performance-based assessment

  • 文章类型: Journal Article
    虽然职业在职业初期开始是职业治疗的核心概念,在整个治疗过程中使用职业,包括评估,近几十年来一直在动摇。职业被定义为个人为占据他们的时间和注意力而进行的有意义和有目的的活动。使用基于职业的评估对于建立以职业为重点的护理至关重要。本文的目的是回顾烧伤文献中常用的结果评估工具,以评估手的功能,并使用基于职业的实践评估(OBPA)在每次评估中批评职业的存在。评估的职业性质的知识对于提供职业治疗评估非常重要,该评估包括一系列评估,包括离散的运动测量以及基于绩效的工具,以从职业角度代表个人。上肢烧伤康复中使用的许多结果指标本质上是离散的,无法衡量客户的职业。手提箱包装活动(SPA)可能是评估电池的可行补充,以满足这一基本需求。
    While occupation began as the central concept of occupational therapy at the dawn of the profession, the use of occupation throughout the therapy process, including assessment, has wavered in recent decades. Occupation is defined as meaningful and purposeful activities that individuals do to occupy their time and attention. The use of occupation-based assessments is vital to establishing care with an occupational focus. The purpose of this paper is to review the outcome assessment tools commonly used in the burn literature to evaluate hand function and critique the presence of occupation in each assessment using the Occupation-Based Practice Assessment (OBPA). Knowledge of the occupational nature of assessments is important to the delivery of an occupational therapy evaluation comprised of a battery of assessments inclusive of discrete measures of movement as well as performance-based tools to represent the person from an occupational perspective. Many outcome measures used in upper extremity burn rehabilitation are discrete in nature and do not measure occupations of clients. The Suitcase Packing Activity (SPA) may be a viable addition to an assessment battery to address this essential need.
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  • 文章类型: Systematic Review
    精神病的认知模型刺激了有关精神分裂症谱系精神病及其症状的认知偏见的实证研究。本系统综述旨在总结在精神分裂症谱系精神病和临床高危状态中基于不同表现的任务中评估的认知偏差的作用的研究。我们专注于与精神病有关的五种认知偏见,即,异常显着性,注意偏见,源监控偏差,急于下结论,以及对不确定证据的偏见。我们确定了N=324项研究,发表在N=308篇文章中,符合纳入标准。大多数研究都是横断面的,并证实与健康对照相比,精神分裂症谱系精神病与夸大的认知偏见有关。相反,较少证据表明UHR样本中认知偏差的趋势更高。唯一的例外是来源监控和得出结论,证实在两个临床组中都被夸大了。幻觉和妄想是在认知偏见的背景下研究的最常见症状。根据调查结果,我们提出了一个关于认知偏差或偏差的加性效应之间的相互作用在塑造精神病风险中的作用的假设模型.未来的研究有必要进一步发展精神病的认知模型。
    Cognitive models of psychosis have stimulated empirical studies on cognitive biases involved in schizophrenia spectrum psychoses and their symptoms. This systematic review aimed to summarize the studies on the role of cognitive biases as assessed in different performance-based tasks in schizophrenia spectrum psychoses and clinical high-risk states. We focused on five cognitive biases linked to psychosis, i.e., aberrant salience, attentional biases, source monitoring biases, jumping to conclusions, and bias against disconfirmatory evidence. We identified N = 324 studies published in N = 308 articles fulfilling inclusion criteria. Most studies have been cross-sectional and confirmed that the schizophrenia spectrum psychoses are related to exaggerated cognitive biases compared to healthy controls. On the contrary, less evidence suggests a higher tendency for cognitive biases in the UHR sample. The only exceptions were source monitoring and jumping to conclusions, which were confirmed to be exaggerated in both clinical groups. Hallucinations and delusions were the most frequent symptoms studied in the context of cognitive biases. Based on the findings, we presented a hypothetical model on the role of interactions between cognitive biases or additive effects of biases in shaping the risk of psychosis. Future research is warranted for further development of cognitive models for psychosis.
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  • 文章类型: Journal Article
    目的:评估学习者在书面和基于绩效的沟通技巧(CS)评估结果之间可能的关联,在并行或预测性研究设计中。
    方法:搜索包括四个数据库,用于同行评审研究,包含书面和基于绩效的CS评估。11项研究符合纳入标准。
    结果:纳入的研究主要评估本科医学生。研究报告主要是书面和基于绩效的评估结果之间的低至中等相关性(客观结构化临床检查或与模拟患者的相遇),相关系数为0.13~0.53(p<0.05)。当特定的CS,就像动机性访谈一样进行了评估。只有少数研究为两种评估格式提供了足够的可靠性指标。
    结论:书面评估分数似乎可以在有限的程度上预测基于绩效的评估,但不能完全取代它们。评估工具的心理测量特性的报告对于改善对未来发现的解释至关重要,并可能影响其对绩效的预测有效性。
    结论:在纵向CS评估计划中,建议对包括书面评估在内的评估进行三角测量,考虑到可能的限制。带有反馈的书面评估可以帮助学生和培训师详细阐述程序知识,作为对CS到不同环境的获取和转移的有力支持。
    To evaluate possible associations between learners\' results in written and performance-based assessments of communication skills (CS), either in concurrent or predictive study designs.
    Search included four databases for peer-reviewed studies containing both written and performance-based CS assessment. Eleven studies met the inclusion criteria.
    Included studies predominantly assessed undergraduate medical students. Studies reported mainly low to medium correlations between written and performance-based assessment results (Objective Structured Clinical Examinations or encounters with simulated patients), and gave correlation coefficients ranging from 0.13 to 0.53 (p < 0.05). Higher correlations were reported when specific CS, like motivational interviewing were assessed. Only a few studies gave sufficient reliability indicators of both assessment formats.
    Written assessment scores seem to predict performance-based assessments to a limited extent but cannot replace them entirely. Reporting of assessment instruments\' psychometric properties is essential to improve the interpretation of future findings and could possibly affect their predictive validity for performance.
    Within longitudinal CS assessment programs, triangulation of assessment including written assessment is recommended, taking into consideration possible limitations. Written assessments with feedback can help students and trainers to elaborate on procedural knowledge as a strong support for the acquisition and transfer of CS to different contexts.
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