Providing feedback to psychotherapists on their patients' progress: Clinical results and practice suggestions

Providing feedback to psychotherapists on their patients' progress: Clinical results and practice suggestions
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DOI:
10.1002/jclp.20113
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发表时间:
2005-02-01
影响因子:
3
通讯作者:
Hawkins, EJ
Hawkins, EJ
中科院分区:
心理学4区
文献类型:
--
作者:
Lambert, MJ;Harmon, C;Hawkins, EJ

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我们描述和说明我们的系统来测量、监控和反馈有关患者治疗的信息。这一临床创新依赖于基于研究的临床决策工具,当患者偏离预期的治疗反应预示可能的治疗失败时,这些工具可以为心理治疗师提供及时的警告。我们总结了使用这一方法的四项对照研究的结果--集体结果表明,测量、监测和预测治疗失败(反馈)可以提高负面反应患者的治疗结果。临床医生被鼓励在常规实践中使用这些方法,尽管他们对自己预测患者结果的能力充满信心。(C)2004年威利期刊公司。
We describe and illustrate our system to measure, monitor, and teed back information about patient treatment. This clinical innovation relies on research-based clinical decision tools that provide psychotherapists with timely warnings when a patient's deviation from an expected treatment response foretells possible treatment failure. We summarize the results of four controlled studies using this methodology-, the collective results suggest that measuring, monitoring, and predicting treatment failure (feedback) enhance treatment outcomes for patients who have a negative response. Clinicians are encouraged to employ these methods in routine practice despite their confidence in their own ability to predict patient outcome. (C) 2004 Wiley Periodicals, Inc.