Department of Psychology, Brigham Young University.
Psychotherapy (Chic). 2018 Jun;55(2):132-143. doi: 10.1037/pst0000141.
The use of feedback based on outcome and process measures to inform treatment is gaining ground as one form of evidence-based treatment. However, little is known regarding how therapists actually use feedback, particularly from process measures, to affect treatment. This two-part qualitative study used session-by-session and treatment-episode narratives from group therapists to define how they acted on process feedback from a member-completed measure of the therapeutic relationship: the Group Questionnaire (GQ). Therapists' responses in the first wave of data were also used to develop a therapist-completed measure to quantify how feedback affected treatment. Sixteen group leaders received weekly session feedback reports on group members' responses to the GQ from the preceding group session. Leaders explained how they used that feedback in two ways: (a) with session-by-session written descriptions of feedback use and (b) with end-of-semester debrief interviews in which leaders described their experience with the feedback over the course of an entire group treatment episode. A content analysis of leader descriptions was undertaken by two independent pairs of raters to determine whether common patterns of use could be uncovered. Thirteen common use categories emerged across the two rater pairs. A 7-item questionnaire reflecting the most frequently used categories of use completed at the end of group treatment was shown to be highly correlated with session-by-session leader narrative. Implications of the common use patterns across therapists, variability between therapists, and the potential of the 7-item questionnaire are discussed. (PsycINFO Database Record
基于结果和过程测量的反馈被用于指导治疗，这种方法作为一种循证治疗正在逐渐普及。然而，我们对于治疗师如何实际利用反馈，尤其是来自过程测量的反馈来影响治疗知之甚少。本项两部分的定性研究使用了来自团体治疗师的逐节和治疗期间的叙述，以确定他们如何根据成员完成的治疗关系过程测量工具（团体问卷，Group Questionnaire，GQ）中的反馈来采取行动。治疗师在第一波数据中的反应也被用于开发一个治疗师完成的测量工具，以量化反馈对治疗的影响。16 位团体领导者每周都会收到关于团体成员在前一次团体会议中对 GQ 反应的会议反馈报告。领导者通过两种方式解释他们如何使用这些反馈：（a）通过逐节的反馈使用书面描述，以及（b）通过学期末的汇报访谈，领导者在访谈中描述了他们在整个团体治疗期间对反馈的体验。两位独立的评分员对领导者的描述进行了内容分析，以确定是否可以发现共同的使用模式。在两个评分员配对中，出现了 13 个共同的使用类别。一个反映使用最频繁类别的 7 项问卷在团体治疗结束时完成，与逐节的领导者叙述高度相关。本文讨论了治疗师之间常见使用模式、治疗师之间的可变性以及 7 项问卷的潜在用途。
