A retrospective quality improvement analysis of simplifying functional assessments: A brief report.

IF 1.7

Developmental neurorehabilitation Pub Date : 2025-04-01 Epub Date: 2025-07-04 DOI:10.1080/17518423.2025.2526363

Amy Wolfe, Jenna Venuto, Zhenying Jiang, Collin Shepley, Sally B Shepley

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Abstract

Background: Outpatient university-based clinics serving families of children with challenging behavior often rely on time-intensive functional analyses to inform treatment. The Interview-Informed Synthesized Contingency Analysis (IISCA) has been proposed as a more efficient, yet effective, alternative.

Objective: This study aimed to evaluate the potential impact of implementing a single-session IISCA on service efficiency within a university-based outpatient clinic.

Method: A retrospective program evaluation was conducted to examine the theoretical time savings associated with using a single-session IISCA approach in place of traditional multi-session assessments.

Results: Findings suggested that meaningful amounts of time could theoretically be saved by utilizing a single-session IISCA. These potential efficiencies may support more rapid decision-making and service delivery.

Conclusion: While preliminary results are promising, additional research is needed to evaluate the real-time impact of integrating single-session IISCA into clinical practice, particularly regarding data-informed decision-making and overall service outcomes.

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简化功能评估的回顾性质量改进分析：简要报告。

背景：以大学为基础的门诊诊所为具有挑战性行为的儿童家庭提供服务，通常依赖于时间密集的功能分析来告知治疗。访谈信息综合权变分析（IISCA）被认为是一种更有效的替代方法。目的：本研究旨在评估在大学门诊部实施单期IISCA对服务效率的潜在影响。方法：回顾性方案评估进行了检查的理论时间节约与使用单一会话IISCA方法代替传统的多会话评估。结果：研究结果表明，理论上，利用单次IISCA可以节省大量的时间。这些潜在的效率可能支持更快速的决策和服务交付。结论：虽然初步结果很有希望，但需要进一步的研究来评估将单次IISCA整合到临床实践中的实时影响，特别是在数据明智的决策和整体服务结果方面。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Developmental neurorehabilitation

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