Providing feedback to psychotherapists on their patients' progress: Clinical results and practice suggestions

Lambert, Michael J.; Harmon, Cory; Slade, Karstin; Whipple, Jason L.; Hawkins, Eric J.

doi:10.1002/jclp.20113

Cited by 293 publications

(249 citation statements)

References 17 publications

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“…A therapist's capacity to plan treatment and adjust intervention procedures appropriately during care can be enhanced by ongoing information about client response (e.g., Chorpita, Bernstein, & Daleiden, 2008;Lambert, Harmon, Slade, Whipple, & Hawkins, 2005;Weisz et al, 2004;Weisz & Chorpita, in press). Moreover, clients often unilaterally end treatment without notice and thus are unavailable for termination debriefing or post-treatment assessment.…”

Section: Youth Top Problemsmentioning

confidence: 99%

Youth top problems: Using idiographic, consumer-guided assessment to identify treatment needs and to track change during psychotherapy.

Weisz

Chorpita

Frye

et al. 2011

Journal of Consulting and Clinical Psychology

326

277

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Objective: To complement standardized measurement of symptoms, we developed and tested an efficient strategy for identifying (before treatment) and repeatedly assessing (during treatment) the problems identified as most important by caregivers and youths in psychotherapy. Method: A total of 178 outpatient-referred youths, 7–13 years of age, and their caregivers separately identified the 3 problems of greatest concern to them at pretreatment and then rated the severity of those problems weekly during treatment. The Top Problems measure thus formed was evaluated for (a) whether it added to the information obtained through empirically derived standardized measures (e.g., the Child Behavior Checklist [CBCL; Achenbach & Rescorla, 2001] and the Youth Self-Report [YSR; Achenbach & Rescorla, 2001]) and (b) whether it met conventional psychometric standards. Results: The problems identified were significant and clinically relevant; most matched CBCL/YSR items while adding specificity. The top problems also complemented the information yield of the CBCL/YSR; for example, for 41% of caregivers and 79% of youths, the identified top problems did not correspond to any items of any narrowband scales in the clinical range. Evidence on test–retest reliability, convergent and discriminant validity, sensitivity to change, slope reliability, and the association of Top Problems slopes with standardized measure slopes supported the psychometric strength of the measure. Conclusions: The Top Problems measure appears to be a psychometrically sound, client-guided approach that complements empirically derived standardized assessment; the approach can help focus attention and treatment planning on the problems that youths and caregivers consider most important and can generate evidence on trajectories of change in those problems during treatment.

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Section: Youth Top Problemsmentioning

confidence: 99%

Youth top problems: Using idiographic, consumer-guided assessment to identify treatment needs and to track change during psychotherapy.

Weisz

Chorpita

Frye

et al. 2011

Journal of Consulting and Clinical Psychology

326

277

View full text Add to dashboard Cite

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“…Nomo ➔ IDIO-Lambert and colleagues [58] provide an example of nomo ➔ IDIO structure in which the nomothetic approach precedes an idiographic approach, for a primarily IDIO purpose. They collected the Outcome Questionnaire-45 (OQ-45) from all patients to classify and predict individual patient progress in psychosocial treatment based on established normative clinical cutoffs.…”

Section: See Text For Examplementioning

confidence: 99%

“…Sampling Using one approach to define or identify the participant sample for collection and analysis of data representing the other (e.g., selecting interview informants based on responses to survey questionnaire) [58] *Note. The overarching categories and the specific definitions for the taxonomy are directly from Palinkas et al [55].…”

Section: See Text For Examplementioning

confidence: 99%

Intentional research design in implementation science: implications for the use of nomothetic and idiographic assessment

Lyon

Connors

Jensen‐Doss

et al. 2017

Behav. Med. Pract. Policy Res.

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The advancement of implementation science is dependent on identifying assessment strategies that can address implementation and clinical outcome variables in ways that are valid, relevant to stakeholders, and scalable. This paper presents a measurement agenda for implementation science that integrates the previously disparate assessment traditions of idiographic and nomothetic approaches. Although idiographic and nomothetic approaches are both used in implementation science, a review of the literature on this topic suggests that their selection can be indiscriminate, driven by convenience, and not explicitly tied to research study design. As a result, they are not typically combined deliberately or effectively. Thoughtful integration may simultaneously enhance both the rigor and relevance of assessments across multiple levels within health service systems. Background on nomothetic and idiographic assessment is provided as well as their potential to support research in implementation science. Drawing from an existing framework, seven structures (of various sequencing and weighting options) and five functions (Convergence, Complementarity, Expansion, Development, Sampling) for integrating conceptually distinct research methods are articulated as they apply to the deliberate, design-driven integration of nomothetic and idiographic assessment approaches. Specific examples and practical guidance are provided to inform research consistent with this framework. Selection and integration of idiographic and nomothetic assessments for implementation science research designs can be improved. The current paper argues for the deliberate application of a clear framework to improve the rigor and relevance of contemporary assessment strategies. KeywordsImplementation science, Assessment, Measurement, Nomothetic, Idiographic, Research design Intentional research design in implementation science: implications for the use of nomothetic and idiographic assessment Research design and measurement in implementation science Implementation science is focused on improving health services through the evaluation of methods that promote the use of research findings (e.g., evidencebased practices) in routine service delivery settings [1]. Studies in this area are situated at the end of the National Institutes of Health translational research pipeline (i.e., at T3 or T4); which describes how innovations move from basic scientific discovery, to intervention, and to large scale, sustained delivery in routine community practice [2]. Implementation research is also inherently multilevel, focusing on individuals, groups, organizations, and systems to change professional behavior and enact service quality improvements [3]. Frequently, the objectives of implementation science include the identification of multilevel variables that impact the uptake of evidence-based practices as well as specific strategies for improving adoption, implementation, and sustainment [4,5].

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“…However, what evidence for these benefits is available so far? In summary, the empirical evidence on the effectiveness of ROM or ROM feedback in mental health treatment of adult psychiatric patients is as follows [1,10,11,39,[50][51][52][53][54][55][56][57][58][59].…”

Section: Effectiveness Of Rom In Mental Health Carementioning

confidence: 99%

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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Providing feedback to psychotherapists on their patients' progress: Clinical results and practice suggestions

Cited by 293 publications

References 17 publications

Youth top problems: Using idiographic, consumer-guided assessment to identify treatment needs and to track change during psychotherapy.

Youth top problems: Using idiographic, consumer-guided assessment to identify treatment needs and to track change during psychotherapy.

Intentional research design in implementation science: implications for the use of nomothetic and idiographic assessment

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

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