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題名:「心理衡鑑初次晤談」客觀結構式臨床測驗之初探研究
書刊名:中華輔導與諮商學報
作者:藍玉玲 引用關係張玉萱陳畹蘭 引用關係
作者(外文):Lan, Yu-lingChang, Yu-hsuanChen, Wan-lan
出版日期:2015
卷期:44
頁次:頁133-158
主題關鍵詞:客觀結構式臨床測驗實作測驗衡鑑能力評量Objective structured clinical examinationPerformance assessmentPsychological assessment competency
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(3) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:2
  • 共同引用共同引用:15
  • 點閱點閱:232
在專業能力風潮影響下,心理學家反思心理師教育訓練模式、強調心理專業能力評量的重要性。在評量上,仍以紙筆測驗與自陳量表為主,較少採實作評量,故本研究擬採用常用的臨床專業能力評量模式「客觀結構式臨床能力測驗」(Objective Structured Clinical Examination, OSCE),發展衡鑑目的為初次晤談之「心理衡鑑初次晤談OSCE」(簡稱「初次晤談OSCE」),評估碩士生的衡鑑專業能力。初次晤談OSCE包含一個標準化病人測驗站(簡稱SP站)與一個紙筆站(分成選擇題與簡答題分測驗)。本研究招募27位臨床心理碩士生參與研究。研究結果顯示SP站各分量表與整體量表的係數皆大於.8,代表SP站具良好的內部一致性信度。兩評分者在紙筆站簡答題的評分結果也呈現高度正相關(r = .75)。在效度方面,研究結果顯示SP站病史詢問與紙筆站簡答題間,呈現中度正相關(r = .44),顯示初次晤談OSCE具良好的聚斂效度。同樣的,「紙筆站選擇題」與SP站各面向間呈現低度正相關,也反映初次晤談OSCE具有良好的區辨效度。以新發展測驗而言,研究結果顯示初次晤談OSCE具有一定的信效度。未來,有待更多研究的投入,以提供更完整的驗證與論述。
Influenced by the competency-based movement, psychologists have begun to reconsider what has been missing in the education and evaluation of psychologists, and advocate the importance of competency- based evaluation in professional psychology. In the last four decades, Objective Structured Clinical Examination (OSCE) has been widely adopted in health-related disciplines to measure clinician's knowledge, skills and attitudes. The purpose of this study was to develop and validate the intake OSCE, a competency-based evaluation for measuring master students' competencies in psychological assessment when conducting an intake interview. The intake OSCE included a standardized patient test (SP test), a follow-up short answer test (S test), and a multiple-choice test (M test). In this study, 27 graduate students in training were recruited to examine the psychometric properties of this test. Results of this study indicated that the Cronbach's alpha values of the total and subscale scores of the SP test were all above .80; and the inter-rater reliability of the S test was .75. The moderate positive correlation between the history taking subscale scores of the SP test and the S test total scores suggested the convergent validity of the intake OSCE. The weak positive association between the M test total scores and the SP subscale scores also indicated the divergent validity of this test. As a newly developed test, intake OSCE demonstrates good reliability and validity. Since the present study only provided initial validation of this test, more research needs to be done to provide further psychometric evidence for the intake OSCE.
期刊論文
1.Kaslow, Nadine J.(2004)。Competencies in professional psychology。American Psychologist,59(8),774-781。  new window
2.藍玉玲、劉彥君、高聖博(20110600)。另一種心理師專業能力的評量模式:客觀結構式臨床測驗模式在心理學的應用。中華心理衛生學刊,24(2),209-245。new window  延伸查詢new window
3.Rushforth, H. E.(2007)。Objective structured clinical examination (OSCE): Review of literature and implications for nursing education。Nurse Education Today,27(5),481-490。  new window
4.蔡詩力、陳震寰、方基存、蔡景仁、張上淳(20080600)。客觀結構式臨床測驗(OSCE)執行指引。醫學教育,12(2),118-132。new window  延伸查詢new window
5.Rodolfa, Emil R.、Bent, Russ J.、Eisman, Elena、Nelson, Paul D.、Rehm, Lynn、Ritchie, Pierre(2005)。A cube model for competency development: Implications for psychology educators and regulators。Professional Psychology: Research and Practice,36(4),347-354。  new window
6.張文蕙、謝素英、許麗齡(20140600)。運用客觀結構式臨床測驗以評量出院準備護理人員溝通能力之研究。護理雜誌,61(3),45-57。new window  延伸查詢new window
