Integrating Decision Making and Mental Health Interventions Research: Research Directions.

Integrating Decision Making and Mental Health Interventions Research: Research Directions.
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整合决策和心理健康干预研究:研究方向。

DOI:
10.1111/j.1468-2850.2006.00002.x
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发表时间:
2006
期刊:
Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association
影响因子:
--
通讯作者:
Holmes-Rovner,Margaret
Holmes-Rovner,Margaret
中科院分区:
--
文献类型:
--
作者:
Wills,CeliaE;Holmes-Rovner,Margaret

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纳入患者和提供者决策过程的重要性是国家精神卫生研究所(NIMH)改善精神卫生干预和服务议程的前沿。患者决策中的关键概念在患者决策的简化模型中得到强调,该模型通过作为干预目标的决策过程将患者层面/“微观”变量与服务层面/“宏观”变量联系起来。将决策概念纳入心理健康研究的未来议程包括(a)改进决策过程特征的措施,使其与研究人群、复杂性和决策类型相匹配;(b)在不同人群和临床环境的有效性研究中测试决策辅助工具;(c)在强化干预设计中提高对偏好概念的理解和纳入。
The importance of incorporating patient and provider decision-making processes is in the forefront of the National Institute of Mental Health (NIMH) agenda for improving mental health interventions and services. Key concepts in patient decision making are highlighted within a simplified model of patient decision making that links patient-level/“micro” variables to services-level/“macro” variables via the decision-making process that is a target for interventions. The prospective agenda for incorporating decision-making concepts in mental health research includes (a) improved measures for characterizing decision-making processes that are matched to study populations, complexity, and types of decision making;(b) testing decision aids in effectiveness research for diverse populations and clinical settings; and (c) improving the understanding and incorporation of preference concepts in enhanced intervention designs.