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The Effects Of Providing Therapists With Feedback On Patient Progress During Psychotherapy: Are Outcomes Enhanced?

M. Lambert, J. Whipple, D. Smart, D. Vermeersch, S. L. Nielsen, E. Hawkins
Published 2001 · Medicine

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Patient-focused research attempts to provide information that answers the question: Is this treatment benefiting this patient? Although several systems have been developed to monitor and provide feedback about a patient's response to psychotherapy, few if any have been tested empirically. The current study divided 609 patients into four groups (two experimental and two control) to determine if feedback regarding patient progress, when provided to a therapist, affected patient outcome and number of sessions attended. Results showed that feedback increased the duration of treatment and improved outcome relative to patients in the control condition who were predicted to be treatment failures. Twice as many patients in the feedback group achieved clinically significant or reliable change and one-third as many were classified as deteriorated by the time treatment ended. For those patients who were predicted to have a positive response to treatment, feedback to therapists resulted in a reduction in the number of treatment sessions without reducing positive outcomes.
This paper references
A personality scale of manifest anxiety.
J. Taylor (1953)
An inventory for measuring depression.
A. Beck (1961)
An inventory for measuring depression. Archives of General Psychiatry
A T Beck (1961)
STAI manual for the State-trait anxiety inventory ("self-evaluation questionnaire")
C. Spielberger (1970)
Manual for the State-Trait Anxiety Inventory
C. Spielberger (1970)
A rating instrument for anxiety disorders.
W. Zung (1971)
A rating instrument for anxi
W. K. Zung (1971)
Assessment of social adjustment by patient self-report.
M. Weissman (1976)
The Assessment of psychotherapy outcome
M. Lambert (1983)
SCL-90-R, Administration, Scoring, and Procedures Manual-II for the R(evised) Version and Other Instruments of the Psychopathology Rating Scale Series
Lr Derogatis (1983)
Manual for the State-Trait Anxiety Inventory (STAI) (Form Y
C. Spielberger (1983)
The SCL-90: Administration, scoring, and procedures for the SCL-90
L. R. Derogatis (1983)
Introduction to assessment of psychotherapy outcome: Historical perspective and current issues
M. J. Lambert (1983)
The dose-effect relationship in psychotherapy.
K. Howard (1986)
The Scientist Practitioner: Research and Accountability in Clinical and Educational Settings
W. Grove (1986)
Inventory of interpersonal problems: psychometric properties and clinical applications.
L. M. Horowitz (1988)
Design sensitivity
M. W. Credentialing Services. Lipsey (1990)
Clinical significance: a statistical approach to defining meaningful change in psychotherapy research.
N. Jacobson (1991)
Research design in clinical practice
A E Kazdin (1992)
Research design in clinical practice (2nd ed.)
A. E. Kazdin (1992)
The effectiveness of psychotherapy.
J. Werry (1993)
Negative Outcome in Psychotherapy: A Critical Review
D. Mohr (1995)
The most widely used outcomes measures: A user’s guide and critical review (Cassette Recording No. BHG9520). Portola Valley, CA: Institute for Behavioral Healthcare
G. Andrews (1995)
The most widely used outcomes measures: A user's guide and critical review (Cassette Recording No
G Andrews (1995)
Negative outcome in psycho
D. C. CA. Mohr (1995)
Evaluation of psychotherapy. Efficacy, effectiveness, and patient progress.
K. Howard (1996)
The tripartite model and the Consumer Reports study.
H. Strupp (1996)
How Much Therapy Is Really Enough? : A Session-by-Session Analysis of the Psychotherapy Dose-Effect Relationship.
S. Kadera (1996)
Data‐Based Management for Tracking Outcome in Private Practice
M. Lambert (1996)
The Reliability and Validity of the Outcome Questionnaire
M. Lambert (1996)
Evaluation in Clinical Practice—Introduction to the Series
A. Kazdin (1996)
Evaluation in private practice: Introduction to the series
A. E. Kazdin (1996)
Administration and scor
C. W. Reisinger (1996)
Administration and scoring manual for the Outcome Questionnaire (OQ 45.2)
M J Lambert (1996)
The tripartite model and the
Efficacy, effectiveness, and patient progress
K. I. Howard (1996)
Concurrent and Construct Validity of the Outcome Questionnaire
V. Umphress (1997)
Highlights of the research consortium outcomes project. Presented at the annual meeting of the Association of University and College Counseling Center Directors, Santa Fe, NM
D. J. Drum (1998)
Patterns of patient improvement: Implications of research for treatment planning and responsible social policy. Paper presented to the 17th World Congress of Psychotherapy
Lambert (1998)
Service profiling and Outcomes benchmarking using the CORE-OM: toward practice-based evidence in the psychological therapies : Patient-Focused Research
M. Barkham (2001)
Comparisons among quality assurance systems: from outcome assessment to clinical utility.
L. Beutler (2001)
Computer-assisted feedback-driven quality management for psychotherapy: the Stuttgart-Heidelberg model.
H. Kordy (2001)
A survival analysis of clinically significant change in outpatient psychotherapy.
E. M. Anderson (2001)
Service profiling and outcomes benchmarking using the CORE-OM: toward practice-based evidence in the psychological therapies. Clinical Outcomes in Routine Evaluation-Outcome Measures.
M. Barkham (2001)
CA: Institute for Behavioral Healthcare
Portola Valley
Different perspectives on the measurement of treatment outcomes. Presented at the 106th annual convention of the American Psychological Association
G J Meyer
Patterns of patient improvement: Implications of research for treatment planning and responsible social policy
M J Lambert
Computer assisted feedback driven active quality management for psychotherapy provision: The Stuttgart-Heidelberg Model
H Kordy
Service profiling and outcomes benchmarking using the CORE-OM: Towards practice-based evidence in the psychological therapies
M Barkham

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R. Saunders (2019)
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H. Schöttke (2019)
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Marte Rye (2019)
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Reut Shani (2019)
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T. Haider (2019)
Nonlinear Change Processes During Psychotherapy Characterize Patients Who Have Made Multiple Suicide Attempts
C. Bryan (2018)
The Relationship between Psychotherapist Personality and Therapeutic Alliance
M. Finlay (2018)
Evidence Brief : Use of Patient Reported Outcome Measures for Measurement Based Care in Mental Health Shared Decision-Making Investigators :
K. Peterson (2018)
Innovation and ambivalence: a narrative-dialogical perspective on therapeutic change
M. Gonçalves (2018)
The merits of implementing routine outcome monitoring in clinical practice
M. Lambert (2018)
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Paula Errázuriz (2018)
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C. Lewis (2018)
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T. L. Newton (2018)
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T. Newton (2018)
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G. Burlingame (2018)
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K. de Jong (2018)
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S. Hetrick (2018)
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