Over the past two decades, with the advent of managed care organizations, individuals and institutions that provide outpatient psychotherapy have had to adapt to an increasing demand for accountability with regard to the effectiveness of interventions and session limitations. Leaders in the field of psychology and psychotherapy have called for practitioners to perform more outcome research to better inform the decision-makers in psychological practice and managed care organizations.
This study (N=220) used the Outcome Questionnaire-45 (OQ-45) to provide feedback from the client about the client's experience of therapy to 4 pre-doctoral intern therapists. Another 4 pre-doctoral intern therapists in the study did not receive feedback. The clients were randomly assigned to the 8 pre-doctoral intern therapists, then broken down into on-track and not-on-track status in addition to being a member of a feedback group or a no-feedback group. Using ANOVA and chi-square, this study assesses the effect of feedback on amount of therapy, the analysis of clinically significant and reliable change, and the effect of feedback on outcome. This study adds to the limited research on the extent to which outcome research may be utilized to guide and inform clinical practice. Three previous investigations have included trainees in examining the effect of feedback on therapeutic outcome.
The present study demonstrated that when provided with feedback, interns provided more therapy sessions for the clients in the on-track conditions, and to clients in the not-on-track condition regardless of feedback. Feedback led to marginally more clients in the on-track condition reaching reliable change, but did not increase the frequency with which clients reached clinically significant change. Feedback did not have an effect on the not-on-track clients who improved over the course of therapy, but the improvement was significantly less that those clients in the on-track group.
|Commitee:||Mattis, Jacqueline, Wolgast, Bradley|
|School:||New York University|
|School Location:||United States -- New York|
|Source:||DAI-B 71/02, Dissertation Abstracts International|
|Keywords:||Client progress, Counselor development, Feedback, Intern training, OQ-45, Psychotherapy feedback|
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