PDF(Pubmed)
Abstract：
UNASSIGNED: Routine Outcome Monitoring (ROM) has emerged as a strong candidate to improve psychotherapy processes and outcome. However, its use and implementation are greatly understudied in Latin-America. Therefore, the aim of the present pilot study conducted in Argentina was to implement a ROM and feedback system grounded on a psychometrically sound instrument to measure session by session outcome in psychotherapy.
UNASSIGNED: The sample consisted of 40 patients and 13 therapists. At baseline, the patients completed the Patient Health Questionnaire-9 and the Generalized Anxiety Disorder-7, and they also completed the Hopkins Symptom Checklist-11 before each of the first five sessions. To estimate patient change during the first sessions, we conducted a quantitative analysis using Hierarchical Linear Models. Furthermore, we conducted a qualitative analysis using Consensual Qualitative Research to analyze therapist perception regarding the ROM and feedback system.
UNASSIGNED: Results showed a significant reduction in patients\' symptomatic severity during the first five sessions. Additionally, baseline depression significantly predicted the estimated severity at the end of the fifth session. Feedback was given to the therapists after the first four sessions based on these analyses. With regard to the perception of the feedback system, clinicians underlined its usefulness and user-friendly nature. They also mentioned that there was a match between the information provided and their clinical judgment. Furthermore, they provided suggestions to enhance the system that was incorporated in a new and improved version.
UNASSIGNED: Limitations and clinical implications are discussed.
UNASSIGNED: The sample consisted of 40 patients and 13 therapists. At baseline, the patients completed the Patient Health Questionnaire-9 and the Generalized Anxiety Disorder-7, and they also completed the Hopkins Symptom Checklist-11 before each of the first five sessions. To estimate patient change during the first sessions, we conducted a quantitative analysis using Hierarchical Linear Models. Furthermore, we conducted a qualitative analysis using Consensual Qualitative Research to analyze therapist perception regarding the ROM and feedback system.
UNASSIGNED: Results showed a significant reduction in patients\' symptomatic severity during the first five sessions. Additionally, baseline depression significantly predicted the estimated severity at the end of the fifth session. Feedback was given to the therapists after the first four sessions based on these analyses. With regard to the perception of the feedback system, clinicians underlined its usefulness and user-friendly nature. They also mentioned that there was a match between the information provided and their clinical judgment. Furthermore, they provided suggestions to enhance the system that was incorporated in a new and improved version.
UNASSIGNED: Limitations and clinical implications are discussed.
摘要：
未经评估：常规结果监测（ROM）已成为改善心理治疗过程和结果的有力候选者。然而,它的使用和实施在拉丁美洲被大大低估。因此,在阿根廷进行的本试点研究的目的是实施一个ROM和反馈系统，该系统基于一种心理测量健全的仪器，以测量心理治疗中的会话结果。
未经评估：样本由40名患者和13名治疗师组成。在基线,患者完成了患者健康问卷-9和广泛性焦虑症-7,他们还在前5个疗程之前完成了Hopkins症状自评量表-11.要估计第一次治疗期间患者的变化，我们使用分层线性模型进行了定量分析。此外，我们使用合意定性研究进行了定性分析,以分析治疗师对ROM和反馈系统的看法.
UNASSIGNED：结果显示前5个疗程患者的症状严重程度显著降低。此外,基线抑郁显著预测了第五次疗程结束时估计的严重程度.根据这些分析，在前四个疗程后，向治疗师提供了反馈。关于反馈系统的感知，临床医生强调了其实用性和用户友好性。他们还提到，提供的信息与他们的临床判断之间存在匹配。此外，他们提供了建议，以增强在新的和改进的版本中合并的系统。
未授权：讨论了局限性和临床意义。
未经评估：样本由40名患者和13名治疗师组成。在基线,患者完成了患者健康问卷-9和广泛性焦虑症-7,他们还在前5个疗程之前完成了Hopkins症状自评量表-11.要估计第一次治疗期间患者的变化，我们使用分层线性模型进行了定量分析。此外，我们使用合意定性研究进行了定性分析,以分析治疗师对ROM和反馈系统的看法.
UNASSIGNED：结果显示前5个疗程患者的症状严重程度显著降低。此外,基线抑郁显著预测了第五次疗程结束时估计的严重程度.根据这些分析，在前四个疗程后，向治疗师提供了反馈。关于反馈系统的感知，临床医生强调了其实用性和用户友好性。他们还提到，提供的信息与他们的临床判断之间存在匹配。此外，他们提供了建议，以增强在新的和改进的版本中合并的系统。
未授权：讨论了局限性和临床意义。