7.Fang, L.、Bogo, M.、Mishna, F.、Murphy, L.、Gibson, M. F.、Griffiths, V.、Regehr, G.(2013)。Development and initial evaluation of the cyber-counseling objective structured clinical examination。Research on Social Work Practice,23,81-94。  new window
8.Fouad, N. A.、Grus, C. L.、Hatcher, R. L.、Kaslow, N. J.、Hutchings, P. S.、Madson, M. B.、Crossman, R. E.(2009)。Competency benchmarks: A model for understanding and measuring competence in professional psychology across training level。Training and Education in Professional Psychology,3(4),S5-S26。  new window
9.Newbie, D. J.、Swanson, D. B.(1988)。Psychometric characteristics of the objective structured clinical evaluation。Medical Education,22,325-334。  new window
10.Hodges, B. D.(2006)。The objective structured clinical examination: Three decades of development。Journal of Veterinary Medical Education,33(4),571-577。  new window
11.Rubin, Nancy J.、Bebeau, Muriel、Leigh, Irene W.、Lichtenberg, James W.、Nelson, Paul D.、Portnoy, Sanford、Smith, I. Leon、Kaslow, Nadine J.(2007)。The competency movement within psychology: An historical perspective。Professional Psychology: Research and Practice,38(5),452-462。  new window
12.Walsh, M.、Bailey, P. H.、Koren, I.(2009)。Objective structured clinical evaluation of clinical competence: An integrative review。Journal of Advanced Nursing,65(8),1584-1595。  new window
13.Krishnamurthy, R.、VandeCreek, L.、Kaslow, N. J.、Tazeau, Y. N.、Miville, M. L.、Kerns, R.、Benton, S. A.(2004)。Achieving competency in psychological assessment: Directions for education and training。Journal of Clinical Psychology,60(7),725-739。  new window
14.Campbell, Donald T.、Fiske, Donald W.(1959)。Convergent and Discriminant Validation by Multitrait-Multimethod Matrix。Psychological Bulletin,56(2),81-105。  new window
15.Collins, F. L.、Kaslow, N. J.、Illfelder-Kaye, J.(2004)。Introduction to the special issue。Journal of Clinical Psychology,60(7),695-697。  new window
研究報告
1.藍玉玲(2010)。心理衡鑑能力客觀結構式臨床測驗的發展與前導研究 (計畫編號:NSC-98-2410-H-259-016)。  延伸查詢new window
2.藍玉玲(2012)。「評分表內容」與「評分者效應」對於心理衡鑑OSCE測驗品質的影響--以「初次晤談」為例 (計畫編號:NSC100-2410-H-259-024)。  延伸查詢new window
圖書
1.Beck, A. T.、Steer, R. A.、Brown, G. K.(1996)。Beck Depression lnventory--2nd edition (BDI-II)。San Antonio, TX:Psychological Corporation。  new window
2.余民寧(2011)。教育驗與評量:成就測驗與教學評量。台北:心理。  延伸查詢new window
3.Gravetter, F. J.、Wallnau, L. B.(2012)。Statistics for the behavioral sciences。Belmont, CA:Wadsworth Publishing Company。  new window
4.高聖博(2008)。慈濟大學標準化病人實務工作坊手冊。花蓮:花蓮慈濟醫院標準化病人中心。  延伸查詢new window
5.Maloney, M. P.、Ward, M. P.、許文耀(1997)。心理衡鑑。台北:心理。  延伸查詢new window
6.Kring, A. M.、Davison, G. C.、Neale, J. M.、Johnson, S. L.(2007)。Abnormal Psychology。New York:John Wiley & Sons, Inc.。  new window
7.Ward, Michael P.、Maloney, Michael P.(1976)。Psychological Assessment: A Conceptual Approach。Oxford University Press。  new window
8.Beck, A. T.、Steer, R. A.、Brown, G. K.、陳心怡(2000)。貝克憂鬱量表第二版(中文版)指導手冊。臺北:中國行為科學社。  延伸查詢new window
9.Boyatzis, Richard E.、王國川、翁千惠(2005)。質性資料分析:如何透視質性資料。五南。  延伸查詢new window
10.Boyatzis, Richard E.(1998)。Transforming qualitative information: Thematic analysis and code development。Sage Publications。  new window
11.吳明隆、涂金堂(2005)。SPSS與統計應用分析實務。五南圖書出版股份有限公司。  延伸查詢new window
12.DeVellis, Robert F.(1991)。Scale Development: Theory and Applications。Sage。  new window
13.郭生玉(1994)。心理與教育測驗。精華。  延伸查詢new window
單篇論文
1.Lan, Y. L.,Chang, Y.(2014)。Development and initial psychometrics of the psychological assessment competency scale。  new window
 
 
 
 
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