Family Psychoeducation as an Evidence-Based Practice

CNS Spectrums ◽  
2004 ◽  
Vol 9 (12) ◽  
pp. 905-912 ◽  
Author(s):  
Aaron B. Murray-Swank ◽  
Lisa Dixon
Keyword(s):  
Randomized Clinical Trials ◽  
Evidence Based Practice ◽  
Evidence Base ◽  
Future Research ◽  
Evidence Based ◽  
Family Psychoeducation ◽  
Obsessive Compulsive ◽  
Family Outcomes ◽  
Compulsive Disorder ◽  
Work Supports

AbstractFamily psychoeducation programs have emerged as a strongly supported evidence-based practice in the treatment of schizophrenia and bipolar disorder. Over 30 randomized clinical trials demonstrated that psychoeducation programs reduce relapse, improve symptomatic recovery, and enhance psychosocial and family outcomes. Recent work supports family psychoeducation strategies for other disorders, including major depression, obsessive-compulsive disorder, and borderline personality disorder. This review summarizes the research evidence supporting prominent models of family psychoeducation. Professional and peer-led family education programs are also reviewed and differentiated from family psychoeducation. Directions for future research studies to enhance the evidence base and inform treatment recommendations are proposed. Finally, strategies for implementation of family psychoeducation in routine clinical practice are discussed.

scholarly journals A Qualitative Study Exploring Neurodiversity Conference Themes, Representations and Evidence-Based Justifications for the Explicit Inclusion and Valuing of OCD

2021 ◽  
Vol 5 (2) ◽  
pp. 111-138
Author(s):  
Damian Mellifont
Keyword(s):  
Qualitative Study ◽  
Obsessive Compulsive Disorder ◽  
Google Scholar ◽  
Future Research ◽  
Evidence Based ◽  
Exploratory Research ◽  
Obsessive Compulsive ◽  
Compulsive Disorder

The inclusivity of neurodiversity conferences is a new field of research. Utilising Obsessive Compulsive Disorder (OCD) as an example, this study aims to critically investigate issues of inclusivity in the flyers advertising these conferences. This exploratory research is informed by 22 conference flyers and 14 scholarly articles retrieved from respective internet and Google Scholar enquiries. These articles offered evidence-based justifications for a greater inclusion of OCD-focused content in neurodiversity conferences. The study cautions that the lack of explicit inclusion of OCD as a topic among conferences can be harmful to persons who identify with this particular type of neurodivergence. This study offers a sound base from which future research focusing upon other forms of neurodivergence and issues of neurodiversity conference inclusivity and intersectionality can develop.

scholarly journals Provider Resistance to Evidence-Based Practice in Schools: Why It Happens and How to Plan for It in Evaluations

2019 ◽  
Author(s):  
Lissette M. Saavedra ◽  
Antonio A. Morgan-Lopez ◽  
Anna C. Yaros ◽  
Alex Buben ◽  
James V. Trudeau
Keyword(s):  
Mental Health ◽  
Evidence Based Practice ◽  
Service Providers ◽  
Evidence Base ◽  
Future Research ◽  
Evidence Based ◽  
Health Service Provision ◽  
Early Implementation ◽  
Evidence Based Treatments ◽  
Mental Health Service Provision

Evidence-based practice is often encouraged in most service delivery settings, yet a substantial body of research indicates that service providers often show resistance or limited adherence to such practices. Resistance to the uptake of evidence-based treatments and programs is well-documented in several fields, including nursing, dentistry, counseling, and other mental health services. This research brief discusses the reasons behind provider resistance, with a contextual focus on mental health service provision in school settings. Recommendations are to attend to resistance in the preplanning proposal stage, during early implementation training stages, and in cases in which insufficient adherence or low fidelity related to resistance leads to implementation failure. Directions for future research include not only attending to resistance but also moving toward client-centered approaches grounded in the evidence base.

