Collecting and Delivering Progress Feedback: A Meta-Analysis of Routine Outcome Monitoring
Collecting and Delivering Progress Feedback: A Meta-Analysis of Routine Outcome Monitoring
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DOI：
10.1037/pst0000167
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发表时间：
2018-12-01
期刊：
影响因子：
2.5
通讯作者：
Kleinstaeuber, Maria
中科院分区：
文献类型：
--
作者：
Lambert, Michael J.;Whipple, Jason L.;Kleinstaeuber, Maria
本系统综述和荟萃分析考察了在临床医生提供心理治疗时测量、监测和反馈客户进展信息的影响。它考虑了两种最常被研究的常规结果监测（ROM）实践的效果：变化伙伴结果管理系统和结果问卷系统。像其他ROM实践一样，他们试图通过帮助心理治疗师认识到治疗反应的问题，并增加治疗师和客户之间的合作来克服不良的治疗反应，从而加强常规护理。共有24项研究被确定并认为适合进行分析。三分之二的研究发现，rom辅助的心理治疗优于由同一执业医师提供的常规治疗。平均标准化效应量表明，影响范围从小到中等。反馈实践降低了恶化率，在预测预后较差的客户中，临床显著/可靠变化率几乎翻了一番。临床例子，多样性考虑。并且提供了治疗方面的进步。
This systematic review and meta-analysis examines the impact of measuring, monitoring, and feeding back information on client progress to clinicians while they deliver psychotherapy. It considers the effects of the 2 most frequently studied routine outcome monitoring (ROM) practices: The Partners for Change Outcome Management System and the Outcome Questionnaire System. Like other ROM practices, they typify attempts to enhance routine care by assisting psychotherapists in recognizing problematic treatment response and increasing collaboration between therapist and client to overcome poor treatment response. A total of 24 studies were identified and considered suitable for analysis. Two-thirds of the studies found that ROM-assisted psychotherapy was superior to treatment-as-usual offered by the same practitioners. Mean standardized effect sizes indicated that the effects ranged from small to moderate. Feedback practices reduced deterioration rates and nearly doubled clinically significant/reliable change rates in clients who were predicted to have a poor outcome. Clinical examples, diversity considerations. and therapeutic advances are provided.