Will patient feedback improve Quality and Outcome in Psychotherapy? Implementation and validation of the online feedback system OQ®-Analyst in Norway: A multi-site RCT study
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- Institutt for klinisk medisin [10724]
Abstract
This thesis deals with the aspects of monitoring psychotherapy in ordinary psychiatric settings in Norway with the goal of improving the quality of mental health services. The research resulted in three published papers. The first paper described the psychometric properties of the Norwegian version of the OQ®-45.2 with data from clinical and nonclinical samples. The OQ®-45.2 was found to be psychometrically reliable and valid for the purpose of monitoring and evaluating patient progress in therapy. The second paper described the results of the clinical trial comparing feedback to therapist and patients about patient progress, using the OQ®-Analyst, to TAU (no feedback). It was found that feedback improved the outcome and the quality of mental services. The third paper investigated how the system worked to improve outcomes by examining various aspects of the OQ®-Analyst. It could not be conclusively demonstrated that receipt of a warning signal for cases in the feedback condition resulted in better outcomes than in cases unaware of being off track. It was found that the effect of using OQ®-Analyst occurred already in the third session, and that the graphs displaying patient progress and the discussion of progress with the patient were experienced as the most important aspects of the system. Finding the system to be reliable, valid, and effective both in improving outcome and optimizing the psychotherapeutic treatment, it can be recommended for implementation on a large scale in the Norwegian psychiatric health care facilities.List of papers
I Ingunn Amble, Tore Gude, Sven Stubdal, Tuva Øktedalen, Anne Marie Skjørten, Bror Just Andersen, Ole André Solbakken, Hanne H. Brorson, Espen Arnevik, Michael J. Lambert & Bruce E. Wampold Psychometric Properties of the Outcome Questionnaire-45.2: The Norwegian Version in an international Context. Psychotherapy Research. 2014: Volume 24, Issue 4, p 504-513 The paper is not available in DUO due to publisher restrictions. The published version is available at: https://doi.org/10.1080/10503307.2013.849016 |
II. Ingunn Amble, Tore Gude, Sven Stubdal, Bror Just Andersen, & Bruce E. Wampold The effect of implementing the Outcome Questionnaire-45.2 feedback system in Norway: A multisite randomized clinical trial in a naturalistic setting. Psychotherapy Research. 2015: Volume 25, Issue 6, p 669-677 The paper is not available in DUO due to publisher restrictions. The published version is available at: https://doi.org/10.1080/10503307.2014.928756 |
III. Ingunn Amble, Tore Gude, Sven Stubdal, Pål Ulvenes, & Bruce E. Wampold How and When Feedback Works in Psychotherapy: Is it the Signal? Psychotherapy Research. Published online July 14th, 2015. The paper is not available in DUO due to publisher restrictions. The published version is available at: https://doi.org/10.1080/10503307.2015.1053552 |