Personalized prescriptions of therapeutic skills from patient characteristics: An ecological momentary assessment approach.

Webb, Christian A.; Forgeard, Marie; Israel, E.; Lovell-Smith, Nathaniel; Beard, Courtney; Björgvinsson, Thröstur

doi:10.1037/ccp0000555

Cited by 19 publications

(20 citation statements)

References 39 publications

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“…The articles included in this special issue underscore this diversity of precision/tailoring aims. The studies by Webb et al (2021) and Bruijniks et al (2021) targeted evidence-based selection of the most effective treatment for a given individual. Webb et al (2021) demonstrated how two treatments that are equally effective at the sample level, behavioral therapy (BT) and dialectical behavioral therapy (DBT), can show distinct efficacy levels for each individual patient.…”

Section: What Do We Want To Achieve?mentioning

confidence: 99%

“…The studies by Webb et al (2021) and Bruijniks et al (2021) targeted evidence-based selection of the most effective treatment for a given individual. Webb et al (2021) demonstrated how two treatments that are equally effective at the sample level, behavioral therapy (BT) and dialectical behavioral therapy (DBT), can show distinct efficacy levels for each individual patient. Hence, the authors sought to develop an evidence-based tool for selecting the treatment expected to show the optimal outcome for each patient.…”

Section: What Do We Want To Achieve?mentioning

confidence: 99%

“…Designing such a two-stage study may require isolating which elements of the intervention necessitate strong internal validity, and for which elements external validity will be most critical. For example, building on Webb et al's (2021) two-stage study, the first stage may include building a PAI based on an RCT conducted in a research setting and then testing the implementation utility of the developed PAI in a naturalistic setting. Hybrid designs are also an excellent way to facilitate collaboration between researchers and clinicians.…”

Section: Which Research Designs Should Be Used?mentioning

confidence: 99%

“…Other innovative outcome measures are starting to be used in the literature. For example, Webb et al (2021) focused on therapeutic skills and positive/negative affect evaluated posttreatment using ecological momentary assessment that was completed four times a day for 2 weeks.…”

Section: On What Are We Basing the Effectiveness Of Treatment Tailoring?mentioning

confidence: 99%

“…The articles in this special issue reflect the diversity of possibilities. When the tailoring process is based on the individual’s pretreatment characteristics, such variables included patients’ demographics (Boswell et al, 2021; Bruijniks et al, 2021), pretreatment symptom severity (Boswell et al, 2021; Bruijniks et al, 2021; Webb et al, 2021), health status (Bruijniks et al, 2021), affect and affect regulation (Bruijniks et al, 2021; Webb et al, 2021), interpersonal functioning (Bruijniks et al, 2021), self-esteem (Webb et al, 2021), dysfunctional thinking (Bruijniks et al, 2021), well-being (Bruijniks et al, 2021), self-injuries (Webb et al, 2021), pretreatment expectations (Bruijniks et al, 2021), type of presenting problems and their level of complexity (Boswell et al, 2021), and neurocognitive capabilities (e.g., working memory, Bruijniks et al, 2021). The tailoring process may also be based on the patients’ self-monitoring of real-life data, such as social interactions, using an electronically activated recorder (Minor et al, 2021) or on the patients’ preferences regarding the characteristics of treatment, such as primary treatment targets (Langer et al, 2021).…”

Section: On What Are We Basing Our Tailoring Decisions?mentioning

confidence: 99%

See 4 more Smart Citations

Evidence-based tailoring of treatment to patients, providers, and processes: Introduction to the special issue.

Zilcha‐Mano

Constantino

Eubanks

2022

Journal of Consulting and Clinical Psychology

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Given the many evidence-supported psychotherapy interventions, and the fact that no single approach or therapist can successfully help all patients, in recent years, there has been a surge in studies focused on evidence-based methods of tailoring treatment to patients, providers, and processes. Although the field still has a long way to go in reliably mapping specific empirically supported avenues to personalized therapies, emerging results from this line of research underscore the potential for such optimization. In this vein, the articles in the special issue describe some of the most auspicious recent developments in the field of personalized mental health treatment. In this introduction to the special issue, we synthesize the articles and propose a list of some of the most promising personalization principles. These include (a) a diversity of aims that the approaches seek to achieve; (b) a diversity of outcomes used to evaluate the merits of these approaches; (c) the information on which the tailoring is based; (d) the tailoring approaches themselves; and (e) the research designs used to evaluate them. These pathways can inform the most current tailoring guidelines that can help clinical decision-making and inspire future translational science in this area.What is the public health significance of this article? This is an introduction to the special issue on evidence-based tailoring of treatment to patients, providers, and processes. It maps some of the most promising personalization principles to guide future research and practice.

