Improving psychotherapy outcome: the use of immediate electronic feedback and revised clinical support tools
- 22 September 2008
- journal article
- research article
- Published by Wiley in Clinical Psychology & Psychotherapy
- Vol. 15 (5) , 287-303
Abstract
The benefits of psychotherapy have been well documented; however, 5–10% of clients worsen while in treatment and another minority shows no response. The effects of feedback timing (delayed or immediate) and type (progress feedback and Clinical Support Tool [CST] feedback), aimed at reducing deterioration and improving outcomes, were examined in a sample of 1101 clients whose outcome was contrasted across experimental groups and with two archival groups: a delayed progress feedback and CST feedback group (n = 1374) and a treatment‐as‐usual control group (n = 1445). Progress feedback to therapists improved outcomes, especially for cases at risk for a negative outcome, but direct progress feedback to clients did not. Effects were significantly enhanced by using the manual‐based CST. There were no significant differences in outcome between the 1‐week‐delayed CST feedback and 2‐week‐delayed CST feedback groups; however, clients in the week‐delayed CST feedback timing condition attended three less sessions, on average, than their 2‐week‐delayed CST feedback counterparts while maintaining similar treatment gains. Results were interpreted as supporting the value of monitoring client progress and feeding back this information to therapists as well as assisting therapists in problem solving with cases at risk for treatment failure. Copyright © 2008 John Wiley & Sons, Ltd.Keywords
This publication has 27 references indexed in Scilit:
- A comparison of rational versus empirical methods in the prediction of psychotherapy outcomeClinical Psychology & Psychotherapy, 2006
- A lab test and algorithms for identifying clients at risk for treatment failureJournal of Clinical Psychology, 2004
- Comparison of empirically‐derived and rationally‐derived methods for identifying patients at risk for treatment failureClinical Psychology & Psychotherapy, 2002
- The psychotherapy dose-response effect and its implications for treatment delivery services.Clinical Psychology: Science and Practice, 2002
- Psychotherapy quality control: the statistical generation of expected recovery curves for integration into an early warning systemClinical Psychology & Psychotherapy, 2001
- What information do clinicians value for monitoring adolescent client progress and outcomes?Professional Psychology: Research and Practice, 2000
- Relation of therapeutic alliance and perfectionism to outcome in brief outpatient treatment of depression.Journal of Consulting and Clinical Psychology, 2000
- Therapeutic effects of providing MMPI-2 test feedback to clients at a university counseling service: A collaborative approach.Psychological Assessment, 1997
- Concurrent and Construct Validity of the Outcome QuestionnaireJournal of Psychoeducational Assessment, 1997
- Negative outcome in psychotherapy: A critical review.Clinical Psychology: Science and Practice, 1995