Probst, Thomas and Lambert, Michael J. and Loew, Thomas H. and Dahlbender, Reiner W. and Goellner, Richard and Tritt, Karin (2013) Feedback on patient progress and clinical support tools for therapists: Improved outcome for patients at risk of treatment failure in psychosomatic in-patient therapy under the conditions of routine practice. JOURNAL OF PSYCHOSOMATIC RESEARCH, 75 (3). pp. 255-261. ISSN 0022-3999,
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Objectives: Although psychosomatic in-patient treatment is effective, 5-10% of the patients deteriorate. Providing patient progress feedback and clinical support tools to therapists improves the outcome for patients at risk of deterioration in counseling, outpatient psychotherapy, and substance abuse treatment. This study investigated the effects of feedback on psychosomatically treated in-patients at risk of treatment failure. Methods: At intake, all patients of two psychosomatic clinics were randomized either into the experimental group or the treatment-as-usual control group. Both groups were tracked weekly with the "Outcome Questionnaire" (OQ-45) measuring patient progress and with the clinical support tool "Assessment of Signal Cases" (ASC). Therapists received feedback from both instruments for all their experimental group patients. "Patients at risk" were defined as patients who deviated from expected recovery curves by at least one standard deviation. Of 252 patients, 43 patients were at risk: 23 belonged to the experimental group, 20 to the control group. The feedback effect was analyzed using a level-2-model for discontinuous change, effect size (d), reliable change index (RCI), and odds ratio for reliable deterioration. Results: For patients at risk, the experimental group showed an improved outcome on the OQ-45 total scale compared to the control group (p < 0.05, d = 0.54). By providing feedback, the rate of reliably deteriorated patients at risk was reduced from 25.0% (control group) to 8.7% (experimental group) - odds ratio = 0.29. All reliably improved patients at risk belonged to the experimental group. Conclusion: Feedback improves the outcome of patients at risk undergoing psychosomatic in-patient treatment. (C) 2013 Elsevier Inc. All rights reserved.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | PSYCHOTHERAPY; TRANSLATION; MULTICENTER; INFORMATION; DISORDERS; SYSTEM; Inpatient treatment; Outcome; Psychosomatics; Psychotherapy; Routine clinical care; Treatment failure |
| Subjects: | 100 Philosophy & psychology > 150 Psychology 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Psychiatrie und Psychotherapie Human Sciences > Institut für Psychologie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 02 Apr 2020 05:10 |
| Last Modified: | 02 Apr 2020 05:10 |
| URI: | https://pred.uni-regensburg.de/id/eprint/16136 |
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