Therapist perspectives on the use of feedback on process and outcome: Patient-focused research in practice.

Sundet, Rolf

doi:10.1037/a0027776

Cited by 46 publications

(40 citation statements)

References 59 publications

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“…The ORS with the adolescents and CORS significantly correlated with the Youth Outcome Questionnaire (YOQ 30). However, some studies have noted ‘ceiling effects’, whereby scores on the ORS have begun high and stayed high, and the reluctance of some users to use the extremes of the scale (Sundet, ).…”

Section: The Outcomes Ratings Scale and Child Outcomes Rating Scalesmentioning

confidence: 99%

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Measurement Issues: Review of four patient reported outcome measures: SDQ, RCADS, C/ORS and GBO – their strengths and limitations for clinical use and service evaluation

Wolpert

Cheng

Deighton

2014

Child Adoles Ment Health

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Background There is an international drive for routine use of Patient Reported Outcome Measures (PROMs) across all health services including in relation to Child and Adolescent Mental Health Services (CAMHS). A number of reviews have summarized the validity and reliability of well‐being and mental health measures for children but there are fewer attempts to consider utility for routine use. Method This review considers four child self‐report measures: the Strengths and Difficulties Questionnaire (SDQ), the Revised Child Anxiety and Depression Scale (RCADS), (Child) Outcomes Rating Scale (C/ORS) and Goals Based Outcomes (GBOs). It explores the strengths and limitations of each and considers how they can be used to support both clinical practice and service evaluation. Results There is evidence for the clinical utility of RCADS, C/ORS and GBOs, although the utility of the SDQ as a feedback measure remains unclear. For service evaluation, the SDQ has the greatest evidence for norms making it useful for comparison and there is evidence that the RCADS may be the most sensitive to change of the measures reviewed; C/ORS has issues around ceiling effect, data error and data manipulation. More research is required around GBOs before their use for service evaluation can be determined. Conclusions In summary, these different measures may be viewed as complementary tools and determining the best way to make use of them severally and individually in clinical and community settings is a current focus for child mental health practitioners.

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Section: The Outcomes Ratings Scale and Child Outcomes Rating Scalesmentioning

confidence: 99%

“…The scales are popular with clinicians, having high endorsements for their feasibility and utility within and across sessions (Sundet, 2012;Timimi, Tetley, Burgoine, & Walker, 2013). However, some concerns have been reported about the generality and coverage of the individual items.…”

Section: The Outcomes Ratings Scale and Child Outcomes Rating Scalesmentioning

confidence: 99%

Measurement Issues: Review of four patient reported outcome measures: SDQ, RCADS, C/ORS and GBO – their strengths and limitations for clinical use and service evaluation

Wolpert

Cheng

Deighton

2014

Child Adoles Ment Health

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“…There are currently efforts underway to determine how best to integrate feedback to guide psychotherapist practice (e.g., Lambert et al, 2001, 2002, Sundet, 2011; see Sundet, 2012 for a review) and to implement what is often referred to as “measurement-based care” in large community mental health centers (Lewis et al, 2015). For instance, humanistic psychotherapy research focused on the role of different types of session outcomes, such as a session’s helpfulness, depth and smoothness, as immediate feedback for therapists.…”

Section: Cognitive Processes Underlying Clinical Judgments (Box 3)mentioning

confidence: 99%

A conceptual model for generating and validating in-session clinical judgments

Jacinto

Lewis

Braga

et al. 2016

Psychotherapy Research

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Objective Little attention has been paid to the nuanced and complex decisions made in the clinical session context and how these decisions influence therapy effectiveness. Despite decades of research on the dual-processing systems, it remains unclear when and how intuitive and analytical reasoning influence the direction of the clinical session. Method This paper puts forth a testable conceptual model, guided by an interdisciplinary integration of the literature, that posits that the clinical session context moderates the use of intuitive versus analytical reasoning. Results A synthesis of studies examining professional best practices in clinical decision-making, empirical evidence from clinical judgment research, and the application of decision science theories indicate that intuitive and analytical reasoning may have profoundly different impacts on clinical practice and outcomes. Conclusions The proposed model is discussed with respect to its implications for clinical practice and future research.

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“…In such cases, feedback procedures seem to have a positive effect on outcome (Bickman et al, 2011;Hawkins et al, 2004;Lambert, 2010;Lambert & Shimokawa, 2011;Lutz, B€ ohnke, & K€ ock, 2011). Feedback procedures may also enhance collaboration (Duncan et al, 2004;Sundet, 2012), and may contribute to lasting improvement (Anker, Duncan, & Sparks, 2009).…”

Section: Introductionmentioning

confidence: 99%

User Involvement in Therapy: Couples' and Family Therapists’ Lived Experiences with the Inclusion of a Feedback Procedure in Clinical Practice

Oanes

Karlsson

Borg

2017

ANZ J of Family Therapy

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User involvement in therapy includes some form of feedback from the clients. The feedback guides the therapist and the clients toward a best possible result through a best possible therapy process. In recent years many different procedures for collecting feedback have been developed. In a previous study presented in this journal we explored the expectations therapists had before including the comprehensive clinical feedback procedure, Systemic Therapy Inventory of Change (STIC), in their clinical practices. Our aim with this present study is to explore couples' and family therapists’ experiences with STIC from the perspective of user involvement. We found that the term ‘using STIC’ represented many different variations both between therapists and between the families each therapist worked with. Likewise user involvement, combined with a feedback procedure like STIC, was also a many faceted area. We discuss how therapists’ experiences may relate to the different aspects of user involvement in therapy.

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Therapist perspectives on the use of feedback on process and outcome: Patient-focused research in practice.

Cited by 46 publications

References 59 publications

Measurement Issues: Review of four patient reported outcome measures: SDQ, RCADS, C/ORS and GBO – their strengths and limitations for clinical use and service evaluation

Measurement Issues: Review of four patient reported outcome measures: SDQ, RCADS, C/ORS and GBO – their strengths and limitations for clinical use and service evaluation

A conceptual model for generating and validating in-session clinical judgments

User Involvement in Therapy: Couples' and Family Therapists’ Lived Experiences with the Inclusion of a Feedback Procedure in Clinical Practice

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