Abstract：
Including routine client feedback can increase the effectiveness of mental health interventions for children, especially when implemented as intended. Rate of implementation, or dose, of such feedback interventions has been shown to moderate results in some studies. Variation in implementation and use of client feedback may also contribute to the mixed results observed within the feedback literature. This study evaluates dose-response associations of client feedback using a novel Measurement Feedback System (MFS) within an indicated group intervention. The primary aim was to determine whether the rate of MFS implementation predicts symptom reduction in anxiety and depression among school-aged children. The secondary aim was to assess whether the rate of MFS implementation influences children\'s satisfaction with the group intervention or their dropout rates. Data were collected via a randomized factorial study (clinicaltrials.gov NCT04263558) across 58 primary schools in Norway. Children aged 8 to 12 years (N = 701) participated in a group-based, transdiagnostic intervention targeting elevated symptoms of anxiety or depression. Half of the child groups also received the feedback intervention using the MittEcho MFS. Group leaders (N = 83), recruited locally, facilitated the interventions. The MFS dose was measured using the Implementation Index, which combines the use of MFS by both children and providers (group leaders) into a single dose variable. Results showed no significant additional effect of dose of MFS on change in depression or anxiety scores, on user satisfaction with the intervention or on intervention dropout. The discussion addresses potential reasons for these non-significant findings and implications for MFS implementation in preventive, group-based interventions in school settings.
摘要：
包括常规的客户反馈可以提高儿童心理健康干预的有效性，尤其是按预期实施时。执行率,或剂量，在一些研究中，这种反馈干预措施的结果被证明是温和的。客户反馈的实现和使用的变化也可能导致反馈文献中观察到的混合结果。本研究在指定的小组干预中使用新型测量反馈系统（MFS）评估客户反馈的剂量反应关联。主要目的是确定MFS实施率是否可以预测学龄儿童焦虑和抑郁症状的减轻。次要目的是评估MFS实施率是否影响儿童对团体干预的满意度或辍学率。数据是通过一项随机析因研究（clinicaltrials.govNCT04263558）在挪威的58所小学收集的。8至12岁的儿童（N=701）参加了基于小组的活动，针对焦虑或抑郁症状升高的综合诊断干预。一半的儿童群体也接受了使用MittEchoMFS的反馈干预。组长（N=83），当地招募,促进干预。使用实施指数测量MFS剂量，它将儿童和提供者（组长）对MFS的使用结合到一个单剂量变量中。结果显示，MFS剂量对抑郁或焦虑评分的变化没有显著的额外影响，关于用户对干预的满意度或干预退出。Thediscussionaddressespotentialreasonsforthesenon-significantfindingsandimplicationsforMFSimplicationsinpreventive,学校环境中基于小组的干预措施。
