Practice‐Friendly Research Review: Collaboration in Routine Care

Lambert, Michael J.; Cattani, Kara

doi:10.1002/jclp.21835

Cited by 18 publications

(20 citation statements)

References 26 publications

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“…The Goals subscales of the WAI and the CALPAS demonstrate solid reliability. Despite these desirable psychometric properties, some authors (Lambert & Cattani, 2012) are critical of the use of standard working alliance instruments to measure goal consensus. They argue that instruments such as the WAI assess the perception of goal consensus rather than the actual consensus between the patient and the psychotherapist concerning goals.…”

Section: Definitions and Measuresmentioning

confidence: 99%

“…The majority of studies in the collaboration–outcome meta-analyses use measures of homework compliance or a CALPAS subscale. “Collaboration research over the last decade has been dominated by studies of behavioral and cognitive behavior therapies and homework compliance” (Lambert & Cattani, 2012, p. 210). Not surprisingly, the most frequently used measure in the general collaboration meta-analysis is homework compliance.…”

Section: Definitions and Measuresmentioning

confidence: 99%

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Meta-analyses of the relation of goal consensus and collaboration to psychotherapy outcome.

Tryon¹,

Birch²,

Verkuilen³

2018

Psychotherapy

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This article provides meta-analyses of the relation between goal consensus and collaboration and individual psychotherapy outcome using studies published in English between 1978 and June 2017. Inclusion criteria involved (a) a measure of psychotherapy outcome, (b) a measure of goal consensus and/or collaboration, (c) a group design, (d) adult patients (aged 18 years or older), and (e) a reported effect or statistic that could be converted to an effect size. For the 54 studies (N ϭ 7,278) of goal consensus and outcome, the result was r ϭ .24 (95% confidence interval [CI] [.19, .28]) or d ϭ .49, representing a medium effect. For the 53 studies (N ϭ 5,286) of patient-therapist collaboration and outcome, the result was r ϭ .29 (95% CI [.24, .34]) or d ϭ .61, another medium effect. In all, 21 studies (N ϭ 2,081) of therapist collaboration and outcome yielded an omnibus effect of .26 (95% CI [.18, .35]) or d ϭ .54. Results suggest patient-therapist goal consensus and collaboration enhance psychotherapy outcome. The article concludes with research limitations, diversity considerations, and therapeutic practices. Limitations of the studies included a dearth of diverse samples, assessment of goal consensus and/or collaboration at a single time during treatment, failure to relate measures to outcome, and analyses that do not permit causal conclusions. Research suggests that therapists seek input from patients to form and effect treatment goals and plans, provide patients with regular feedback, and seek their involvement throughout therapy. Clinical Impact StatementQuestion: This article uses three meta-analyses to address the relation of patient-psychotherapist goal consensus and collaboration to psychotherapy outcome. Meaning: Clinicians could use the study findings to achieve better results for their patients. Findings: Results suggest that when therapists and patients agree on psychotherapy goals and actively work together, patients tend to have more positive treatment outcomes. Next Steps: Future research that examines goal consensus and collaboration throughout psychotherapy with ethnically diverse patients would add to our understanding of these therapy processes.

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Section: Definitions and Measuresmentioning

confidence: 99%

Section: Definitions and Measuresmentioning

confidence: 99%

Meta-analyses of the relation of goal consensus and collaboration to psychotherapy outcome.

Tryon¹,

Birch²,

Verkuilen³

2018

Psychotherapy

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“…In addition, a dichotomy of common versus specific factors has not received empirical support. For both, significant relations to outcome have been shown: A series of meta‐analyses demonstrated that several aspects of the common factor therapeutic alliance, such as empathy or goal consensus, are clearly related to positive outcome (Lambert & Cattani, ; Norcross & Wampold, ). At the same time, also techniques such as exposure, empty‐chair technique, paradoxical intention and particular forms of interpretations were ‘(…) found to be consistently and strongly associated with positive therapeutic outcome’ (Orlinsky et al, , p. 341).…”

Section: Introductionmentioning

confidence: 99%

Towards a Taxonomy of Common Factors in Psychotherapy—Results of an Expert Survey

Tschacher

Junghan

Pfammatter

2012

Clin Psychology and Psychoth

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“…Validating, respecting, acknowledging the suffering, capabilities and opinions of the client, negotiating and adjusting the intervention to their needs and characteristics is another fundamental aspect in promoting the therapeutic process (Lambert & Cattani, 2012;Tryon & Winograd, 2011;Wampold, 2015).…”

Section: Resultsmentioning

confidence: 99%

The Therapeutic Process – Client's Perception Of Success Promoting Factors In An And Arfid – Qualitative Study

Neiva

2022

Preprint

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This study aimed to analyze the perception that individuals have of the success promoting factors on their own therapeutic process. Intended to understand which aspects influenced their perception and which factors were considered relevant to the decision to seek help, not to abandon treatment and their motivation to change. The study involved patients with Anorexia Nervosa (AN) and Avoiding Food Intake Disorder (ARFID), with intervention within the scope of different therapeutic models.Background: In Portugal, anorexia nervosa is one of the eating disorders with a significant increase in recent years, having been responsible for 4,485 hospitalizations between 2000 and 2014, in Portuguese public health services. Portugal has scarce research in eating disorders although they are a serious mental health problem both in this country as in Europe. Methods: The study included a sample of 9 participants who responded to the request for participation posted on the different electronic platforms. The data recollection occurred thought a semi-structured interview and the information was subjected to thematic analysisResults: This study included a total of 9 participants, 5 with a diagnose of AN and 4 with a diagnose of ARFID. All the participants were women with ages between 19 and 52 years of age (an average of 38.4 years). Similarities were found in both group for and differences.Discussion: The desire to improve/not cause suffering to family members and the availability of social/emotional support were considered relevant aspects inherent to the client. 100% of the participants considered that certain professional and personal qualities of the professional/therapist was the most relevant aspect to promote the success of the therapeutic intervention. The sample size of this study is small and therefore does not allow generalizations.Conclusions: The main objective of this study was to obtain knowledge that would allow professionals to reflect on their practice and adapt the intervention to the needs and concerns of the clients. Despite the limitations of the study, our participants provided detailed and relevant information, so we consider the results obtained to be pertinent for the proposed objective. Further research in these areas is needed to deepen the knowledge.

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Practice‐Friendly Research Review: Collaboration in Routine Care

Cited by 18 publications

References 26 publications

Meta-analyses of the relation of goal consensus and collaboration to psychotherapy outcome.

Meta-analyses of the relation of goal consensus and collaboration to psychotherapy outcome.

Towards a Taxonomy of Common Factors in Psychotherapy—Results of an Expert Survey

The Therapeutic Process – Client's Perception Of Success Promoting Factors In An And Arfid – Qualitative Study

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