测量精神卫生专业人员决策和行动的编码系统的可靠性
Kimberly D Becker1, Eleanor G Wu1, Jonathan G Westman2
1Department of Psychology, University of South Carolina.
概括
一个新的行为编码系统可靠地测量了基于证据的心理学实践 (EBPP) 中的临床活动. 汇总摘录代码为事件级别分析提供了一种优越的方法,减少了主观性.
科学领域:
- 心理学 心理学 心理学
- 心理健康服务研究 心理健康服务研究
背景情况:
- 基于证据的心理学实践 (EBPP) 中的临床决策由于缺乏测量方法,人们对其了解甚少.
- 了解这些决定对于改善心理健康服务提供至关重要,特别是在资源不足的社区.
研究的目的:
- 测试设计用于测量EBPP活动的新型行为编码系统的可靠性.
- 评估系统在表征问题检测,干预选择和影响评估方面的有效性.
主要方法:
- 开发了一种行为编码系统,并应用于两个青年心理健康组织的84个转录的监督事件.
- 编程人员对活动及其内容 (问题/实践) 进行了评分,无论是小对话摘录还是完整的事件.
- 对于这两种编码方法来说,研究了interrater可靠性.
主要成果:
- 编码人员对活动和内容的发生和范围进行了可靠的评级.
- 编码对话片段通常比编码整个事件更可靠.
- 数学汇总摘录代码提供了更可靠的事件代码估计,减少主观性.
结论:
- 开发的行为编码系统可以通过评估临床决策和行动来帮助EBPP"打开黑子".
- 系统内的不同测量方法可能适合不同的研究问题和资源限制.
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