Client feedback in China: A randomized clinical trial in a college counseling center.

Abstract

Although client feedback has been demonstrated to improve psychotherapy outcomes in over a dozen randomized clinical trials, no studies to date have investigated the feedback effect outside of the United States or Europe. This study examined the impact of a client feedback intervention, the Partners for Change Outcome Management System, in a college counseling center in Wuhan, China ( = 186). Using a randomized design within routine care, treatment as usual (TAU; = 85) was compared with a feedback condition ( = 101) in which therapists had access to client-generated outcome and alliance information at each session. Clients in the feedback condition demonstrated significantly greater improvement than those in the TAU condition at posttreatment. Not-on-track ( = 60) clients also demonstrated significantly more improvement at 6 times the rate of reliable change compared with the TAU condition. Survival analysis revealed that 66.7% of the clients in the feedback condition achieved reliable and clinically significant change after a median of 4 sessions whereas 57.0% of the clients in the TAU condition achieved reliable and clinically significant change after a median of 6 sessions. Alliance scores improved significantly more across treatment and were higher at posttreatment in the feedback condition. Although preliminary, this study suggests that the positive effects of improved outcomes and increased efficiency associated with systematic client feedback can also occur in a college counseling setting in China. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

Effectiveness Evaluation of the Postgraduate Program in Mental Health Counseling in Ukraine

“…Conclusion. Among other preliminary client outcome research efforts around the world (She et al 2018), this study supports the connection between postgraduate education conducted by the U.S. Counseling educational standards in Ukrainian environment and improved client outcomes. It also stands within the greater body of work examining the industry wide trend of utilizing outcome evaluation as a routine part of effective therapeutic services (Bringhurst, Watson, Miller, & Duncan, 2006).…”

Systematic client feedback in therapy for children with psychological difficulties: pilot cluster randomised controlled trial

“…Similarly, of the RCTs that included both the outcome and alliance components of PCOMS and an adequate dose of treatment (at least four sessions), all three studies that did not find an effect for PCOMS had significant adherence issues and/or therapists who perceived the feedback as not useful (Davidsen et al, 2017;Janse et al, 2017;van Oenen et al, 2016). PCOMS trials that include adherence checks and reinforcements of PCOMS use via supervision, graph checking, and data review have found a significant feedback effect (e.g., She et al, 2018).…”

Career Indecision Profile–Short: Reliability and Validity Among Employees and Measurement Invariance Across Students and Employees

“…Potentially, the CIP-Short can also be used to track the progress of career interventions. Research has shown that feedback from brief outcome measures can improve treatment efficacy, particularly for difficult cases (Anker, Duncan, & Sparks, 2009; She et al, 2018). Given its sound efficiency and psychometric properties, the CIP-Short has the potential to serve as a progress tracker/marker for career interventions.…”