Department of Psychology, Pennsylvania State University.
Department of Psychology, Brigham Young University.
Psychotherapy (Chic). 2018 Jun;55(2):105-115. doi: 10.1037/pst0000139.
The use of outcome monitoring systems to identify clients that are at-risk for treatment failure has now become part of daily clinical practice, shown in >25 empirical studies to improve client outcomes. These promising findings have led to outcome monitoring systems being recognized as evidence-based. Feedback systems based on client perception of therapeutic processes are recent additions to the monitoring literature, and the research suggests that these too lead to improved outcomes. Unfortunately, feedback systems and research have been primarily limited to individual therapy, creating a knowledge gap for multiperson treatment. This study reports on the development of a therapeutic relationship monitoring system for group treatment using results from 6 Group Questionnaire (GQ) studies conducted in 4 unique clinical populations: nonclinical process, counseling center, European inpatient, and seriously mentally ill inpatients. The GQ is a factor-analytically derived scale, which assesses a client's perception of 3 relationship quality constructs (positive bond, positive work, and negative relationship) across 3 structural domains (member-member, member-leader, and member-group). The first goal of the present study was to replicate the previously established factor structure across each clinical population. The second goal was to establish normative values and relevant feedback alerts for the GQ subscales in each population. Findings support the GQ factor structure across clinical populations, indicating that the constructs measured by the GQ bear similar relationships in each population. Further, findings support the implementation of unique norms and feedback alerts in each clinical population, reflecting the reality of meaningful differences between clinical populations. (PsycINFO Database Record
使用成果监测系统来识别有治疗失败风险的客户，现在已成为日常临床实践的一部分，在超过 25 项实证研究中显示，这可以改善客户的结果。这些有希望的发现使得成果监测系统被认为是基于证据的。基于客户对治疗过程的感知的反馈系统是监测文献的最新补充，研究表明，这些系统也可以带来更好的结果。不幸的是，反馈系统和研究主要局限于个体治疗，为多人治疗创造了一个知识空白。本研究报告了使用在 4 个独特的临床群体中进行的 6 项小组问卷（Group Questionnaire，GQ）研究的结果，为小组治疗开发一种治疗关系监测系统的情况：非临床过程、咨询中心、欧洲住院患者和严重精神疾病住院患者。GQ 是一种基于因素分析的量表，评估客户对 3 种关系质量结构（积极联系、积极工作和消极关系）在 3 个结构领域（成员-成员、成员-领导和成员-小组）的感知。本研究的第一个目标是在每个临床群体中复制先前建立的因素结构。第二个目标是为每个群体的 GQ 子量表建立规范值和相关反馈警报。研究结果支持了 GQ 在临床群体中的因素结构，表明 GQ 衡量的结构在每个群体中都具有相似的关系。此外，研究结果支持在每个临床群体中实施独特的规范和反馈警报，反映了临床群体之间存在有意义差异的现实。
