The effect of therapist characteristics on the use and outcome of systematic client feedback in outpatient mental healthcare

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL Clinical psychology & psychotherapy Pub Date : 2023-06-06 DOI:10.1002/cpp.2873

Bram Bovendeerd, Kim de Jong, Erik de Groot, Mirjam Moerbeek, Anton Hafkenscheid, Jos de Keijser

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引用次数: 1

Abstract

Objective

Therapist characteristics are known to affect treatment outcome in general and could also influence the use of systematic client feedback (SCF). The current study explores the effect of feedback orientation, regulatory focus, self-efficacy, attitude towards feedback resources and perceived feedback validity on the use and outcome of SCF in outpatient mental healthcare.

Method

The data of therapists (n = 12) and patients (n = 504) of two outpatient centres offering brief psychological treatment were analysed when SCF, based on the Partners for Change Outcome Management System (PCOMS), was added to treatment as usual. The data of therapists were obtained through a therapist questionnaire composed of relevant characteristics from feedback studies in social and organizational psychology. The effect on the use of SCF was analysed using logistic regression; whereas, the effect on outcome was assessed using a two-level multilevel analysis. Regular use of SCF and the Outcome Questionnaire (OQ-45) were used as outcome variables. DSM-classification, sex and age of each patient were included as covariates.

Results

High perceived feedback validity significantly increased the use of SCF. No significant therapist characteristics effects were found on outcome, but high promotion focus was associated with treating more complex patients.

Conclusions

The perceived feedback validity of SCF is likely to have an influence on its use and is probably affected by the changes in the organizational climate.

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治疗师特征对门诊心理保健中系统客户反馈的使用和结果的影响。

目的：众所周知，治疗师的特征通常会影响治疗结果，也可能影响系统客户反馈（SCF）的使用。本研究探讨了反馈导向、调节焦点、自我效能感、对反馈资源的态度和感知反馈有效性对SCF在门诊心理健康中的使用和结果的影响。方法：治疗师（n = 12）和患者（n = 504），当基于变革伙伴结果管理系统（PCOMS）的SCF照常添加到治疗中时，对提供短暂心理治疗的两个门诊中心的SCF进行了分析。治疗师的数据是通过治疗师问卷获得的，该问卷由社会和组织心理学反馈研究的相关特征组成。使用逻辑回归分析对SCF使用的影响；然而，使用两级多水平分析来评估对结果的影响。定期使用SCF和结果问卷（OQ-45）作为结果变量。DSM分类、每位患者的性别和年龄被纳入协变量。结果：高感知反馈有效性显著增加SCF的使用。没有发现治疗师特征对结果有显著影响，但高度重视推广与治疗更复杂的患者有关。结论：SCF的感知反馈有效性可能对其使用产生影响，并可能受到组织氛围变化的影响。

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来源期刊

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.