Enhancing outcome for potential treatment failures: Therapist–client feedback and clinical support tools

Harmon, S. Cory; Lambert, Michael J.; Smart, David M.; Hawkins, Eric J.; Nielsen, Stevan L.; Slade, Karstin; Lutz, Wolfgang

doi:10.1080/10503300600702331

Cited by 238 publications

(241 citation statements)

References 31 publications

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“…In these studies therapists directly recruited the patients, which may have increased participation rates. However, other studies have used similar recruitment procedures to our study [9][10][11][12][13][14]. They have achieved higher participation rates than in our study possibly because the OQ-45 was a standard tool for all patients in those studies.…”

Section: Limitationscontrasting

confidence: 40%

“…A recent meta-and mega-analytic review [8] of data from six large studies [9][10][11][12][13][14] reported that different feedback procedures were effective in enhancing treatment outcome, especially for those patients at risk of treatment failure. A total of 6,151 subjects were included and, of these, 1,382 (22%) were at risk of treatment failure.…”

Section: Introductionmentioning

confidence: 99%

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Intervention with feedback using Outcome Questionnaire 45 (OQ-45) in a Swedish psychiatric outpatient population. A randomized controlled trial

Hansson

Rundberg

Österling

et al. 2012

Nordic Journal of Psychiatry

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Intervention with feedback using Outcome Questionnaire 45 (OQ-45) in a Swedish psychiatric outpatient population. A randomized controlled trial.Hansson, Helena; Rundberg, Jenny; Österling, Agneta; Öjehagen, Agneta; Berglund, Mats Hansson, H., Rundberg, J., Österling, A., Öjehagen, A., & Berglund, M. (2013). Intervention with feedback using Outcome Questionnaire 45 (OQ-45) in a Swedish psychiatric outpatient population. A randomized controlled trial. Nordic Journal of Psychiatry, 67(4), 274-281. DOI: 10.3109/08039488.2012.736534 General rights Copyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.• Users may download and print one copy of any publication from the public portal for the purpose of private study or research.• You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal ABSTRACT AimThe objective of the study was to evaluate the efficacy of the Outcome Questionnaire 45 (OQ-45) with feedback in a Swedish psychiatric outpatient population using a randomised controlled design. MethodIn all 1,720 patients made at least one regular visit to the clinics in the period 12 February 2007 to 10 February 2008 and received information about the study. Of these, 374 patients (22%) agreed to participate. After written consent, 188 patients were randomised to the feedback group and 186 patients to the control group .Those constituted the intention to treat, ITT group. 262 patients (70%) completed the OQ-45 questionnaire at least twice, and they were included in the per protocol analysis. Those who improved less than expected and were at risk for treatment failure were called alerted patients. ResultsThere was a tendency that patients who received feedback improved more than the controls in OQ-45 total score. In the ITT analysis the p-value was 0.061 and the effect size g=0.21. In the per protocol analysis the p-value was 0.076 and the effect size g=0.24. In the intervention group, 27% of the patients were alerted because of risk of treatment failure versus 28% in the control group (reaching level of alertness). The OQ-45 differences between the intervention and control groups did not significantly differ for patients who were alerted/reaching level of alertness and for non-alerted patients (g=0.17 and g=0.28, respectively). ConclusionsThe feedback group had a tendency to improve more than the control group, possibly indicating that the method is effective, and the result (basically) supports previous findings.

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Section: Limitationscontrasting

confidence: 40%

Section: Introductionmentioning

confidence: 99%

Intervention with feedback using Outcome Questionnaire 45 (OQ-45) in a Swedish psychiatric outpatient population. A randomized controlled trial

Hansson

Rundberg

Österling

et al. 2012

Nordic Journal of Psychiatry

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“…The use of client feedback not only integrates evidence-based practices in order to better prepare counselors, it also promotes developmental growth in light of the current professional challenges and therefore appears essential to meet the high demands of practicing counselors (Harmon et al, 2007;Hawkins, Lambert, Vermeersch, Slade, & Tuttle, 2004;Miller, et al, 2005). Counselor educators' goal to promote student development requires real data not student assumptions, and on-site supervisors' goal to assure premium client care and client retention requires concrete evidence, not personal perception (Lambert & Hawkins, 2001).…”

Section: Resultsmentioning

confidence: 99%

“…This type of realtime data enables practitioners to better inform their treatment, discuss progress or lack thereof with the client, and inform the process of supervision (Lambert & Hawkins, 2001). Researchers measuring the incorporation of these mechanisms by counselors and psychologists have found them to be a statistically significant predictor of positive client change (Harmon, et al, 2007).…”

Section: Client Feedback In Practicementioning

confidence: 99%

The Journal of Counselor Preparation and Supervision Volume 6 Issue 2 Fall 2014

Renfro-Michel¹

2014

JCPS

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“…Si bien la retroalimentación no parece mostrar un efecto beneficioso adicional en los resultados para los pacientes que ya están respondiendo bien a la terapia (es decir, pacientes encarrilados), los estudios podrían encontrar efectos beneficiosos en los resultados para los pacientes que no muestran un buen progreso o presentan un alto riesgo de deterioro (los denominados casos "mal encarrilados", por ejemplo, Crits-Christoph et al, 2012;Gondek, Edbrooke-Childs, Fink, Deighton y Wolpert, 2016;Harmon et al, 2007;Probst et al , 2013). Los tamaños del efecto medio informados para pacientes "mal encarrilados" con el uso de técni-cas de retroalimentación versus tratamiento habitual (TH) varían desde pequeños (g = .10; Knaup, Koesters, Schoefer, Becker y Puschner, 2009) hasta medios (g = .53; Shimokawa et al, 2010).…”

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What Is Individually Tailored Mental Health Care?

2018

RACP

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La evidencia apoya la efectividad de la psicoterapia para la mayoría de la población de pacientes, sin embargo, un número considerable de pacientes no se beneficia de la psicoterapia o incluso se deteriora . Del cinco al diez por ciento de los pacientes dejan el tratamiento con peores síntomas que los que tenían antes del inicio del tratamiento y alrededor de un tercio no obtienen beneficios del mismo (Hansen, Lambert y Forman, 2002; Lambert y Ogles, 2004). Por lo tanto, se han realizado esfuerzos considerables para mejorar aún más los resultados de los pacientes mediante el desarrollo de nuevos abordajes de tratamiento.Los estudios orientados al tratamiento a

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Enhancing outcome for potential treatment failures: Therapist–client feedback and clinical support tools

Cited by 238 publications

References 31 publications

Intervention with feedback using Outcome Questionnaire 45 (OQ-45) in a Swedish psychiatric outpatient population. A randomized controlled trial

Intervention with feedback using Outcome Questionnaire 45 (OQ-45) in a Swedish psychiatric outpatient population. A randomized controlled trial

The Journal of Counselor Preparation and Supervision Volume 6 Issue 2 Fall 2014

What Is Individually Tailored Mental Health Care?

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