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The importance of competence-feedback for therapy outcome: a randomized controlled trial

能力反馈对治疗结果的重要性：随机对照试验

基本信息

批准号：
274197239
负责人：
Professor Dr. Florian Weck
金额：
--
依托单位：
Abteilung Klinische Psychologie/Psychotherapie
依托单位国家：
德国
项目类别：
Research Grants
财政年份：
2015
资助国家：
德国
起止时间：
2014-12-31 至 2020-12-31
项目状态：
已结题

来源：
https://gepris.dfg.de/gepris/projekt/274197239?language=en
关键词：
importance competence feedback therapy outcome

项目摘要

Psychotherapeutic competencies are considered to be an important factor for therapy success. However, empirical studies which have investigated the competence-outcome relationship were only based on correlational analyses. Therefore, these studies are inappropriate for the investigation of causal relationships. In previous studies, feedback on therapists' competencies was found to be suitable for enhancing such competencies. Therefore, in the current research project, competence-feedback should be used to enhance therapeutic competencies systematically, in order to investigate the impact of these competencies on therapy outcome. Using a randomized controlled study design, n = 58 treatments of patients with depression were to be conducted under a feedback-condition, in which the therapist would receive feedback five times within 20 treatment sessions. The competence-feedback includes detailed feedback about 14 different aspects of therapist behavior. The control group includes n = 58 further treatments within which therapists do not receive any competence-feedback (treatment as usual; TAU). We hypothesize that the feedback-group is superior to the TAU-group and that their treatments lead to significantly better therapy outcome. Moreover, we use mediator analysis to analyze whether the group-outcome relationship is mediated by therapeutic competencies or by the quality of the therapeutic alliance. By means of a naturalistic 6-month follow-up, the aim was also to investigate how the symptoms and need for treatment of a particular patient develop in terms of competence feedback and of the TAU condition. It is expected that the competence feedback condition would be significantly superior to the TAU condition, even at the point in time of a 6-month follow-up. In addition, the acceptance of the competence feedback and its benefits for the participating therapists for the participating therapists is investigated by means of both quantitative and qualitative methods. The results are highly relevant for clinical process research, psychotherapy training and for the dissemination of treatment approaches in routine care.

心理治疗能力被认为是治疗成功的重要因素。然而，对能力-结果关系的实证研究仅基于相关分析。因此，这些研究不适合调查因果关系。在以往的研究中，发现对治疗师能力的反馈是适合于提高这种能力的。因此，在当前的研究项目中，应该系统地使用能力反馈来提高治疗能力，以研究这些能力对治疗结果的影响。采用随机对照研究设计，在反馈条件下对n = 58例抑郁症患者进行治疗，治疗师在20次治疗中接受5次反馈。能力反馈包括对治疗师行为的14个不同方面的详细反馈。对照组包括n = 58进一步治疗，其中治疗师不接受任何能力反馈（治疗如往常；TAU）。我们假设反馈组优于tau组，其治疗效果显著优于tau组。此外，我们使用中介分析来分析群体结局关系是由治疗能力还是由治疗联盟的质量介导的。通过为期6个月的自然随访，目的还在于调查特定患者在能力反馈和TAU条件方面的症状和治疗需求如何发展。预期能力反馈条件将显著优于TAU条件，即使在6个月的随访时间点上也是如此。此外，通过定量和定性两方面的研究，探讨了参与治疗师对能力反馈的接受程度及其对参与治疗师的益处。研究结果对临床过程研究、心理治疗培训和常规护理中治疗方法的推广具有重要意义。