The effectiveness and efficiency of brief strategic therapy: A comparison of in-person, online, and hybrid treatment delivery modalities.

IF 3.8 1区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Research Pub Date : 2026-05-22 DOI:10.1080/10503307.2026.2666649

Jeffrey B Jackson, Rytis Pakrosnis, Grégoire Vitry, Zoie J Bartling, Laurent Collongues, Padraic Gibson, Claudette Portelli, Matteo Papantuono

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引用次数: 0

Abstract

Objective: This study evaluated the effectiveness and efficiency of brief strategic therapy (BST) in routine care settings and examined whether outcomes and therapeutic alliance, as an indicator of positive therapeutic process, differed across in-person, online, and hybrid delivery modalities.

Method: Systemic Practice Research Network (SYPRENE) data included 1,933 clients from Western Europe who received BST in one of the modalities. The nonrandomized prospective pretest-posttest naturalistic design included measures of therapist-rated and client-rated problem resolution, as well as client-rated psychological impairment, overall well-being, and therapeutic alliance.

Results: On average, problem resolution was high (client-rated M = 6.71/10; therapist-rated M = 5.76/10), psychological impairment significantly decreased (d = -2.20), overall well-being significantly increased (d = 0.87), and therapeutic alliance was high with no detectable pretreatment-posttreatment change (M = 36.91/40). Modality was not a significant predictor of problem resolution or change in psychological impairment, overall well-being, or therapeutic alliance; clinical significance analyses largely supported these patterns. Efficiency did not differ by modality, except in-person therapy was modestly more efficient than hybrid therapy for improving overall well-being.

Conclusion: BST showed effectiveness, positive therapeutic process, and efficiency across delivery modalities; modality differences were negligible or small, although some were statistically significant. Findings indicate technology-mediated BST is a feasible therapeutic alternative to expand access to care.

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简短策略治疗的有效性和效率：面对面、在线和混合治疗递送方式的比较。

目的：本研究评估了短期策略治疗（BST）在常规护理环境中的有效性和效率，并检查了作为积极治疗过程指标的结果和治疗联盟在面对面、在线和混合递送方式中是否存在差异。方法：系统实践研究网络（SYPRENE）的数据包括1933名来自西欧的患者，他们接受了其中一种方式的BST。非随机前瞻性测试前-测试后自然主义设计包括治疗师评价和客户评价的问题解决，以及客户评价的心理障碍，整体幸福感和治疗联盟。结果：平均而言，患者的问题解决能力较高（患者评分M = 6.71/10；治疗师评分M = 5.76/10），心理障碍显著减少（d = -2.20），整体幸福感显著增加（d = 0.87），治疗依从性较高，治疗前后无明显变化（M = 36.91/40）。治疗方式并不是问题解决或心理障碍、整体幸福感或治疗联盟改变的显著预测因子；临床意义分析在很大程度上支持这些模式。除了面对面治疗在改善整体幸福感方面比混合治疗略微更有效外，效率并没有因治疗方式而异。结论：BST在不同的给药方式下均显示出疗效，治疗过程积极，效率高；情态差异可以忽略不计或很小，尽管有些在统计上是显著的。研究结果表明，技术介导的BST是一种可行的治疗替代方案，可以扩大获得护理的机会。

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.