An analysis of therapist treatment effects: Toward providing feedback to individual therapists on their clients' psychotherapy outcome
This study examined data collected on over 5,000 clients seen by 71 therapists over a 6‐year period in a University Counseling Center. Clients were given the Outcome Questionnaire‐45 (OQ‐45) on a session‐by‐session basis to track their treatment response. Data were also collected on therapists'...
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| Veröffentlicht in: | Journal of clinical psychology 2006-09, Vol.62 (9), p.1157-1172 |
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| container_issue | 9 |
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| container_title | Journal of clinical psychology |
| container_volume | 62 |
| creator | Okiishi, John C. Lambert, Michael J. Eggett, Dennis Nielsen, Lars Dayton, David D. Vermeersch, David A. |
| description | This study examined data collected on over 5,000 clients seen by 71 therapists over a 6‐year period in a University Counseling Center. Clients were given the Outcome Questionnaire‐45 (OQ‐45) on a session‐by‐session basis to track their treatment response. Data were also collected on therapists' theoretical orientation, years of experience, gender, and type of training. Data were analyzed using hierarchical linear modeling (HLM) to see if general therapist traits (i.e., theoretical orientation, type of training) accounted for differences in clients' rate of improvement. Data were then analyzed, again using HLM with therapists as a fixed effect, to compare individual therapists to see if there were significant differences in the efficiency of treatment. In addition, pre‐ minus posttest OQ‐45 scores were examined to see if there were differences in the overall outcome of clients. There was a significant amount of variation among therapists' clients' rates of improvement. Therapist feedback reports were generated to summarize client outcome for individual providers in contrast to center averages and in an attempt to improve client outcome. © 2006 Wiley Periodicals, Inc. J Clin Psychol 62: 1157–1172, 2006. |
| doi_str_mv | 10.1002/jclp.20272 |
| format | Article |
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Clients were given the Outcome Questionnaire‐45 (OQ‐45) on a session‐by‐session basis to track their treatment response. Data were also collected on therapists' theoretical orientation, years of experience, gender, and type of training. Data were analyzed using hierarchical linear modeling (HLM) to see if general therapist traits (i.e., theoretical orientation, type of training) accounted for differences in clients' rate of improvement. Data were then analyzed, again using HLM with therapists as a fixed effect, to compare individual therapists to see if there were significant differences in the efficiency of treatment. In addition, pre‐ minus posttest OQ‐45 scores were examined to see if there were differences in the overall outcome of clients. There was a significant amount of variation among therapists' clients' rates of improvement. Therapist feedback reports were generated to summarize client outcome for individual providers in contrast to center averages and in an attempt to improve client outcome. © 2006 Wiley Periodicals, Inc. J Clin Psychol 62: 1157–1172, 2006.</description><identifier>ISSN: 0021-9762</identifier><identifier>EISSN: 1097-4679</identifier><identifier>DOI: 10.1002/jclp.20272</identifier><identifier>PMID: 16688682</identifier><identifier>CODEN: JCPYAO</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Analysis of Variance ; Biological and medical sciences ; Clinical outcomes ; Clinical psychology ; Employee Performance Appraisal - methods ; Feedback ; Female ; Humans ; Linear Models ; Male ; Medical sciences ; Patient Satisfaction ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. 