss how previous definitions inform our definition of clinical utility for MBC, and provide examples of how the concept of clinical utility can be applied to MBC. We finish with a discussion of future research directions.
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影响因子：
25.8
作者：
Beidas RS;Buttenheim AM;Mandell DS
通讯作者：
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影响因子：
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作者：
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影响因子：
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作者：
Kamphuis, Jan H.;Noordhof, Arjen;Hopwood, Christopher J.
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影响因子：
3.6
作者：
Dopp, Alex R.;Parisi, Kathryn E.;Lyon, Aaron R.
通讯作者：
Lyon, Aaron R.
DOI：
10.1007/s10488-020-01063-w
发表时间：
2021-03
期刊：
Administration and policy in mental health
影响因子：
--
作者：
Connors EH;Douglas S;Jensen-Doss A;Landes SJ;Lewis CC;McLeod BD;Stanick C;Lyon AR
通讯作者：
Lyon AR