PREDICTING PSYSOCIAL REHABILITATION SERVICE OUTCOME

预测心理康复服务结果

• 批准号: 6876748
• 负责人: JOHN Sinclair BREKKE
• 金额: $ 19.12万
• 依托单位: UNIVERSITY OF SOUTHERN CALIFORNIA
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-03-10 至 2006-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6876748
• 关键词: behavior prediction; behavioral /social science research tag; clinical research; cognition; community mental health services; functional ability; health care service evaluation; health services research tag; human subject; longitudinal human study; medical rehabilitation related tag; neuropsychological tests; outcomes research; psychophysiology; psychosocial rehabilitation; psychosocial service; schizophrenia; social adjustment

DESCRIPTION (Applicant's abstract): This application requests continuation funds to support significant developments in our research on community based psychosocial rehabilitation for individuals with schizophrenia. The first phase of this study (begun 1996) sought to identify the individual factors related to rehabilitation responsiveness in the community. The goal was to identify important psychobiological predictors, and to examine whether they had a direct impact on rehabilitation services and outcomes. This was an essential and descriptive stage in this program of research, and the preliminary results are exceptionally strong. Based on these preliminary results and recent theoretical developments in the field (including the work of the current investigators), this study will begin the next important stage of research. The goal of the next phase is to understand how and why the relationships between psychobiological factors and functional outcomes occur, and to define some of the mechanisms of rehabilitative change. We will test new explanatory constructs such as learning potential, social cognition, social competence, problem solving, coping, and insight that are proposed to be key mediators of the impact of psychobiological factors on functional outcomes. They have the potential to become key targets for intervention, and will provide a significant link in developing more theoretically driven models for understanding of the mechanisms of functional rehabilitative change. With this knowledge, it will be possible to develop more targeted and effective rehabilitation services that can build on client capacities, remeditate modifiable deficits, or compensate for individual characteristics that are unlikely to change. This will allow for individualizing psychosocial interventions in terms of the timing, type, and intensity of specific services, and for developing new and more integrated psychosocial interventions in the community. The ultimate goal is to contribute to the development of more effective and cost-efficient models of community-based psychosocial intervention for schizophrenic individuals in the community. The proposed continuation phase of this program of research will use a newly recruited sample of individuals with schizophrenia. 150 subjects will be recruited as they are admitted to two community-based rehabilitation sites and will be followed for 24 months. They will have six psychosocial assessments (baseline, 6, 12, 18, 20 and 24 months), and three psychobiological assessments (baseline, 12, and 24 months).

描述（申请人的摘要）：该申请请求继续 资金支持我们基于社区的研究的重大发展 精神分裂症患者的社会心理康复。第一阶段 这项研究（1996 年开始）旨在确定与 社区的康复响应能力。目标是确定 重要的心理生物学预测因素，并检查它们是否有直接的影响 对康复服务和结果的影响。这是一个必要且 本研究计划处于描述阶段，初步结果为 异常强大。基于这些初步结果和最近的理论 该领域的进展（包括当前调查人员的工作）， 这项研究将开始下一个重要阶段的研究。 下一阶段的目标是了解这些关系如何以及为何 心理生物学因素和功能结果之间发生，并定义 一些康复改变的机制。我们将测试新的解释 学习潜力、社会认知、社会能力等建构， 问题解决、应对和洞察力被认为是关键的调解因素 心理生物学因素对功能结果的影响。他们有 有可能成为干预的关键目标，并将提供 开发更多理论驱动模型的重要环节 了解功能康复变化的机制。有了这个 的知识，才能制定更有针对性、更有效的 康复服务可以增强客户的能力，进行康复治疗 可改变的缺陷，或补偿个人特征 不太可能改变。这将允许个体化心理社会 在具体服务的时间、类型和强度方面进行干预， 并制定新的、更综合的社会心理干预措施 社区。最终目标是为更多领域的发展做出贡献 有效且具有成本效益的基于社区的心理社会模型 对社区精神分裂症患者进行干预。 该研究计划的拟议继续阶段将使用新的 招募了精神分裂症患者的样本。 150 个科目将 当他们被纳入两个社区康复中心时被招募 将被跟踪24个月。他们将进行六项心理社会评估 （基线、6、12、18、20 和 24 个月）和三项心理生物学评估 （基线、12 个月和 24 个月）。