关于神经发育障碍标准结果措施的国际共识:一个共识声明
Melissa Mulraney1, Umanga de Silva2, Andria Joseph2
1Department of Paediatrics, University of Melbourne, Parkville, Australia.
JAMA network open
|June 13, 2024
概括
针对神经发育障碍 (NDD) 的新一套核心结果测量措施已经开发出来,以标准化护理. 这种基于证据的方法可确保对儿童和青少年的核心症状,功能和共存条件进行可靠的评估.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 发展心理学 发展心理学
- 临床评估 临床评估
背景情况:
- 标准化结果测量对于基于证据的心理健康临床决策至关重要.
- 由于对什么以及如何可靠地测量缺乏清晰度,存在实施挑战.
研究的目的:
- 为神经发育障碍 (NDD) 制定标准化的核心结果测量方法.
- 创建适用于各种地理和文化环境的措施,用于诸如ADHD,沟通,学习和运动障碍等疾病.
主要方法:
- 一个由27名专家和服务用户组成的国际工作组使用了修改后的Delphi方法.
- 方法包括视频会议和16个月的调查,随后是公开审查和外部验证.
主要成果:
- 建议采取一套最终的14项措施,涵盖核心症状,功能,生活质量和并存问题.
- 这些措施评估了3个领域的12个结果,应该每半年进行一次.
- 在外部验证中,超过70%的专业人员和服务用户赞同.
结论:
- 开发的NDD集解决了患者和护理人员的关键结果.
- 这种标准化的方法有可能提高NDD的临床实践和研究.
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