An examination of therapists' professional characteristics as moderators of the effect of feedback on psychological treatment outcomes.

IF 2.6 1区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Research Pub Date : 2025-03-01 Epub Date: 2024-02-13 DOI:10.1080/10503307.2024.2310635

Jaime Delgadillo, Helene A Nissen-Lie, Kim De Jong, Thomas A Schröder, Michael Barkham

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Abstract

Feedback-informed treatment (FIT) has been shown to reduce the gap between more and less effective therapists. This study aimed to examine therapists' professional characteristics as potential moderators of the effect of feedback on treatment outcomes.

The IAPT-FIT Trial was a clinical trial where therapists were randomly assigned to a FIT group or a usual care control group. Treatment response was monitored using measures of depression (PHQ-9), anxiety (GAD-7) and functional impairment (WSAS). In a secondary analysis of this trial (n = 1,835 patients; t = 67 therapists), we used multilevel modelling to examine interactions between therapists' professional characteristics (e.g., attitude towards and self-efficacy regarding feedback utilization, decision-making style, job satisfaction, burnout, difficulties in practice, coping styles, caseload size) with random allocation (FIT vs. controls) to identify moderators of the effects of feedback.

Between 9.6% and 10.8% of variability in treatment outcomes was attributable to therapist effects. Therapist-level caseload sizes and external feedback propensity (EFP) moderated the effect of feedback on depression outcomes. No statistically significant main effects were found for any of the included therapist characteristics.

FIT reduced variability in outcomes between therapists and was particularly effective for therapists with high EFP and larger caseloads.

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研究治疗师的专业特点对反馈对心理治疗结果影响的调节作用。

反馈信息疗法（FIT）已被证明可以缩小疗效较好和疗效较差的治疗师之间的差距。IAPT-FIT 试验是一项临床试验，治疗师被随机分配到 FIT 组或常规护理对照组。治疗反应通过抑郁（PHQ-9）、焦虑（GAD-7）和功能障碍（WSAS）的测量进行监测。在对该试验（n = 1,835 名患者；t = 67 名治疗师）进行的二次分析中，我们使用多层次建模来研究治疗师的专业特征（如对反馈利用的态度和自我效能、决策风格、工作满意度、职业倦怠、实践中的困难、应对方式、案例数量）与随机分配（FIT 与对照组）之间的相互作用，以确定反馈效果的调节因素。治疗师水平的案例数量和外部反馈倾向（EFP）调节了反馈对抑郁结果的影响。FIT减少了治疗师之间治疗结果的差异，对EFP高和工作量大的治疗师尤为有效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

7.80

自引率

10.30%

发文量

期刊介绍： Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.