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Clinical Significance Analysis×Single-System Design×
분야Social WorkSocial Work
계열Process / pipelineProcess / pipeline
기원 연도19912009
창시자Neil S. Jacobson & Paula TruaxMartin Bloom, Joel Fischer & John G. Orme (codification in social work)
유형Two-part classification of whether individual change is both reliable and meaningfulTime-series design for evaluating intervention with a single client system
원전Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59(1), 12–19. DOI ↗Bloom, M., Fischer, J., & Orme, J. G. (2009). Evaluating Practice: Guidelines for the Accountable Professional (6th ed.). Pearson/Allyn & Bacon. ISBN: 9780205458066
별칭Clinical Significance, Jacobson-Truax Method, Clinically Significant Change, Recovery ClassificationSingle-Subject Design, Single-Case Design, N-of-1 Design, Single-System Evaluation
관련44
요약Clinical significance analysis is a method for deciding whether an individual client's change after treatment is not only statistically reliable but also meaningful in real-world terms — specifically, whether the client has moved out of the dysfunctional range and into the range typical of a functional or non-clinical population. Formalized by Neil Jacobson and Paula Truax in 1991, it combines a reliable-change criterion with a clinical cutoff to sort each client into categories such as recovered, improved, unchanged, or deteriorated, complementing group-level statistics that say nothing about individual benefit.A single-system design is a time-series approach to evaluating practice in which a single client system — an individual, family, group, or organization — is measured repeatedly on a clearly defined target before and during (and sometimes after) an intervention. By tracking the same system over time rather than comparing a treatment group to a control group, it lets a practitioner judge whether their own intervention is associated with change in the people they actually serve. It is the methodological backbone of the 'accountable professional' tradition codified by Bloom, Fischer, and Orme.
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