title: Commentary: moving toward cost-effectiveness in using psychophysiological measures in clinical assessment: validity, decision making, and adding value.
abstract: Psychophysiological measures offer a variety of potential advantages, including more direct assessment of certain processes, as well as provision of information that may contrast with other sources. The role of psychophysiological measures in clinical practice will be best defined when researchers (a) switch to research designs and statistical models that better approximate how clinicians administer assessments and make clinical decisions in practice, (b) systematically compare the validity of psychophysiological measures to incumbent methods for assessing similar criteria, (c) test whether psychophysiological measures show either greater validity or clinically meaningful incremental validity, and (d) factor in fiscal costs as well as the utilities that the client attaches to different assessment outcomes. The statistical methods are now readily available, along with the interpretive models for integrating assessment results into client-centered decision making. These, combined with technology reducing the cost of psychophysiological measurement and improving ease of interpretation, poise the field for a rapid transformation of assessment practice, but only if we let go of old habits of research.
authors: a Department of Psychology , University of North Carolina at Chapel Hill.
authors: Eric A
authors: EA
authors: Youngstrom
authors: Andres
authors: A
authors: De Los Reyes
mesh_terms: D003362:Cost-Benefit Analysis; D003657:Decision Making; D019317:Evidence-Based Medicine / Q000191:economics*; D006302:Health Services Research; D006801:Humans; D017063:Outcome Assessment, Health Care; D018802:Patient-Centered Care; D011603:Psychophysiology; D015203:Reproducibility of Results; D012107:Research Design