Improving the efficiency of cognitive-behavioural therapy by using formal client feedback

Janse, Pauline D; Jong, Kim de; Dijk, Maarten K. van; Hutschemaekers, G.J.M.; Verbraak, Marc

doi:10.1080/10503307.2016.1152408

Cited by 55 publications

(68 citation statements)

References 38 publications

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“…A Cochrane report, which included 17 studies involving 8,787 adult participants treated for mental health disorders, found that ROM and TAU conditions did not significantly differ (Kendrick et al, 2016). More specifically, Janse deJong, Van Dijk, Hutschemaekers, and Verbraak (2017) found that ROM was not more beneficial for 1,006 outpatients than TAU in general with the exception of those suffering from mood disorders who benefited more from ROM. In a Danish study of 159 clients suffering from eating disorder, there was no significant difference in therapy outcomes between ROM and TAU conditions (Davidsen et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Feedback in Couple and Family Therapy: A Randomized Clinical Trial

et al. 2019

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Routine Outcome Monitoring (ROM) is recommended as a psychotherapy procedure to serve as clinical feedback in order to improve client treatment outcomes. ROM can work as a warning signal to the therapist if the client shows signs of no change or deterioration. This study has investigated whether any difference in outcome could be detected between those clients in couple and family therapy who used the Systemic Therapy Inventory of Change (STIC) feedback system (ROM condition) versus those who were offered treatment without the use of STIC (“treatment as usual” or TAU condition). A sample of 328 adults seeking couple and family therapy in Norway was randomly assigned to ROM versus TAU conditions. Outcome measures were The Outcome Questionnaire–45 and The Revised Dyadic Adjustment Scale. The results demonstrated no significant differences in outcomes between the ROM and TAU. Possible explanations of this result related to design and implementation issues are discussed.

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Section: Introductionmentioning

confidence: 99%

Feedback in Couple and Family Therapy: A Randomized Clinical Trial

et al. 2019

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“…Inconsistency can be caused by plausible heterogeneity on how therapists actually use ROM systems, by differences on the type of measures included in the system, or by the algorithms and formats of feedback it provides, the type of therapy, among many other factors. Research is needed that unveils how feedback is used and the mechanisms by which feedback influences outcomes (Amble et al., ; Janse et al., ; Moltu et al., ). Greenhalgh, Long, and Flynn () hypothesized that the lack of consistent impact of outcome feedback into practice may be due to the nomothetic nature of the assessment tools used, which provide too general information, whereas therapeutic processes are individualized.…”

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confidence: 99%

How Routine Patient‐Centered Monitoring Relates to Therapeutic Gains in Family Therapy: A Single‐Case Study

Sales

Ferreira²,

Matos

2018

J Marital Family Therapy

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As routine outcome monitoring systems develop, questions emerge about how therapists incorporate feedback into their practice, and how this relates to therapeutic gains. A case of covert grief was monitored in each session with the Personal Questionnaire and the Helpful Aspects of Therapy instruments. At 4 months follow‐up, the Change Interview was administered. Individualized items facilitated access to the private views and needs of each member, which was useful for case formulation and ongoing personalization of the intervention. Qualitative feedback of treatment experiences helped therapists confirm the impacts of interventions, monitor therapeutic alliance, reformulate clinical hypothesis, and plan sessions. Therapists followed a critical triangulation process to decide the clinical meaning of feedback, according to his/her intervention model, expertise, and case‐specific context.

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“…Noteworthy was the finding that giving ROM feedback to both therapist and his/her supervisor (including joint discussion about it) seemed not more effective than giving ROM feedback to therapists alone [6]. Mixed results were found regarding the cost-effectiveness of ROM and the positive impact of ROM on satisfaction of patients with provided care [10, 42,60].…”

Section: Effectiveness Of Rom In Mental Health Carementioning

confidence: 99%

“…Research also suggests that providing feedback from multiple sources (both wellbeing and affective psychological distress) enhances patient outcomes more, compared to single source feedback ([only wellbeing; [43]). Furthermore, ROM may improve the patient-therapist communication and the process quality of treatment (i.e., presence of treatment plan) and ROM feedback to therapists can lead to fewer treatment sessions [42]. Noteworthy was the finding that giving ROM feedback to both therapist and his/her supervisor (including joint discussion about it) seemed not more effective than giving ROM feedback to therapists alone [6].…”

Section: Effectiveness Of Rom In Mental Health Carementioning

confidence: 99%

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Routine Outcome Monitoring in Mental Health Care and Particularly in Addiction Treatment: Evidence-Based Clinical and Research Recommendations

Carlier¹,

Eeden²

2017

J Addict Res Ther

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Routine Outcome Monitoring (ROM) concerns the repeated measurement of the progress of a patient's treatment during the course of therapy. ROM is receiving mounting attention as an important quality tool, and because of increased emphasis on health care accountability and cost containment. ROM seems especially relevant for complicated chronic patients that require a long-term treatment. Although addictive patients often have these clinical characteristics, ROM is relatively less investigated within addiction treatment. The present article summarizes recent state-of-the-art information concerning the use of ROM in mental health care and particularly in addiction treatment. First, some basics about ROM in general are described. Next, evidence for the effectiveness of ROM in mental health care and addiction treatment is reviewed. Finally, some clinical & research recommendations are suggested for the use of ROM in addiction treatment.

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Improving the efficiency of cognitive-behavioural therapy by using formal client feedback

Abstract: Frequently asking feedback from clients using the ORS/SRS does not necessarily result in a better treatment outcome in CBT. However, for an equal treatment outcome significantly fewer sessions are needed within the Feedback condition, thus improving efficiency of CBT.

Cited by 55 publications

References 38 publications

Feedback in Couple and Family Therapy: A Randomized Clinical Trial

Feedback in Couple and Family Therapy: A Randomized Clinical Trial

How Routine Patient‐Centered Monitoring Relates to Therapeutic Gains in Family Therapy: A Single‐Case Study

Routine Outcome Monitoring in Mental Health Care and Particularly in Addiction Treatment: Evidence-Based Clinical and Research Recommendations

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