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Clin. Psychol</addtitle><description>This study examined data collected on over 5,000 clients seen by 71 therapists over a 6‐year period in a University Counseling Center. Clients were given the Outcome Questionnaire‐45 (OQ‐45) on a session‐by‐session basis to track their treatment response. Data were also collected on therapists' theoretical orientation, years of experience, gender, and type of training. Data were analyzed using hierarchical linear modeling (HLM) to see if general therapist traits (i.e., theoretical orientation, type of training) accounted for differences in clients' rate of improvement. Data were then analyzed, again using HLM with therapists as a fixed effect, to compare individual therapists to see if there were significant differences in the efficiency of treatment. In addition, pre‐ minus posttest OQ‐45 scores were examined to see if there were differences in the overall outcome of clients. There was a significant amount of variation among therapists' clients' rates of improvement. Therapist feedback reports were generated to summarize client outcome for individual providers in contrast to center averages and in an attempt to improve client outcome. © 2006 Wiley Periodicals, Inc. J Clin Psychol 62: 1157–1172, 2006.</description><subject>Analysis of Variance</subject><subject>Biological and medical sciences</subject><subject>Clinical outcomes</subject><subject>Clinical psychology</subject><subject>Employee Performance Appraisal - methods</subject><subject>Feedback</subject><subject>Female</subject><subject>Humans</subject><subject>Linear Models</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Patient Satisfaction</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Psychotherapy</subject><subject>Quality Assurance, Health Care - methods</subject><subject>Questionnaires</subject><subject>Student Health Services</subject><subject>Surveys and Questionnaires</subject><subject>Therapist patient relationships</subject><subject>Treatment Outcome</subject><subject>United States</subject><issn>0021-9762</issn><issn>1097-4679</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kd1u1DAQhSMEotvCDQ-ALCRAQkqxncR2uKtWtAWtlh8VcWlN_EO9TeJgJy15AZ4bL7uwEhdcjTz-5hzNnCx7QvApwZi-3qh2OKWYcnovWxBc87xkvL6fLdInyWvO6FF2HOMGY1xiUj3MjghjQjBBF9nPsx5BD-0cXUTeovHaBBhcHNEYDIyd6UdkrDVqjG_Qlb-DoNEQ_K3Trv-GrDG6AXWDRo9cr11qT9AeRJJkv325gFTrklZ8iYY4q2u_Q2bkp1H5zjzKHlhoo3m8ryfZl_O3V8vLfPXh4t3ybJWrklKaE9JAU2uAigvRGAW8KnRpCqAgmqJQqiyFTWgFTLBKYWFrILrWlteqYkIXJ9mLnW7a4ftk4ig7F5VpW-iNn6Jkgqd7YZHAZ_-AGz-FdKgoacFqTJJTgl7tIBV8jMFYOQTXQZglwXIbjdxGI39Hk-Cne8Wp6Yw-oPssEvB8D0BU0NoAvXLxwAlcYFZUiSM77s61Zv6PpXy_XH38Y57vZlIo5sffGQg3kvGCV_Lr-kIuy_X5p_Xny7ThL3OcuFY</recordid><startdate>200609</startdate><enddate>200609</enddate><creator>Okiishi, John C.</creator><creator>Lambert, Michael J.</creator><creator>Eggett, Dennis</creator><creator>Nielsen, Lars</creator><creator>Dayton, David D.</creator><creator>Vermeersch, David A.</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley</general><general>Wiley Periodicals Inc</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200609</creationdate><title>An analysis of therapist treatment effects: Toward providing feedback to individual therapists on their clients' psychotherapy outcome</title><author>Okiishi, John C. ; Lambert, Michael J. ; Eggett, Dennis ; Nielsen, Lars ; Dayton, David D. ; Vermeersch, David A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4222-11bab9daa5788beca753d4e3a2a8b33cc448fc425a6865c08f9a1d9df79c568d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Analysis of Variance</topic><topic>Biological and medical sciences</topic><topic>Clinical outcomes</topic><topic>Clinical psychology</topic><topic>Employee Performance Appraisal - methods</topic><topic>Feedback</topic><topic>Female</topic><topic>Humans</topic><topic>Linear Models</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Patient Satisfaction</topic><topic>Psychology. 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| subjects | Analysis of Variance Biological and medical sciences Clinical outcomes Clinical psychology Employee Performance Appraisal - methods Feedback Female Humans Linear Models Male Medical sciences Patient Satisfaction Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psychotherapy Quality Assurance, Health Care - methods Questionnaires Student Health Services Surveys and Questionnaires Therapist patient relationships Treatment Outcome United States |
| title | An analysis of therapist treatment effects: Toward providing feedback to individual therapists on their clients' psychotherapy outcome |
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