Inhaltszusammenfassung

Background: Despite the well-evidenced general effectiveness of psychotherapy, an estimated one third of patients do not respond to or even deteriorate during therapy. As therapists are less able to recognize and prognosticate negative developments in comparison with empirical algorithms, they require further support in the form of continuous feedback of their patients' progress. Such feedback interventions can be seen as empirically based support of the supervision and intervision process. T...Background: Despite the well-evidenced general effectiveness of psychotherapy, an estimated one third of patients do not respond to or even deteriorate during therapy. As therapists are less able to recognize and prognosticate negative developments in comparison with empirical algorithms, they require further support in the form of continuous feedback of their patients' progress. Such feedback interventions can be seen as empirically based support of the supervision and intervision process. These interventions have repeatedly demonstrated their effectiveness for the reduction of treatment failure in numerous single studies and meta-analyses. Objective: The current study investigates how therapists use feedback in their clinical work. Additionally, we quantified to what extent therapist factors influence the use feedback. Method: Therefore, 72 therapists were surveyed about how they used psychometric feedback immediately after having finished therapy with 648 of their patients. Differences between therapists were determined by employing multilevel models. Results: We were able to show that therapists used feedback for a large portion of their patients. In approximately one third of the cases, usage prompted the therapists to employ extra support (e.g., supervision, intervision). Similar to staff-based supervision, feedback was used to adjust therapeutic interventions for over half of the patients. However, when and how it was used was largely dependent on the individual therapist. Depending on the type of utilization, therapist differences were able to explain between 27% and 52% of feedback use. The probability that therapists used the possible applications 'of feedback was greater when they also indicated being more satisfied with the graphic feedback on average. Conclusion: These results underline that how therapists use feedback depends not only on therapy progress or specific patient characteristics, but also to a large degree on therapist variables. » weiterlesen» einklappen

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