Using Benchmarks and Benchmarking to Improve Quality of Practice and Services

Lueger, Robert J.; Barkham, Michael

doi:10.1002/9780470687994.ch9

Cited by 20 publications

(19 citation statements)

References 58 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is apparent that CAT is popular with therapists and is eagerly taken up in clinical practice (Ryle et al ., ). Therefore, future large‐scale pragmatic trials (Goodyer et al ., ) may offer a methodology matched to the aspirations of CAT in evaluating outcomes in clinical practice, incorporating longer term follow‐up and benchmarking outcomes against other modalities (Lueger & Barkham, ). Like all psychotherapies, CAT needs to demonstrate the health economic value of the approach.…”

Section: Discussionmentioning

confidence: 99%

Cognitive analytic therapy: A review of the outcome evidence base for treatment

Calvert

Kellett

2014

Psychol Psychother

View full text Add to dashboard Cite

Purpose This study reviews the quality of the extant outcome evidence for cognitive analytic therapy (CAT) to inform clinical practice and to stimulate a future CAT research strategy. Method An electronic search identified CAT efficacy and effectiveness studies and these were subject to systematic review. The methodological quality of studies meeting inclusion criteria were appraised using two validated research study quality checklists and studies were fitted to an established model of psychotherapy evaluation. Results Twenty‐five outcome studies met the inclusion criteria, including five randomized controlled trials. The CAT evidence base is predominated by small‐scale practice‐based studies, in typically complex and severe clinical populations – 44% were focal to the treatment of personality disorder. Although the quality of extant CAT evidence is generally sound (52% of studies were high quality), the depth and breadth of the evidence base is currently limited. Where comparisons with other modalities are available, CAT appears largely equivocal. Conclusions Cognitive analytic therapy is a popular and promising intervention for complex presentations. However, the evidence base currently lacks wider credibility due to having largely bypassed the rigours of the controlled phase of the hourglass model of psychotherapy evaluation. There is a particular need for further CAT outcome research with common mental health problems. Practitioner points CAT can be an effective intervention across a range of mental health difficulties. Consider a 24‐session CAT contract for those patients presenting with complex and severe difficulties. Practice research networks could make a significant contribution to the CAT evidence base.

show abstract

Section: Discussionmentioning

confidence: 99%

Cognitive analytic therapy: A review of the outcome evidence base for treatment

Calvert

Kellett

2014

Psychol Psychother

View full text Add to dashboard Cite

show abstract

“…“Benchmarking” is a way to assess clinical effectiveness in client‐based research and refers to the method of using the magnitude of improvement, or effect size, from pretest to posttest across clients as compared to the effect sizes reported in existing RCTs and meta‐analyses (Lueger & Barkham, ). Benchmarking is becoming increasingly common in psychotherapy effectiveness research (Castonguay et al., ).…”

Section: Moving Forwardmentioning

confidence: 99%

The Profession of Couple, Marital, and Family Therapy (CMFT): Defining Ourselves and Moving Forward

Wampler

Blow

McWey³

et al. 2017

J Marital Family Therapy

View full text Add to dashboard Cite

The field of Couple, Marital, and Family Therapy (CMFT) has evolved and strengthened, but we still have work to do when it comes to identity, comprehensive scholarly resources, empirical support, and name brand recognition. We explore the reasons for these challenges and propose ways to address them: embracing the interdisciplinary nature of the field, consistently organizing treatment effectiveness by problem rather than by intervention model, continuing innovation in theory development, and utilizing more diverse and meaningful research methods. This approach provides a more accurate representation of the scope of practice of CMFTs, the range of mental and physical health problems we address, and the depth and extent of the existing research on the effectiveness of relational therapies.

show abstract

“…Confidence intervals in three studies indicate detrimental therapeutic effects. However, the small sample sizes (all N ≤ 46) of these studies resulted in much broader confidence intervals (Lueger & Barkham, ). The weighted mean group therapy effect size was 0.56 (the vertical dashed line) with a 95% confidence interval from 0.39 to 0.73 ( k = 7, N = 297).…”

Section: Resultsmentioning

confidence: 99%

“…This method supports inferences that any differences found would be attributable to introduction of treatment (Cisler, Barnes, Farnsworth, & Sifers, ). This study also employed benchmarking (Lueger & Barkham, ) to contextualize the effect size of GCAT against other group psychotherapy outcome studies for female CSA survivors. The study hypothesized that (1) significant improvements in distress and functioning would occur during GCAT, (2) more patients would recover during GCAT than during wait time, and (3) outcomes for GCAT would be equivalent to those found in published studies of group treatments in female survivor populations.…”

Section: Introductionmentioning

confidence: 99%

Group cognitive analytic therapy for female survivors of childhood sexual abuse

Calvert

Kellett

Hagan

2015

British J Clinic Psychol

View full text Add to dashboard Cite

Objectives The effectiveness of cognitive analytic therapy delivered in groups has been under‐researched considering the popularity of the approach. This study sought to investigate the effectiveness of 24 sessions of group cognitive analytic therapy (GCAT) delivered in routine practice for female survivors of childhood sexual abuse (CSA). Methods In a longitudinal cohort design, N = 157 patients were treated with 24 sessions of GCAT. Validated outcome measures were administered at assessment, pre‐GCAT, and post‐GCAT. This enabled rates of reliable and clinically significant change to be compared between wait time and active group treatment. The uncontrolled treatment effect size was then benchmarked against outcomes from matched studies. Results On the primary outcome measure, GCAT facilitated a moderate effect size of 0.34 with 11% of patients completing treatment meeting ‘recovery’ criteria. The dropout rate was 19%. Significant improvements in interpersonal functioning, anxiety, and well‐being occurred during GCAT in comparison with wait time on secondary outcome measures. Conclusions Group cognitive analytic therapy appears a promising intervention for adult female CSA survivors, with further controlled evaluation indicated. Practitioner points Group cognitive analytic therapy appears a promising and acceptable intervention for female CSA survivors experiencing high levels of psychological distress. Long‐term follow‐up studies are required with CSA survivors to index the clinical durability of GCAT. A GCAT treatment fidelity measure needs to be developed and evaluated.

show abstract

Using Benchmarks and Benchmarking to Improve Quality of Practice and Services

Cited by 20 publications

References 58 publications

Cognitive analytic therapy: A review of the outcome evidence base for treatment

Cognitive analytic therapy: A review of the outcome evidence base for treatment

The Profession of Couple, Marital, and Family Therapy (CMFT): Defining Ourselves and Moving Forward

Group cognitive analytic therapy for female survivors of childhood sexual abuse

Contact Info

Product

Resources

About