Randomized controlled trial to evaluate the effects of psychometric feedback on treatment outcome and its mediators and moderators in outpatient psychotherapy

评估门诊心理治疗中心理测量反馈对治疗结果及其中介和调节因素影响的随机对照试验

• 批准号: 313881047
• 负责人: Professor Dr. Wolfgang Lutz
• 金额: --
• 依托单位: Abteilung für Klinische Psychologie und Psychotherapie
• 依托单位国家: 德国
• 项目类别: Research Grants
• 财政年份: 2016
• 资助国家: 德国
• 起止时间: 2015-12-31 至 2019-12-31
• 项目状态: 已结题
• 来源: https://gepris.dfg.de/gepris/projekt/313881047?language=en
• 关键词: Randomized; controlled; trial; evaluate; effects

The requested three-year research project investigates in a randomized controlled trial the effectiveness as well as moderating and mediating factors of psychometric feedback. In the intended study a total of N = 423 patients will be included who applied for cognitive-behavioral therapy at the psychotherapy outpatient center of the University of Trier and were diagnosed with a depressive or an anxiety disorder (SCID-interviews). Participating therapists will be randomly assigned in blocks to one of three treatment conditions (two intervention groups and one control group). The patients will in turn be randomly assigned to one therapist. Patients of the control group (CG; n = 85) will be monitored concerning their psychological impairment but their therapists will not be provided with any feedback about the patients assessments. In both intervention groups (IG1: n = 169; IG2: n = 169) the therapists are provided with feedback about the patients self-evaluation in a computerized feedback portal. Therapists of the IG2 will additionally be provided with clinical support tools. The aim of this research project is to evaluate the general effectiveness of psychometric feedback and clinical support tools within a strict design (structured clinical interview, CG with repeated assessments, control for treatment integrity) in outpatient psychotherapy. Additionally, mediating (treatment length and therapists awareness of negative change) and moderating variables (attitudes towards feedback, feedback usage and diagnoses) of the feedback effect will be examined.

本课题通过随机对照试验对心理测量反馈的有效性及其调节和中介因素进行了研究。本研究共纳入N = 423名在特里尔大学心理治疗门诊中心申请认知行为治疗并被诊断为抑郁或焦虑障碍的患者（scid访谈）。参与的治疗师将被随机分配到三个治疗条件中的一个（两个干预组和一个对照组）。患者将依次被随机分配给一位治疗师。对照组（CG; n = 85）的患者将被监测其心理障碍，但他们的治疗师不会得到任何关于患者评估的反馈。在两个干预组（IG1: n = 169; IG2: n = 169）中，治疗师通过计算机反馈门户获得患者自我评价的反馈。IG2的治疗师还将获得临床支持工具。本研究项目的目的是在严格的设计（结构化临床访谈，重复评估的CG，治疗完整性控制）中评估心理测量反馈和临床支持工具在门诊心理治疗中的一般有效性。此外，反馈效果的中介（治疗时间和治疗师对负面变化的认识）和调节变量（对反馈的态度，反馈的使用和诊断）将被检查。