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Standardized Clinical Cutoff×Goal Attainment Scaling×Single-System Design×
분야Social WorkSocial WorkSocial Work
계열Process / pipelineProcess / pipelineProcess / pipeline
기원 연도199119682009
창시자Neil S. Jacobson & Paula TruaxThomas J. Kiresuk & Robert E. ShermanMartin Bloom, Joel Fischer & John G. Orme (codification in social work)
유형Method for judging whether individual change on a standardized measure is reliable and clinically meaningfulIndividualized, criterion-referenced outcome measurement procedureTime-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 ↗Kiresuk, T. J., & Sherman, R. E. (1968). Goal attainment scaling: A general method for evaluating comprehensive community mental health programs. Community Mental Health Journal, 4(6), 443–453. DOI ↗Bloom, M., Fischer, J., & Orme, J. G. (2009). Evaluating Practice: Guidelines for the Accountable Professional (6th ed.). Pearson/Allyn & Bacon. ISBN: 9780205458066
별칭Clinical Cutoff Score, Clinical Significance Method, Reliable Change Index, Jacobson-Truax MethodGAS, Goal Attainment Scale, Kiresuk-Sherman Goal Attainment Scaling, Individualized Goal ScalingSingle-Subject Design, Single-Case Design, N-of-1 Design, Single-System Evaluation
관련334
요약The standardized clinical cutoff approach, developed by Jacobson and Truax, judges whether an individual client's change on a standardized measure is both statistically reliable and clinically meaningful. It pairs a Reliable Change Index — which asks whether a pre-to-post change is larger than the measurement error of the instrument — with a cutoff score that marks the boundary between the dysfunctional and functional (normal) populations. A client who moves reliably across that cutoff is counted as recovered, giving practice and research a defensible, individual-level definition of meaningful improvement.Goal Attainment Scaling (GAS) is a method for measuring the outcomes of an individualized intervention by writing, in advance, a small set of client-specific goals and defining for each a graded scale of possible outcomes from much worse than expected to much better than expected. After the intervention, the actual outcome on each goal is scored on this scale and the scores are combined into a single standardized index, allowing idiosyncratic, personally meaningful goals to be aggregated and compared across clients and programs. It was introduced by Thomas Kiresuk and Robert Sherman in 1968 to evaluate community mental health programs.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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