Data-gathering tools for ''real world'' clinical settings: A multisite feasibility study

被引:15
作者
Jensen, PS
Irwin, RAC
Josephson, AM
Davis, H
Xenakis, SN
Bloedau, L
Ness, R
Mabe, A
Lee, B
Traylor, J
Clawson, L
机构
[1] MED COLL GEORGIA,AUGUSTA,GA 30912
[2] EISENHOWER ARMY MED CTR,FT GORDON,GA
[3] AUGUSTA COLL,AUGUSTA,GA 30904
[4] TRIPLER ARMY MED CTR,HONOLULU,HI 96859
关键词
research methods; clinical database; knowledge transfer; services research; patient registry; assessment;
D O I
10.1097/00004583-199601000-00013
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Objective: To determine the mental health needs and optimal treatments for children and families in ''real world'' settings, data-gathering strategies are needed that can be easily implemented across a variety of clinical settings. To address this need, the authors developed and piloted a ''clinician-friendly'' questionnaire that includes demographic, psychosocial, medical, and family history variables, such as those routinely gathered in standard clinical evaluations. Method: Optical scanning technology was used to encode data from more than 1,900 children, including 1,458 consecutive referrals in four military child psychiatry clinics, 285 consecutive admissions to a civilian psychiatric state hospital, 71 pediatric patients, and a community sample of 113 children. Results: Despite geographic and logistic obstacles, clinical data were reliably obtained across multiple settings. Data analyses revealed meaningful differences across samples in subjects' presenting complaints, and a range of psychosocial, demographic, and background variables. Data were characterized by an apparently high degree of accuracy and completeness. Conclusions: Findings illustrate the importance and feasibility of standardized data-gathering approaches in routine clinical settings and clarify the hazards as well as the opportunities afforded by these research approaches. Such data-gathering tools appear to have significant merit and deserve further implementation and testing across a range of clinical and research settings.
引用
收藏
页码:55 / 66
页数:12
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