Okiishi John C, Lambert Michael J, Eggett Dennis, Nielsen Lars, Dayton David D, Vermeersch David A
Brigham Young University, Provo, UT 84602, USA.
J Clin Psychol. 2006 Sep;62(9):1157-72. doi: 10.1002/jclp.20272.
This study examined data collected on over 5,000 clients seen by 71 therapists over a 6-year period in a University Counseling Center. Clients were given the Outcome Questionnaire-45 (OQ-45) on a session-by-session basis to track their treatment response. Data were also collected on therapists' theoretical orientation, years of experience, gender, and type of training. Data were analyzed using hierarchical linear modeling (HLM) to see if general therapist traits (i.e., theoretical orientation, type of training) accounted for differences in clients' rate of improvement. Data were then analyzed, again using HLM with therapists as a fixed effect, to compare individual therapists to see if there were significant differences in the efficiency of treatment. In addition, pre- minus posttest OQ-45 scores were examined to see if there were differences in the overall outcome of clients. There was a significant amount of variation among therapists' clients' rates of improvement. Therapist feedback reports were generated to summarize client outcome for individual providers in contrast to center averages and in an attempt to improve client outcome.
本研究考察了一所大学咨询中心在6年时间里71位治疗师接待的5000多名来访者的数据。在每次咨询时，给来访者发放结果问卷-45（OQ-45）以追踪他们的治疗反应。还收集了治疗师的理论取向、从业年限、性别和培训类型的数据。使用分层线性模型（HLM）对数据进行分析，以查看一般治疗师特征（即理论取向、培训类型）是否能解释来访者改善率的差异。然后再次使用以治疗师为固定效应的HLM对数据进行分析，以比较个体治疗师，看治疗效率是否存在显著差异。此外，还检查了OQ-45前测与后测的分数，以查看来访者的总体治疗结果是否存在差异。治疗师所接待来访者的改善率存在显著差异。生成了治疗师反馈报告，以总结个体治疗师的来访者治疗结果，与中心平均值进行对比，并尝试改善来访者的治疗结果。
