大量的研究,记录家庭功能对健康结果的影响,强调了将患者家庭动态评估引入临床判断的重要性。家庭评估设备(FAD)是一种自我报告问卷,旨在评估家庭功能的特定维度。这篇定性的系统综述,遵循PRISMA准则,旨在确定FAD的临床特性,并报告其在临床环境中的增量效用。进行了彻底的文献检索,使用计算机化和手动搜索,共有148项研究纳入本综述.FAD已广泛用于各种研究环境中。在大多数研究中,它能够区分临床人群和对照组以及患有不同疾病的患者群体。FAD还显示出良好的重测和并发可靠性,和适度的敏感性变化后治疗。FAD功能失调的家庭功能与几个患者的临床结果有关,包括较低的恢复率和对治疗的依从性,恢复时间更长,生活质量较差,并增加复发和脱落的风险。本综述表明,FAD是在临床和研究环境中评估家庭功能的合适工具。
A large body of research, documenting the impact of a family\'s functioning on health outcomes, highlights the importance of introducing the evaluation of patients\' family dynamics into clinical judgment. The Family Assessment Device (FAD) is a self-report questionnaire designed to assess specific dimensions of family functioning. This qualitative systematic
review, which follows PRISMA guidelines, aimed to identify the FAD\'s clinimetric properties and to report the incremental utility of its inclusion in clinical settings. A thorough literature search was performed, using both computerized and manual searches, yielding a total of 148 studies that were included in this
review. The FAD has been extensively used in a variety of research contexts. In the majority of studies it was able to discriminate between clinical populations and controls and among groups of patients with different illnesses. The FAD also showed good test-retest and concurrent reliability, and modest sensitivity to change after treatment. FAD-dysfunctional family functioning was related to several patient clinical outcomes, including lower recovery rates and adherence to treatment, longer recovery time, poorer quality of life, and increased risk of relapse and drop-out. The present
review demonstrates that the FAD is a suitable instrument for the evaluation of family functioning both in clinical and research settings.