Perceived Evidence and Use of Autism Intervention Strategies in Early Intervention Providers

2019 ◽  
Author(s):  
Jessica Paynter ◽  
Sarah Luskin-Saxby ◽  
Deb Keen ◽  
Kathryn Fordyce ◽  
Grace Frost ◽  
...  
Keyword(s):  
Early Intervention ◽  
Clinical Decision Making ◽  
Evidence Based Practice ◽  
Evidence Base ◽  
Autism Spectrum ◽  
Self Report ◽  
Future Research ◽  
Accurate Information ◽  
Evidence Based ◽  
Empirically Supported

Background. Continued use of practices not supported by empirical evidence is an ongoing challenge in the field of autism spectrum disorder (ASD). Knowledge and individual attitudes to evidence-based practice, as well as accuracy of categorization of practices on their evidence base, have been linked to practice selection in allied health professionals. This study aimed to extend this research to early intervention staff, and investigated perceived evidence base of practices, and links to intended future use, along with individual attitudes and sources of information accessed.Method. Participants included 86 early intervention staff who completed an online survey. They rated the evidence base of six ASD intervention practices (three unsupported by research, three empirically supported), along with current and intended future use of these, as well as attitudes to research and to evidence-based practice. Results. At a group level, participants reported using, and intending to use in future, the empirically supported practices more than unsupported practices, and generally accurately reported a higher evidence base for the empirically supported practices. However, a number of individual participants showed inaccuracy in ratings varying by practice. Perceived evidence was linked to greater intention to use practices in the future, while few links to individual attitudes were found. Conclusions. Our findings point to the influence of perceived evidence on intended use of practices. Perceived evidence may be impacted by lack of awareness and/or misinformation regarding the evidence base of practices. The need for accurate information about both empirically supported and unsupported practices, as well as strategies to seek and evaluate information are highlighted. Limitations of the self-report methodology, and future research directions including broader clinical decision-making processes are overviewed.

Out, out, damned blind spot! The problem of anxiety with dynamic psychotherapy

2017 ◽  
Vol 26 (1) ◽  
pp. 76-78
Author(s):  
Neil Raveen Jeyasingam
Keyword(s):  
Psychodynamic Psychotherapy ◽  
Evidence Base ◽  
Blind Spot ◽  
Evidence Based ◽  
Obsessive Compulsive ◽  
Future Directions ◽  
Dynamic Psychotherapy ◽  
Compulsive Disorder ◽  
Based Medicine ◽  
Shakespearean Tragedy

Objectives: This article discusses Lady Macbeth’s famous sleepwalking scene from the Shakespearean tragedy, and how it became used as a template for the formulation of obsessive-compulsive disorder. Conclusions: Psychoanalysis maintained its role in understanding the condition, despite the lack of evidence base and the repeated finding from many therapists of a failure to control symptomatology. It is suggested that psychodynamic psychotherapy suffered from a failure to recognise what components of its practice were aesthetically attractive concepts rather than evidence-based medicine and outcome measures, and is an important issue in considering its future directions.

Additive and Alternative Approaches to Treating Obsessive Compulsive Disorder

2012 ◽  
Author(s):  
Jordana Muroff ◽  
Abigail Ross ◽  
Joseph Rothfarb
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Behavioral Therapy ◽  
Alternative Methods ◽  
Herbal Remedies ◽  
Future Research ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Specific Alternative ◽  
Alternative Approaches ◽  
Complementary And Alternative

While cognitive-behavioral therapy (CBT) and pharmacotherapy are “gold standard” treatments for obsessive-compulsive disorder (OCD), complementary and alternative treatments are frequently sought for anxiety disorders. The purpose of this chapter is to review and discuss the available research on the application, efficacy and effectiveness of complementary and alternative methods for treating OCD. The first section identifies and reviews studies focusing on specific alternative and complementary treatments that are independent from, or work in conjunction with CBT, such as yoga, herbal remedies, motivational strategies, and bibliotherapy. The second section discusses alternative and complementary methods of more mainstream CBT and related techniques, with a particular focus on technology-supported approaches. The chapter concludes with a discussion of the methodological issues in the existing research on complementary and alternative methods in the treatment of OCD, questions for future research, and implications for providers.

