Date of Award

1-1-2020

Language

English

Document Type

Dissertation

Degree Name

Doctor of Philosophy (PhD)

College/School/Department

Department of Psychology

Program

Clinical Psychology

Content Description

1 online resource (vii, 92 pages) : color illustrations.

Dissertation/Thesis Chair

James F Boswell

Committee Members

Julia Hormes, Hazel Prelow

Keywords

Idiographic, Measurement feedback system, Measurement-based care, Psychotherapy, Routine outcome monitoring, Outcome assessment (Medical care), Evidence-based psychotherapy, Feedback (Psychology), Clinical psychologists

Subject Categories

Psychology

Abstract

Rates of treatment failures in psychotherapy are unsatisfactorily high. Patient-focused research addresses this issue by promoting the implementation of routine outcome monitoring (ROM) and measurement feedback systems (MFS) that support treatment personalization and clinical responsiveness. Nevertheless, ROM and MFS utilization rates in routine practice remain low and many clinicians report reservations regarding their integration, which may be a function of reliance on nomothetic measures. Research suggests that idiographic (i.e., individualized) measures may have the potential to overcome these obstacles. However, little is known regarding clinicians’ perceptions of idiographic ROM and MFS. The present study examined clinicians’ reasons for use and nonuse of outcome measures, while also exploring clinicians’ perceptions of the clinical utility, relevance to treatment planning, and practicality of nomothetic and idiographic clinical feedback. Three hundred and twenty-nine therapists were randomized to one of three conditions that presented them with a clinical vignette comprising: (a) nomothetic, (b) idiographic, or (c) combined clinical feedback. Clinicians’ perceptions of the simulated clinical feedback were not affected by the type of clinical feedback. However, cognitive behavioral therapists reported more positive perceptions of all aspects associated with the simulated clinical feedback. In addition, clinicians’ professional characteristics, including theoretical orientation, work setting, and clients’ age group, were found to affect clinicians’ reasons for using outcome measures in their practice. These results suggest that clinicians’ professional characteristics may have a significant impact on their perceptions of ROM and MFS and should be considered when designing and implementing these strategies.

Download

Included in

Psychology Commons

Share

COinS