Bridging the feedback implementation gap: A comparison of empirical and rational decision rules in naturalistic psychotherapy

Publikationstyp:
Zeitschriftenaufsatz
Metadaten:
Autoren
  • Stephan Ramsperger
  • Michael Witthoeft
  • Anne-Kathrin Braescher
Autoren-URL
https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=fis-test-1&SrcAuth=WosAPI&KeyUT=WOS:001201121900001&DestLinkType=FullRecord&DestApp=WOS_CPL
DOI
10.1080/10503307.2024.2334047
eISSN
1468-4381
Externe Identifier
  • Clarivate Analytics Document Solution ID: NN4R4
  • PubMed Identifier: 38607372
ISSN
1050-3307
Zeitschrift
PSYCHOTHERAPY RESEARCH
Schlüsselwörter
  • cognitive behavioral therapy
  • feedback
  • expected treatment response
  • nearest neighbors
  • percental improvement
Datum der Veröffentlichung
2024
Status
Published
Titel
Bridging the feedback implementation gap: A comparison of empirical and rational decision rules in naturalistic psychotherapy
Sub types
  • Article
  • Early Access

Datenquelle: Web of Science (Lite)

Andere Metadatenquellen:
Autoren
  • Stephan Ramsperger
  • Michael Witthöft
  • Anne-Kathrin Bräscher
DOI
10.1080/10503307.2024.2334047
eISSN
1468-4381
ISSN
1050-3307
Zeitschrift
Psychotherapy Research
Sprache
en
Online publication date
2024
Paginierung
1 - 15
Status
Published online
Herausgeber
Informa UK Limited
Herausgeber URL
http://dx.doi.org/10.1080/10503307.2024.2334047
Datum der Datenerfassung
2024
Titel
Bridging the feedback implementation gap: A comparison of empirical and rational decision rules in naturalistic psychotherapy

Datenquelle: Crossref

Abstract
<b>Objective:</b> Previous research indicates positive effects of feedback based on rational or empirical decision rules in psychotherapy. The implementation of these usually session-to-session-based feedback systems into clinical practice, however, remains challenging. This study aims to evaluate decision rules based on routine outcome monitoring with reduced assessment frequency. <b>Method:</b> Data routinely collected every 5-20 sessions of <i>N</i> = 3758 patients treated with CBT in an outpatient clinic (<i>M</i><sub>sessions</sub> = 42.8, <i>SD</i> = 15.4) were used to develop feedback decision rules based on the <i>expected treatment response</i> and <i>nearest neighbors</i> approach, the <i>reliable change index,</i> and method of <i>percental improvement</i>. The detection of patients at risk of treatment failure served as primary endpoint. <b>Results:</b> Significantly lower reliable improvement, higher reliable deterioration rates, and smaller effect sizes were found for patients identified at risk of treatment failure by all rules. The <i>nearest neighbors</i>-based approach showed the highest sensitivity regarding the detection of reliably deteriorated cases. <b>Conclusion:</b> Consistent with previous research, the empirical models outperformed the rational rules. Still, the first-time used <i>percental improvement</i>-based rule also showed satisfactory results. Overall, the results point to the potential of basic feedback systems that might be easier to implement in practice than session-to-session based systems.
Addresses
  • Department for Clinical Psychology, Psychotherapy and Experimental Psychopathology, Johannes Gutenberg University Mainz, Mainz, Germany.
Autoren
  • Stephan Ramsperger
  • Michael Witthöft
  • Anne-Kathrin Bräscher
DOI
10.1080/10503307.2024.2334047
eISSN
1468-4381
Externe Identifier
  • PubMed Identifier: 38607372
Open access
false
ISSN
1050-3307
Zeitschrift
Psychotherapy research : journal of the Society for Psychotherapy Research
Sprache
eng
Medium
Print-Electronic
Online publication date
2024
Paginierung
1 - 15
Datum der Veröffentlichung
2024
Status
Published
Datum der Datenerfassung
2024
Titel
Bridging the feedback implementation gap: A comparison of empirical and rational decision rules in naturalistic psychotherapy.
Sub types
  • Journal Article

Datenquelle: Europe PubMed Central

Abstract
Objective: Previous research indicates positive effects of feedback based on rational or empirical decision rules in psychotherapy. The implementation of these usually session-to-session-based feedback systems into clinical practice, however, remains challenging. This study aims to evaluate decision rules based on routine outcome monitoring with reduced assessment frequency. Method: Data routinely collected every 5-20 sessions of N = 3758 patients treated with CBT in an outpatient clinic (Msessions = 42.8, SD = 15.4) were used to develop feedback decision rules based on the expected treatment response and nearest neighbors approach, the reliable change index, and method of percental improvement. The detection of patients at risk of treatment failure served as primary endpoint. Results: Significantly lower reliable improvement, higher reliable deterioration rates, and smaller effect sizes were found for patients identified at risk of treatment failure by all rules. The nearest neighbors-based approach showed the highest sensitivity regarding the detection of reliably deteriorated cases. Conclusion: Consistent with previous research, the empirical models outperformed the rational rules. Still, the first-time used percental improvement-based rule also showed satisfactory results. Overall, the results point to the potential of basic feedback systems that might be easier to implement in practice than session-to-session based systems.
Autoren
  • Stephan Ramsperger
  • Michael Witthöft
  • Anne-Kathrin Bräscher
Autoren-URL
https://www.ncbi.nlm.nih.gov/pubmed/38607372
DOI
10.1080/10503307.2024.2334047
eISSN
1468-4381
Zeitschrift
Psychother Res
Schlüsselwörter
  • cognitive behavioral therapy
  • expected treatment response
  • feedback
  • nearest neighbors
  • percental improvement
Sprache
eng
Country
England
Paginierung
1 - 15
Datum der Veröffentlichung
2024
Status
Published online
Titel
Bridging the feedback implementation gap: A comparison of empirical and rational decision rules in naturalistic psychotherapy.
Sub types
  • Journal Article

Datenquelle: PubMed

Beziehungen:
Eigentum von

Werkzeuge