Characterizing measurement-based care implementation using therapist report.
Characterizing measurement-based care implementation using therapist report.
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使用治疗师报告描述基于测量的护理实施。
DOI：
10.1080/23794925.2022.2124555
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Jensen-Doss,Amanda
中科院分区：
文献类型：
--
作者：
Casline,Elizabeth;Woodard,Grace;Patel,ZabinS;Phillips,DominiqueA;Ehrenreich-May,Jill;Ginsburg,GoldaS;Jensen-Doss,Amanda
基于测量的护理（MBC）是一种循证实践，使用定期收集的评估数据来指导临床决策，其有效性受到治疗师是否以及如何使用MBC工具中的信息的影响。需要改进治疗师如何在青少年治疗中使用MBC的特征，以指导实施并了解MBC有效性的变化。为了满足这一需求，本研究调查了治疗师在治疗过程中对MBC的分享和讨论。30名治疗师被随机分配到MBC条件作为青少年焦虑和抑郁治疗效果比较试验的一部分。根据MBC数据，对治疗师对会议变化的书面解释进行了定性内容分析。治疗师报告说，与青少年和照顾者分享数据的平均比例分别为34.6%和27.4%。治疗师报告说，在平均21.1%的会议中纳入MBC数据。当使用数据时，治疗师主要关注短期（例如当前症状，治疗技能）而不是长期（例如症状进展，治疗目标）决策的变化。治疗师不一致地使用MBC数据，强调需要改进治疗师如何在会议中使用MBC的培训和监测，以指导与青年和照顾者的合作治疗决策。
The effectiveness of measurement-based care (MBC), an evidence-based practice that uses regularly collected assessment data to guide clinical decision-making, is impacted by whether and how therapists use information from MBC tools in treatment. Improved characterization of how therapists use MBC in treatment sessions with youth is needed to guide implementation and understand variability in MBC effectiveness. To meet this need, this study examined therapists’ sharing and discussion of MBC in treatment sessions. Thirty therapists were randomly assigned to the MBC condition as part of a comparative effectiveness trial of treatments for adolescent anxiety and depression. A qualitative content analysis was conducted on therapists’ written explanations of changes made to the session based on the MBC data. Therapists reported sharing data with youth and caregivers in an average of 34.6% and 27.4% of sessions, respectively. Therapists reported incorporating MBC data in an average of 21.1% of sessions. When data were used, therapists predominately focused changes on short-term (e.g. current symptoms, treatment skill) rather than long-term (e.g. symptom progress, treatment goals) decision-making. Therapists inconsistently used MBC data, highlighting the need for improved training in and monitoring of how therapists use MBC in session to guide collaborative treatment decision-making with youth and caregivers.
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