Attention Deficit Hyperactivity Disorder

2018 ◽  
Author(s):  
Steven W. Evans ◽  
Julie S. Owens ◽  
W. John Monopoli ◽  
Kari Benson
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Children And Adolescents ◽  
Attention Deficit ◽  
Randomized Clinical Trials ◽  
Evidence Base ◽  
Future Research ◽  
Hyperactivity Disorder ◽  
New Findings ◽  
Assessment And Treatment ◽  
Effective Assessment

Youth with attention deficit hyperactivity disorder experience impairment across multiple domains of functioning, with the characteristics changing with age. Thus, assessment and treatment must be appropriate for the home and school and relevant to the child’s developmental level. This chapter reviews effective assessment strategies for use with children and adolescents. Psychosocial treatments for children and adolescents are discussed separately, as the approaches with each group differ substantially. For children, strategies with a strong evidence base are described, and innovations and treatment modifications that have been examined recently are showcased. For adolescents, the results of the few randomized clinical trials conducted with this population are reviewed. A theoretical model for how to sequence treatments (i.e., intervention, medication, accommodations) for youth is referenced, and two case studies highlight this model, as well some of the new findings described in this chapter. Implications and recommendations for future research and practice are provided.

scholarly journals A Systematic Review of Evidence-Based Video Modeling for Students with Emotional and Behavioral Disorders

2018 ◽  
Vol 8 (4) ◽  
pp. 170 ◽  
Author(s):  
Soonhwa Seok ◽  
Boaventura DaCosta ◽  
Mikayla McHenry-Powell ◽  
Linda Heitzman-Powell ◽  
Katrina Ostmeyer
Keyword(s):  
Systematic Review ◽  
Quality Indicators ◽  
Behavioral Disorders ◽  
Video Modeling ◽  
Evidence Based Practice ◽  
Emotional And Behavioral Disorders ◽  
Future Research ◽  
Evidence Based ◽  
K 12 ◽  
Students With Ebd

This systematic review examined eight studies showing that video modeling (VM) can have a positive and significant effect for students with emotional and behavioral disorders (EBD). Building upon meta-analyses that sought evidence of video-based interventions decreasing problem behaviors of students with EBD in K-12 education, the review examined the standards of the Council for Exceptional Children (CEC) for evidence-based practice as well as additional quality indicators, neglected quality indicators, strategies combined with VM, the impact of the independent variables on the dependent variables, and common recommendations offered for future research. Findings revealed that the eight studies met the CEC standards for evidence-based practices as well as other quality indicators. For instance, all studies reported content and setting, participants, intervention agents, description of practice, as well as interobserver agreement and experimental control. According to the findings, fidelity index and effect size were the two most neglected quality indicators. Furthermore, instructions, reinforcement system, and feedback or discussion were the most common strategies used. Finally, generalizability—across settings, populations, treatment agents, target behaviors in the real world, and subject matter—was the most common recommendation for future research. While further investigation is warranted, these findings suggest that VM is an effective evidence-based practice for students with EBD when the CEC standards are met.

scholarly journals Patient-reported outcomes in obsessive-compulsive disorder

2014 ◽  
Vol 16 (2) ◽  
pp. 239-254 ◽  
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Patient Reported Outcomes ◽  
Functional Disability ◽  
Psychometric Evaluation ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Future Research ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Patient Reported

The purpose of the article was to provide an overview of patient-reported outcomes (PROs) and related measures that have been examined in the context of obsessive-compulsive disorder (OCD). The current review focused on patient-reported outcome measures (PROMs) that evaluated three broad outcome domains: functioning, health-related quality of life (HRQoL), and OCD-related symptoms. The present review ultimately included a total of 155 unique articles and 22 PROMs. An examination of the PROs revealed that OCD patients tend to suffer from significant functional disability, and report lower HRQoL than controls. OCD patients report greater symptom severity than patients with other mental disorders and evidence indicates that PROMs are sensitive to change and may be even better than clinician-rated measures at predicting treatment outcomes. Nonetheless, it should be noted that the measures reviewed lacked patient input in their development. Future research on PROMs must involve patient perspectives and include rigorous psychometric evaluation of these measures.

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