设计研究以调查客户-治疗匹配。

W R Miller, N L Cooney
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引用次数: 23

摘要

设计客户-治疗匹配研究的过程涉及许多方法上的复杂性。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,包括方式,强度,持续时间,格式,设置,治疗师和目标。后见之明匹配设计(可以包括假设检验)检查客户特征和治疗之间的相互作用,这些特征和治疗不是有意匹配的。前瞻性匹配设计涉及对匹配假设的前瞻性实验检验,将特定决策规则匹配的情况与其他不匹配的情况的结果进行比较。在一定条件下,这些后见之明与前瞻之明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图式的研究提供了另一个有希望的途径。Glaser的核心-外壳策略为在正在进行的服务中实施临床系统和研究匹配提供了一个实用的模型。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Designing studies to investigate client-treatment matching.

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.

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