Will patient feedback improve Quality and Outcome in Psychotherapy? Implementation and validation of the online feedback system OQ®-Analyst in Norway: A multi-site RCT study
Year: 2016
Type: dissertation
Abstract: This thesis deals with the aspects of monitoring psychotherapy in ordinary psychiatric settings in Norway with the goal of improving the quality of mental health services. The research resulted in three published papers. The first paper described the psychometric properties of the Norwegian version of the OQ®-45.2 with data from clinical and nonclinical samples. The OQ®-45.2 was found to be psychometrically reliable and valid for the purpose of monitoring and evaluating patient progress in therapy. The second paper described the results of the clinical trial comparing feedback to therapist and patients about patient progress, using the OQ®-Analyst, to TAU (no feedback). It was found that feedback improved the outcome and the quality of mental services. The third paper investigated how the system worked to improve outcomes by examining various aspects of the OQ®-Analyst. It could not be conclusively demonstrated that receipt of a warning signal for cases in the feedback condition resulted in better outcomes than in cases unaware of being off track. It was found that the effect of using OQ®-Analyst occurred already in the third session, and that the graphs displaying patient progress and the discussion of progress with the patient were experienced as the most important aspects of the system.\nFinding the system to be reliable, valid, and effective both in improving outcome and optimizing the psychotherapeutic treatment, it can be recommended for implementation on a large scale in the Norwegian psychiatric health care facilities.
Author: Ingunn Amble
Language: English
Subfield: Clinical Psychology
Field: Psychology
Domain: Social Sciences
Open Access status: green
OpenAlex ID: W2726170497