So sánh phương pháp

	Routine Outcome Monitoring	Clinical Significance Analysis
Lĩnh vực	Social Work	Social Work
Họ	Process / pipeline	Process / pipeline
Năm ra đời	2001	1991
Người khởi xướng	Michael J. Lambert and the patient-focused/measurement-based-care tradition	Neil S. Jacobson & Paula Truax
Loại	Systematic repeated measurement of client outcomes to inform ongoing care	Two-part classification of whether individual change is both reliable and meaningful
Công trình gốc	Lambert, M. J., Hansen, N. B., & Finch, A. E. (2001). Client-focused research: Using client outcome data to enhance treatment effects. Journal of Consulting and Clinical Psychology, 69(2), 159–172.	Jacobson, 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.
Tên gọi khác	ROM, Measurement-Based Care, Outcome Monitoring, Progress Monitoring	Clinical Significance, Jacobson-Truax Method, Clinically Significant Change, Recovery Classification
Liên quan	4	4
Tóm tắt	Routine outcome monitoring (ROM), also called measurement-based care, is the practice of repeatedly administering a validated outcome measure throughout a course of treatment and using the resulting data to track each client's progress, compare it against an expected recovery trajectory, and adjust care when a client is not improving as predicted. Pioneered in psychotherapy by Michael Lambert's patient-focused research and now standard in behavioral health and social work, it turns outcome measurement from a one-time research activity into a continuous clinical feedback loop that demonstrably improves outcomes for clients who would otherwise deteriorate.	Clinical 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.