The Relationship Between Therapist Perceptions and Engagement in Measurement-Based Care

IF 3.2 3区 心理学 Q1 PSYCHOLOGY, CLINICAL
Matteo Bugatti, Jesse Owen, Annika Helgadóttir Davidsen, Zach Richardson, Wendy Rasmussen, Douglas Newton
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引用次数: 0

Abstract

Measurement-based care (MBC) is an evidence-based practice that has been supported by the American Psychological Association for almost two decades (APA 2006; Boswell et al. 2023). However, the widespread dissemination of technology-enabled platforms supporting the implementation of MBC in routine clinical settings has failed to significantly increase therapist rates of engagement in MBC. The present study was designed to examine the relationship between therapist perceptions of and their engagement in MBC, an area of inquiry that has yet to be pursued. A sample of 196 therapists and their respective clients (N = 12,166) was extracted from the therapist pool of a technology-enabled, digital mental health platform offering an automated MBC system. The sample of therapists was administered a previously validated measure assessing their perceptions of different aspects of MBC. Additionally, their frequency of viewing client outcome scores was assessed as an indicator of engagement in MBC. Analyses failed to detect a direct relationship between therapist perceptions of each aspect of MBC and their frequency of viewing client scores. Nonetheless, a subsequent cluster analysis identified a three-cluster solution. The cluster displaying the most positive perceptions of all aspects of MBC was associated with higher frequency of viewing client score. These findings suggest that therapist perceptions of MBC's clinical usefulness could have a unique impact on therapist engagement in MBC.

测量型护理中治疗师知觉与参与的关系
基于测量的护理(MBC)是一种基于证据的实践,得到了美国心理协会近二十年的支持(APA 2006;Boswell et al. 2023)。然而,支持在常规临床环境中实施MBC的技术支持平台的广泛传播未能显著提高治疗师参与MBC的比率。本研究旨在研究治疗师对MBC的感知和他们的参与之间的关系,这是一个有待研究的领域。从提供自动化MBC系统的技术支持的数字心理健康平台的治疗师池中提取了196名治疗师及其各自的客户(N = 12,166)的样本。对治疗师样本进行了先前验证的测量,以评估他们对MBC不同方面的看法。此外,他们观看客户结果分数的频率被评估为参与MBC的指标。分析未能发现治疗师对MBC各方面的看法与他们观看客户评分的频率之间的直接关系。尽管如此,随后的聚类分析确定了一个三聚类解决方案。对MBC各方面表现出最积极看法的群集与较高的观看客户端得分相关。这些发现表明,治疗师对MBC临床有用性的认知可能对治疗师参与MBC有独特的影响。
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来源期刊
Clinical psychology & psychotherapy
Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-
CiteScore
6.30
自引率
5.60%
发文量
106
期刊介绍: Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.
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