Methods of Delivering Progress Feedback to Optimise Patient Outcomes: The Value of Expected Treatment Trajectories

Abstract

Whilst feedback is demonstrated to improve therapy outcomes, little attention has been given to the relative benefits of the form in which feedback is given. The present study aimed to compare patients' perceptions of feedback graphs with and without expected treatment response trajectories. In a counterbalanced design, patients in two-week CBT programs were shown feedback graphs with and without expected symptom trajectories; and were asked to complete questionnaire regarding the appeal after viewing the first graphs. Patients (n=42) viewed feedback graphs and preferred those with trajectories present and perceived the additional detail helpful to both themselves and their therapists. The present findings support the appeal for and potential usefulness of richer feedback for facilitating discussion and positive outcomes in therapy.

Improving Mental Health Services: A 50-Year Journey from Randomized Experiments to Artificial Intelligence and Precision Mental Health

“…An indication of the work that needs to be done in becoming more specific about feedback is a study conducted by Hooke et al ( 2017 ). They provide feedback to patients with and without a trajectory showing expected progress and found that patients preferred the feedback with the expected change over time.…”

Introduction to the Special Issue on Processes of Cognitive Behavioral Therapy: Does “Necessary, But Not Sufficient” Still Capture It?

“…Then, the paper by Hooke et al (2018) examines a collaborative approach to collecting symptom information as feedback in CBT. Finally, an in-depth discussion of the issue's contributions is provided by Lorenzo-Luaces and DeRubeis (2018).…”

Delivering cognitive behaviour therapy informed by a contemporary framework of psychotherapy treatment selection and adaptation

“…The second element of the contemporary framework of psychotherapy delivery is adaptation. This describes the way that information about treatment progress (often obtained using Routine Outcomes Monitoring; Newnham & Page, 2010) is used to modify a selected treatment or to switch treatment strategies when a patient is not responding relative to expected treatment trajectories (Hooke, Sng, Cunningham, & Page, 2018). Adaptation was informed initially by monitoring symptoms, but more recently, it has begun to consider feedback to therapists the information about progress on the mediators of change and it has expanded beyond the withintherapy feedback to consider extra-therapy moderators of change (e.g., therapist effects).…”