The probability of treatment success, failure and duration—what can be learned from empirical data to support decision making in clinical practice?

摘要: Empirical methods have been found to be superior clinical judgment for the purpose of correctly identifying patients at risk treatment failure and, hence, enhance psychotherapy outcomes. The development and evaluation an empirical approach aimed supporting decisions during course is described. tool provides predictions based on a patient-specific sampling strategy called nearest neighbors method growth curve approaches model expected each patient. Using session-by-session data from outpatient center in US (N = 4365), this new empirically derived decision was evaluated compared with clinically loosely adaptation significant change concepts. system rational one almost all measures prediction accuracy, indicating its potential identify failure. Copyright © 2006 John Wiley & Sons, Ltd.