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Section: What Do We Want To Achieve?mentioning

confidence: 99%

Section: What Do We Want To Achieve?mentioning

confidence: 99%

Section: Which Research Designs Should Be Used?mentioning

confidence: 99%

Section: On What Are We Basing the Effectiveness Of Treatment Tailoring?mentioning

confidence: 99%

Section: On What Are We Basing Our Tailoring Decisions?mentioning

confidence: 99%

See 3 more Smart Citations

Evidence-based tailoring of treatment to patients, providers, and processes: Introduction to the special issue.

Zilcha‐Mano

Constantino

Eubanks

2022

Journal of Consulting and Clinical Psychology

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Refugees and asylum seekers who have experienced trauma: Thematic synthesis of therapeutic boundary considerations

Davoren,

McEleney,

Corcoran

et al. 2023

Clin Psychology and Psychoth

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ObjectiveTherapeutic boundaries are limits to appropriate behaviours within a therapist–client relationship (e.g. related to accepting gifts, self‐disclosures, therapist neutrality and advocacy). Therapeutic boundary considerations are fundamental in the care of refugees and asylum seekers. Research on the experiences of therapists navigating such boundaries is sparse and warrants further exploration. The aim of this qualitative systematic review was to thematically synthesise literature regarding therapists' (psychologists, psychotherapists, counsellors) experiences of implementing flexible therapeutic boundaries with refugee and asylum seeker clients and determine how such applications have been helpful for therapeutic interventions.MethodSix databases were searched. Following full‐text screening, 21 papers were included in the analysis. Boundary theory underpinned the analysis.ResultsThree major themes were developed: (i) Changes to Therapeutic Practice & Therapeutic Intervention, (ii) Re‐Conceptualisation of Therapy as ‘Clinical Political’ and Re‐Conceptualisation of Therapist Identity and (iii) Careful Monitoring of Personal Boundaries—Not becoming ‘Hardened’ or ‘Haunted’. Papers described how, when used in a reflective, considerate way, flexible therapeutic boundaries can strengthen the therapist–client alliance and positively impact therapeutic interventions. Many therapists acknowledged making conscious efforts to re‐conceptualise therapeutic work with refugee and asylum seeker clients from advocacy standpoints. However, systemic constraints, and lack of guidance, made this difficult to navigate and contributed to therapist burn‐out.ConclusionsBoundary considerations manifested as interpersonal, structural and cultural changes to practice. These have implications for clinical practice and developing guidelines on boundary practices with refugees and asylum seekers. Future research should explore promoting therapist well‐being and training needs for therapists supporting this population.

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Precision Mental Health and Data-Informed Decision Support in Psychological Therapy: An Example

Lutz,

Schaffrath,

Eberhardt

et al. 2023

Adm Policy Ment Health

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Outcome measurement including data-informed decision support for therapists in psychological therapy has developed impressively over the past two decades. New technological developments such as computerized data assessment, and feedback tools have facilitated advanced implementation in several seetings. Recent developments try to improve the clinical decision-making process by connecting clinical practice better with empirical data. For example, psychometric data can be used by clinicians to personalize the selection of therapeutic programs, strategies or modules and to monitor a patient’s response to therapy in real time. Furthermore, clinical support tools can be used to improve the treatment for patients at risk for a negative outcome. Therefore, measurement-based care can be seen as an important and integral part of clinical competence, practice, and training. This is comparable to many other areas in the healthcare system, where continuous monitoring of health indicators is common in day-to-day clinical practice (e.g., fever, blood pressure). In this paper, we present the basic concepts of a data-informed decision support system for tailoring individual psychological interventions to specific patient needs, and discuss the implications for implementing this form of precision mental health in clinical practice.

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Personalized prescriptions of therapeutic skills from patient characteristics: An ecological momentary assessment approach.

Cited by 19 publications

References 39 publications

Evidence-based tailoring of treatment to patients, providers, and processes: Introduction to the special issue.

Evidence-based tailoring of treatment to patients, providers, and processes: Introduction to the special issue.

Refugees and asylum seekers who have experienced trauma: Thematic synthesis of therapeutic boundary considerations

Precision Mental Health and Data-Informed Decision Support in Psychological Therapy: An Example

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