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Data-informed psychological therapy, measurement-based care, and precision mental health.
Journal of Consulting and Clinical Psychology ( IF 4.5 ) Pub Date : 2024-10-01 , DOI: 10.1037/ccp0000904
Wolfgang Lutz,Antonia Vehlen,Brian Schwartz

Measurement-based care, that is, incorporating data-informed decision support for therapists into psychological therapy, has undergone significant advancements over the past 2 decades. Technological innovations such as computerized data assessment and feedback tools have facilitated its widespread adoption across various settings. For instance, clinicians can utilize psychometric data to personalize therapeutic approaches, strategies, or modules and track a patient's response to therapy in real time (e.g., Lutz, Schwartz, & Delgadillo, 2022). Furthermore, new algorithm-based clinical support tools used within measurement-based care can optimize treatment for such patients at risk for treatment failure. Consequently, measurement-based care is evolving into a data-informed and precision psychological therapy concept that can be viewed as a low-intensity transtheoretical adjunct to evidence-based treatments. It can be integrated at multiple care points into clinical practice regardless of the clinical modality, manual, or program used in a given health care system. Therefore, it emerges as an important component of clinical competence, practice, and training, akin to continuous monitoring of physical health indicators (e.g., insulin, fever, or blood pressure). In this viewpoint article, we summarize the core concepts of data-informed psychological therapy that customizes individual psychological interventions to meet specific patient needs. We also explore implications and future steps to integrate this approach into clinical practice and further advance precision mental health care. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

中文翻译:


以数据为依据的心理治疗、基于测量的护理和精准心理健康。



基于测量的护理,即将对治疗师的数据知情决策支持纳入心理治疗,在过去 2 年中取得了重大进步。计算机化数据评估和反馈工具等技术创新促进了其在各种环境中的广泛采用。例如,临床医生可以利用心理测量数据来个性化治疗方法、策略或模块,并实时跟踪患者对治疗的反应(例如,Lutz, Schwartz, & Delgadillo, 2022)。此外,在基于测量的护理中使用的基于算法的新临床支持工具可以优化对此类有治疗失败风险的患者的治疗。因此,基于测量的护理正在演变成一种以数据为依据的精准心理治疗概念,可以被视为循证治疗的低强度跨理论辅助手段。它可以在多个护理点整合到临床实践中,无论给定医疗保健系统中使用的临床模式、手册或程序如何。因此,它成为临床能力、实践和培训的重要组成部分,类似于持续监测身体健康指标(例如胰岛素、发烧或血压)。在这篇观点文章中,我们总结了数据知情心理治疗的核心概念,该疗法定制个体心理干预以满足特定的患者需求。我们还探讨了将这种方法整合到临床实践中并进一步推进精准心理健康护理的意义和未来步骤。(PsycInfo 数据库记录 (c) 2024 APA,保留所有权利)。
更新日期:2024-10-01
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