Exploring transferability in psychiatric interventions: a conceptual framework.

IF 3.2 4区 医学 Q2 CLINICAL NEUROLOGY Journal of Neural Transmission Pub Date : 2025-02-01 Epub Date: 2024-10-14 DOI:10.1007/s00702-024-02840-9
Vahid Nejati
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Abstract

The growing significance of generalization in psychiatric interventions stems from the need for effective and applicable treatments across diverse populations and settings. Addressing psychiatric disorders involves navigating the complex interplay of biological, cognitive, and behavioral factors, making it crucial to assess the transferability of interventions beyond controlled environments. To tackle this challenge, we propose a novel conceptual framework, the FIELD model (Function, Implement, Ecology, Level, and Durability). This model offers a comprehensive exploration of generalization by considering the function and tools used in interventions, the ecological contexts of their application, the various levels of impact, and the durability of effects over time. In this study, we explore the dimensions of the FIELD model, emphasizing the role of assessment tools as valuable indicators and the significance of effect sizes in quantifying the transfer of training effects. The FIELD model stands as a tool to enhance our understanding of psychiatric interventions, providing a systematic and nuanced approach to evaluate their generalization across diverse scenarios.

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探索精神病干预措施的可转移性:一个概念框架。
由于需要在不同人群和环境中提供有效且适用的治疗方法,精神病干预措施的推广意义日益重大。治疗精神障碍涉及生物、认知和行为因素的复杂相互作用,因此评估干预措施在受控环境之外的可转移性至关重要。为了应对这一挑战,我们提出了一个新颖的概念框架,即 FIELD 模型(功能、实施、生态、水平和持久性)。该模型通过考虑干预措施中使用的功能和工具、其应用的生态环境、影响的不同程度以及随着时间推移效果的持久性,对普遍性进行了全面探索。在本研究中,我们探讨了 FIELD 模型的各个层面,强调了评估工具作为有价值指标的作用,以及效果大小在量化培训效果转移方面的重要性。FIELD模型是我们加深对精神干预的理解的工具,它提供了一种系统的、细致入微的方法来评估这些干预在不同情况下的普遍性。
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来源期刊
Journal of Neural Transmission
Journal of Neural Transmission 医学-临床神经学
CiteScore
7.20
自引率
3.00%
发文量
112
审稿时长
2 months
期刊介绍: The investigation of basic mechanisms involved in the pathogenesis of neurological and psychiatric disorders has undoubtedly deepened our knowledge of these types of disorders. The impact of basic neurosciences on the understanding of the pathophysiology of the brain will further increase due to important developments such as the emergence of more specific psychoactive compounds and new technologies. The Journal of Neural Transmission aims to establish an interface between basic sciences and clinical neurology and psychiatry. It intends to put a special emphasis on translational publications of the newest developments in the field from all disciplines of the neural sciences that relate to a better understanding and treatment of neurological and psychiatric disorders.
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