Designing studies to investigate client-treatment matching.
Designing studies to investigate client-treatment matching.
复制标题
设计研究来调查客户与治疗的匹配。
DOI：
10.15288/jsas.1994.s12.38
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发表时间：
1994
期刊：
影响因子：
--
通讯作者：
N. Cooney
中科院分区：
文献类型：
--
作者：
W. Miller;N. Cooney
设计客户-治疗匹配研究的过程涉及许多方法复杂性。除了大量的潜在客户特征和一系列可能的结果变量外，还可以匹配各种治疗属性，包括模式、强度、持续时间、格式、环境、治疗师和目标。后见之明的匹配设计(可以包括假设检验)检查了客户特征和他们并非故意匹配的治疗之间的相互作用。前瞻性匹配设计涉及对匹配假设的前瞻性实验测试，将通过特定决策规则匹配的案例与其他不匹配的案例的结果进行比较。在一定条件下，这些后见之明和前瞻性匹配设计在逻辑上是等价的。临床判断的数学建模为未来匹配模式的研究提供了另一条有希望的途径。格拉泽的核心-外壳战略为实施临床系统和研究正在进行的服务中的匹配提供了一个实用模型。
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.