Gómez-Penedo, Juan Martín; Manubens, Rocio; Areas, Malenka; Fernández-Álvarez, Javier; Meglio, Manuel; Babl, Anna; Juan, Santiago; Ronchi, Agnese; Muiños, Roberto; Roussos, Andrés; Lutz, Wolfgang; grosse Holtforth, Martin (2022). Implementation of a routine outcome monitoring and feedback system for psychotherapy in Argentina: A pilot study. Frontiers in psychology, 13(1029164), p. 1029164. Frontiers Research Foundation 10.3389/fpsyg.2022.1029164
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INTRODUCTION
Routine Outcome Monitoring (ROM) has emerged as a strong candidate to improve psychotherapy processes and outcome. However, its use and implementation are greatly understudied in Latin-America. Therefore, the aim of the present pilot study conducted in Argentina was to implement a ROM and feedback system grounded on a psychometrically sound instrument to measure session by session outcome in psychotherapy.
METHODS
The sample consisted of 40 patients and 13 therapists. At baseline, the patients completed the Patient Health Questionnaire-9 and the Generalized Anxiety Disorder-7, and they also completed the Hopkins Symptom Checklist-11 before each of the first five sessions. To estimate patient change during the first sessions, we conducted a quantitative analysis using Hierarchical Linear Models. Furthermore, we conducted a qualitative analysis using Consensual Qualitative Research to analyze therapist perception regarding the ROM and feedback system.
RESULTS
Results showed a significant reduction in patients' symptomatic severity during the first five sessions. Additionally, baseline depression significantly predicted the estimated severity at the end of the fifth session. Feedback was given to the therapists after the first four sessions based on these analyses. With regard to the perception of the feedback system, clinicians underlined its usefulness and user-friendly nature. They also mentioned that there was a match between the information provided and their clinical judgment. Furthermore, they provided suggestions to enhance the system that was incorporated in a new and improved version.
DISCUSSION
Limitations and clinical implications are discussed.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology > Centre of Competence for Psychosomatic Medicine 07 Faculty of Human Sciences > Institute of Psychology > Clinical Psychology and Psychotherapy 07 Faculty of Human Sciences > Institute of Psychology |
UniBE Contributor: |
Fernandez-Alvarez, Javier, Grosse Holtforth, Martin |
Subjects: |
600 Technology > 610 Medicine & health 100 Philosophy > 150 Psychology |
ISSN: |
1664-1078 |
Publisher: |
Frontiers Research Foundation |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
25 Jan 2023 10:33 |
Last Modified: |
05 Jan 2024 08:57 |
Publisher DOI: |
10.3389/fpsyg.2022.1029164 |
PubMed ID: |
36687943 |
Uncontrolled Keywords: |
ROM baseline characteristics feedback monitoring psychotherapy outcome |
BORIS DOI: |
10.48350/177806 |
URI: |
https://boris.unibe.ch/id/eprint/177806 |
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