Department of Psychology, Brigham Young University.
Veterans Affairs Hospital.
Psychotherapy (Chic). 2018 Dec;55(4):520-537. doi: 10.1037/pst0000167.
This systematic review and meta-analysis examines the impact of measuring, monitoring, and feeding back information on client progress to clinicians while they deliver psychotherapy. It considers the effects of the 2 most frequently studied routine outcome monitoring (ROM) practices: The Partners for Change Outcome Management System and the Outcome Questionnaire System. Like other ROM practices, they typify attempts to enhance routine care by assisting psychotherapists in recognizing problematic treatment response and increasing collaboration between therapist and client to overcome poor treatment response. A total of 24 studies were identified and considered suitable for analysis. Two-thirds of the studies found that ROM-assisted psychotherapy was superior to treatment-as-usual offered by the same practitioners. Mean standardized effect sizes indicated that the effects ranged from small to moderate. Feedback practices reduced deterioration rates and nearly doubled clinically significant/reliable change rates in clients who were predicted to have a poor outcome. Clinical examples, diversity considerations, and therapeutic advances are provided. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
本系统评价和荟萃分析考察了在临床医生提供心理治疗时，测量、监测和向其反馈信息对患者进展的影响。它考虑了两种最常研究的常规结果监测（ROM）实践的效果：合作伙伴变革结果管理系统和结果问卷系统。与其他 ROM 实践一样，它们试图通过帮助心理治疗师识别治疗反应中的问题，并增加治疗师和患者之间的合作来克服治疗反应不佳，从而增强常规护理。共确定了 24 项适合分析的研究。三分之二的研究发现，ROM 辅助心理治疗优于同一从业者提供的常规治疗。平均标准化效应大小表明，效果从小到中不等。反馈实践降低了恶化率，并使预计治疗效果不佳的患者的临床显著/可靠变化率几乎翻了一番。提供了临床示例、多样性考虑因素和治疗进展。（PsycINFO 数据库记录（c）2018 APA，保留所有权利）。
