Improving the effects of psychotherapy: The use of early identification of treatment and problem-solving strategies in routine practice.

Whipple, Jason L.; Lambert, Michael J.; Vermeersch, David A.; Smart, David W.; Nielsen, Stevan L.; Hawkins, Eric J.

doi:10.1037/0022-0167.50.1.59

Cited by 320 publications

(342 citation statements)

References 45 publications

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“…In these studies therapists directly recruited the patients, which may have increased participation rates. However, other studies have used similar recruitment procedures to our study [9][10][11][12][13][14]. They have achieved higher participation rates than in our study possibly because the OQ-45 was a standard tool for all patients in those studies.…”

Section: Limitationscontrasting

confidence: 40%

“…A recent meta-and mega-analytic review [8] of data from six large studies [9][10][11][12][13][14] reported that different feedback procedures were effective in enhancing treatment outcome, especially for those patients at risk of treatment failure. A total of 6,151 subjects were included and, of these, 1,382 (22%) were at risk of treatment failure.…”

Section: Introductionmentioning

confidence: 99%

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Intervention with feedback using Outcome Questionnaire 45 (OQ-45) in a Swedish psychiatric outpatient population. A randomized controlled trial

Hansson

Rundberg

Österling

et al. 2012

Nordic Journal of Psychiatry

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Intervention with feedback using Outcome Questionnaire 45 (OQ-45) in a Swedish psychiatric outpatient population. A randomized controlled trial.Hansson, Helena; Rundberg, Jenny; Österling, Agneta; Öjehagen, Agneta; Berglund, Mats Hansson, H., Rundberg, J., Österling, A., Öjehagen, A., & Berglund, M. (2013). Intervention with feedback using Outcome Questionnaire 45 (OQ-45) in a Swedish psychiatric outpatient population. A randomized controlled trial. Nordic Journal of Psychiatry, 67(4), 274-281. DOI: 10.3109/08039488.2012.736534 General rights Copyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.• Users may download and print one copy of any publication from the public portal for the purpose of private study or research.• You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal ABSTRACT AimThe objective of the study was to evaluate the efficacy of the Outcome Questionnaire 45 (OQ-45) with feedback in a Swedish psychiatric outpatient population using a randomised controlled design. MethodIn all 1,720 patients made at least one regular visit to the clinics in the period 12 February 2007 to 10 February 2008 and received information about the study. Of these, 374 patients (22%) agreed to participate. After written consent, 188 patients were randomised to the feedback group and 186 patients to the control group .Those constituted the intention to treat, ITT group. 262 patients (70%) completed the OQ-45 questionnaire at least twice, and they were included in the per protocol analysis. Those who improved less than expected and were at risk for treatment failure were called alerted patients. ResultsThere was a tendency that patients who received feedback improved more than the controls in OQ-45 total score. In the ITT analysis the p-value was 0.061 and the effect size g=0.21. In the per protocol analysis the p-value was 0.076 and the effect size g=0.24. In the intervention group, 27% of the patients were alerted because of risk of treatment failure versus 28% in the control group (reaching level of alertness). The OQ-45 differences between the intervention and control groups did not significantly differ for patients who were alerted/reaching level of alertness and for non-alerted patients (g=0.17 and g=0.28, respectively). ConclusionsThe feedback group had a tendency to improve more than the control group, possibly indicating that the method is effective, and the result (basically) supports previous findings.

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Section: Limitationscontrasting

confidence: 40%

Section: Introductionmentioning

confidence: 99%

Intervention with feedback using Outcome Questionnaire 45 (OQ-45) in a Swedish psychiatric outpatient population. A randomized controlled trial

Hansson

Rundberg

Österling

et al. 2012

Nordic Journal of Psychiatry

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“…Behavioral interventions that promote problem solving tend to have stronger effects and are associated with greater engagement (Whipple et al, 2003). Finally, parents also seemed to be better at acknowledging their own responsibility in their child's development.…”

Section: Discussionmentioning

confidence: 99%

Exploration of Mechanisms behind Changes after Participation in a Parenting Intervention: A Qualitative Study in a Low‐Resource Setting

Mejía

Ulph

Calam

2016

American J of Comm Psychol

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Parenting interventions are effective for preventing psychological difficulties in children. However, their active ingredients have not been comprehensively explored. How do they work? What are the mechanisms operating behind changes? In 2012, a randomized controlled trial of a parenting intervention was conducted in low-resource communities of Panama. Effects on child behavioral difficulties, parental stress, and parenting practices were large in the short and long term. This was an ideal opportunity to explore potential mechanisms operating behind effects found in this low-resource setting. Twenty-five parents were interviewed. Data were analyzed through an inductive semantic thematic analysis. Three themes emerged from the data: (a) psychological mechanisms behind changes, (b) behavioral changes in parent, and (c) changes in the children. Parents described that the intervention triggered changes in emotion regulation, self-efficacy, and problem solving. Parents also reported behavioral changes such as praising their children more often, who in turn seemed more responsible and better at following instructions. The study offers participant-driven insight into potential pathways of change after participation in this parenting intervention, pathways that are often overlooked in quantitative studies. Future studies should further explore these pathways, through mediator and moderator analyses, and determine how much is shared across interventions and across different cultural settings.

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“…The HAq-II is a 19-item self-report scale; it can measure the alliance from either the patient or the therapist point of view. [31] showed that outcome of psychotherapy (as measured by the OQ-45) for patients who began treatment with a poor start improved when therapists collected data on the patient's perception of the alliance using the HAq-II.…”

Section: The Therapeutic Relationshipmentioning

confidence: 99%

Developing and Using a Case Formulation to Guide Cognitive-Behavior Therapy

Bp¹,

St²

2014

J Psychol Psychother

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This article describes a case formulation-driven approach to cognitive-behavior therapy (CBT) that draws on the formulations and interventions in the ESTs while helping the therapist make many of the clinical decisions that are not directly addressed in the ESTs. We begin the article with an overview of case formulation-driven CBT. Then we describe each of the steps of case formulation-driven CBT, giving special attention to the step of developing a case formulation. We conclude with a brief discussion of alternate approaches to case formulation in CBT, and a brief review of evidence supporting the use of a case formulation approach to CBT.

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Improving the effects of psychotherapy: The use of early identification of treatment and problem-solving strategies in routine practice.

Cited by 320 publications

References 45 publications

Intervention with feedback using Outcome Questionnaire 45 (OQ-45) in a Swedish psychiatric outpatient population. A randomized controlled trial

Intervention with feedback using Outcome Questionnaire 45 (OQ-45) in a Swedish psychiatric outpatient population. A randomized controlled trial

Exploration of Mechanisms behind Changes after Participation in a Parenting Intervention: A Qualitative Study in a Low‐Resource Setting

Developing and Using a Case Formulation to Guide Cognitive-Behavior Therapy

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