一个试点项目将个性化测量整合到儿童部分住院计划中的基于测量的护理中
Ruben G Martinez1, Galen D McNeil2, Danielle Cornacchio2
1Kaiser Permanente Washington Health Research Institute; UCLA Jane & Terry Semel Institute for Neuroscience & Human Behavior.
Behavior therapy
|January 12, 2024
概括
将个性化结果测量与标准化措施一起纳入儿童心理健康护理是有前途的. 这种方法捕获了独特的患者进展,尽管持续实施需要进一步关注.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 临床心理学 临床心理学
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 基于测量的护理 (MBC) 提高了临床决策和结果.
- 当前的MBC通常依赖于标准化措施,可能会忽视个性化的患者需求.
- 儿童部分住院计划为患有复杂并发症的年轻人提供服务.
研究的目的:
- 评估在儿科部分住院计划中将个性化结果测量与标准化MBC集成的临床实用性.
- 评估个性化措施对临床变化的敏感性.
- 探索实施挑战和家长参与结果监测.
主要方法:
- 试点研究涉及48名年轻人 (平均年龄10.13岁) 在一个部分住院计划.
- 利用"青年最重要问题" (YTP) 进行个性化结果评估.
- 将YTP数据与标准化计划措施和分析完成率进行比较.
主要成果:
- 个体化"顶级问题"是异质的,对临床变化敏感 (科恩d = .751.00).
- 鉴定到的问题中有很大一部分 (26%) 没有被现有的标准化措施所涵盖.
- 最初MBC的采用率很高,但持续使用证明具有挑战性.
结论:
- 个性化结果测量是可行的,在儿科部分住院设置中具有临床价值.
- 这种方法捕获了超越标准化评估的独特患者报告的变化.
- 解决实施障碍对于集成MBC的持续成功至关重要.
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