Azizian Kia Shaghayegh, Wittkampf Lisette, van Lankeren Jacobine, Janse Pauline
Pro Persona Research, Wolfheze, The Netherlands.
Behavioural Science Institute, Radboud University, Nijmegen, The Netherlands.
Adm Policy Ment Health. 2025 Jan;52(1):159-170. doi: 10.1007/s10488-024-01374-2. Epub 2024 Apr 8.
Despite its demonstrated value, many mental health institutions struggle to implement progress feedback effectively. There is also insufficient information about how therapists utilize progress feedback. To gain more insight, two qualitative studies were conducted. The first study compared the attitudes and motives of therapists who used and those who did not use progress feedback. The second study examined how psychologists incorporated progress feedback into their practice. In total, 23 therapists were interviewed, and the data were analyzed using thematic analysis. The first study found that almost all the therapists had a positive attitude about progress feedback. Those who did not use it indicated reasons such as a heavy workload and patient-related factors, and they also lacked sufficient information about the potential benefits of progress feedback. The second study revealed four major ways in which the therapists utilized feedback, namely: supporting actions to discuss progress feedback, discussing progress feedback with patients, modifications in the ongoing treatment, and peer consultation. However, discussions during peer consultations about using progress feedback for patients who were not benefitting from treatment and how the treatment might be adjusted accordingly were often lacking. In conclusion, it is crucial that training and education be provided to therapists on how to use progress feedback effectively. Having regular discussions about progress feedback during peer consultations could also facilitate its integration into clinical practice.
尽管进展反馈已展现出其价值，但许多心理健康机构仍难以有效实施进展反馈。关于治疗师如何利用进展反馈的信息也不足。为了深入了解，开展了两项定性研究。第一项研究比较了使用和未使用进展反馈的治疗师的态度和动机。第二项研究考察了心理学家如何将进展反馈融入他们的实践。总共采访了23名治疗师，并使用主题分析法对数据进行了分析。第一项研究发现，几乎所有治疗师对进展反馈都持积极态度。那些未使用进展反馈的人指出了诸如工作量大以及与患者相关的因素等原因，并且他们也缺乏关于进展反馈潜在益处的足够信息。第二项研究揭示了治疗师利用反馈的四种主要方式，即：支持讨论进展反馈的行动、与患者讨论进展反馈、对正在进行的治疗进行调整以及同行咨询。然而，在同行咨询中，对于未从治疗中获益的患者如何使用进展反馈以及相应地如何调整治疗的讨论往往不足。总之，至关重要的是要为治疗师提供关于如何有效使用进展反馈的培训和教育。在同行咨询期间定期讨论进展反馈也有助于将其融入临床实践。
