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Integrating routine clinical interventions with single-case methodology: Parallels, differences and bridging strategies
Brain Impairment ( IF 1.1 ) Pub Date : 2019-08-01 , DOI: 10.1017/brimp.2019.8
Robyn L. Tate , Michael Perdices , Donna Wakim

Clinical practice offers the opportunity for the clinician to be a scientist-practitioner in the workplace. This, in turn, facilitates building practice-based evidence. But this can only occur if the effects of the interventions are objectively and systematically evaluated. To this end, single-case methodology is a valuable tool to implement an intervention in a scientifically rigorous manner and gather data on treatment effectiveness. It is possible to incorporate single-case methods into routine clinical practice by using a few simple strategies. This paper examines the ways in which single-case methodology departs from (a) routine clinical practice and (b) the familiar between-groups research design, such as the randomised controlled trial. It presents five practical strategies that will bridge the gap between routine clinical practice and single-case methodology. The Model for Assessing Treatment Effect is described as providing context for and a framework to self-evaluate the scientific rigour in clinical practice and benchmark service delivery.

中文翻译:

将常规临床干预与单一病例方法学相结合:相似之处、差异和桥接策略

临床实践为临床医生提供了在工作场所成为科学家从业者的机会。这反过来又有助于建立基于实践的证据。但这只有在客观和系统地评估干预措施的效果时才会发生。为此,单一病例方法学是一种以科学严谨的方式实施干预和收集治疗效果数据的宝贵工具。通过使用一些简单的策略,可以将单一病例方法纳入常规临床实践。本文探讨了单病例方法与 (a) 常规临床实践和 (b) 熟悉的组间研究设计(如随机对照试验)的不同方式。它提出了五种实用策略,将弥合常规临床实践和单一案例方法之间的差距。评估治疗效果的模型被描述为为自我评估临床实践和基准服务提供的科学严谨性提供背景和框架。
更新日期:2019-08-01
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