Delgadillo, J. orcid.org/0000-0001-5349-230X, Overend, K., Lucock, M. et al. (7 more authors) (2017) Improving the efficiency of psychological treatment using outcome feedback technology. Behaviour Research and Therapy, 99. pp. 89-97. ISSN 0005-7967
Abstract
Aims: This study evaluated the impact of applying computerised outcome feedback (OF) technology in a stepped care psychological service offering low and high intensity therapies for depression and anxiety. Methods: A group of therapists were trained to use OF based on routine outcome monitoring using depression (PHQ-9) and anxiety (GAD-7) measures. Therapists regularly reviewed expected treatment response graphs with patients and discussed cases that were “not on track” in clinical supervision. Clinical outcomes data were collected for all patients treated by this group (N = 594), six months before (controls = 349) and six months after the OF training (OF cases = 245). Symptom reductions in PHQ-9 and GAD-7 were compared between controls and OF cases using longitudinal multilevel modelling. Treatment duration and costs were compared using MANOVA. Qualitative interviews with therapists (N = 15) and patients (N = 6) were interpreted using thematic analysis. Results: OF technology was generally acceptable and feasible to integrate in routine practice. No significant between-group differences were found in post-treatment PHQ-9 or GAD-7 measures. However, OF cases had significantly lower average duration and cost of treatment compared to controls. Conclusions: After adopting OF into their practice, this group of therapists attained similar clinical outcomes but within a shorter space of time and at a reduced average cost per treatment episode. We conclude that OF can improve the efficiency of stepped care.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2017 Elsevier. This is an author produced version of a paper subsequently published in Behaviour Research and Therapy. Uploaded in accordance with the publisher's self-archiving policy. Article available under the terms of the CC-BY-NC-ND licence (https://creativecommons.org/licenses/by-nc-nd/4.0/) |
Keywords: | Outcome feedback; Stepped care; Depression; Anxiety; IAPT |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Science (Sheffield) > Department of Psychology (Sheffield) |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 04 Oct 2017 09:53 |
Last Modified: | 28 Sep 2019 00:38 |
Published Version: | https://doi.org/10.1016/j.brat.2017.09.011 |
Status: | Published |
Publisher: | Elsevier |
Refereed: | Yes |
Identification Number: | 10.1016/j.brat.2017.09.011 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:121908 |
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Filename: Leeds_Outcome_Feedback_study_pre-print_2017.pdf
Licence: CC-BY-NC-ND 4.0