Client Feedback and Outcome in Individual Psychotherapy

2019 ◽  
Author(s):  
Rebecca Partridge ◽  
Cass Dykeman

Counseling practice and research seek to understand varied influences on clinical outcomes. Research has shown that feedback has an effect on clinician-rated measures and outcome. The present study assessed the relationship between feedback and outcome in individual psychotherapy, employing a repeated measures analysis of longitudinal archival data of 138 individuals receiving counseling services. A multiple regression model determined the relationship between client ratings of sessions and client ratings of overall outcomes. Although the sample was heterogeneous in nature and limited to one region, the results indicated a statistically significant relationship between feedback and outcome. These findings suggest that utilizing feedback from clients in individual counseling, in general, and consistently using the session rating scale and the outcome rating scale, in particular, can improve overall therapeutic outcome.

2019 ◽  
Author(s):  
Rebecca Partridge ◽  
Cass Dykeman

Couples counseling has been shown to be an effective form of treatment; however, there have been few studies that explore feedback-informed treatment (FIT) in couples counseling. The present study assessed the relationship between feedback and outcome in couples counseling, employing a repeated measures analysis of longitudinal archival data of 154 participants spanning 77 couples who received couples counseling services. To assess for a statistical significance between the relationship of couple ratings of the session outcomes and couple ratings of the overall outcomes, a multiple regression model was used. The results demonstrated a statistically significant positive relationship between feedback and outcome in couples counseling. These findings indicate that gathering feedback from the couple can improve overall outcome, allowing counselors to improve participants’ lives.


2014 ◽  
Vol 36 (1) ◽  
pp. 43-57 ◽  
Author(s):  
Sidney Shaw ◽  
Kirsten Murray

The therapeutic alliance is foundational to counseling practice and has amassed strong empirical support as being essential for successful counseling. Counselors generally rely on their own perspective when assessing the quality of the alliance, though the client's perspective has been found to be a better predictor of outcome. Formal methods for eliciting client feedback about the alliance and counseling outcomes have been strongly supported in the literature, yet such limitations as time constraints hinder counselor efforts to gather formal client feedback. Two ultra-brief measures of alliance and outcome, the Session Rating Scale and the Outcome Rating Scale, are feasible methods for counselors to secure client feedback. This article reviews the two measures and makes a case for using empirical means to understand adult clients' views of the therapeutic alliance.


2019 ◽  
Author(s):  
Christophe Cazauvieilh ◽  
Kamel Gana ◽  
Scott D Miller ◽  
Bruno Quintard

<b>French Validation of two brief Routine Outcome Monitoring (ROM)</b> scales <b>from the PCOMS system</b> : the <b>ORS</b> (Outcome Rating Scale, Miller et al., 2005) <b>designed to assess </b>various dimensions of <b>well-being and progression during care</b>, and the <b>SRS</b> (Session Rating Scale 3.0; Miller et al., 2002) <b>designed to assess dimensions of the therapeutic relationship</b>. <b>The research implied clinical and non clinical populations</b> <b>and brings estimates</b> <b>regarding</b> factorial structure, validity, reliability, preliminary index and norms of <b>the two scales in French.</b>


2016 ◽  
Vol 41 (1) ◽  
pp. 15-22 ◽  
Author(s):  
AC Correa ◽  
TR Santana ◽  
FP Nahsan ◽  
AD Loguercio ◽  
AL Faria-e-Silva

SUMMARY Objective It was recently demonstrated that using a tray over a bleaching agent reduces its pulpal chamber penetration, which can reduce tooth sensitivity. This study evaluated the effect of the sealed technique on the presence and level of sensitivity reported by patients during and after the bleaching procedure performed in office. Methods Forty-six patients underwent a bleaching procedure with 35% hydrogen peroxide used in a single application of 45 minutes for two sessions with an interval of seven days. A customized tray was maintained over the bleaching agent during the entire procedure in half of the patients. The sensitivity level was evaluated during and immediately after the bleaching using verbal and visual analogue scales. The shade alteration was evaluated with a bleach guide scale. The peak sensitivity after 24 hours and the presence/level at 24 hours were also evaluated using a verbal rating scale. Relative risks were calculated for all time assessments. Data on the sensitivity level for both scales were subjected to Friedman and Mann-Whitney tests (α=0.05). Data on the shades were analyzed by two-way repeated-measures analysis of variance and Tukey's test (α=0.05). Results The use of a customized tray increased the relative risks to the tooth measured 24 hours after each bleaching session. The sealed technique also increased the level of tooth sensitivity only at 24 hours after the first session. No difference was observed between the bleaching techniques regarding the shade evaluation. Conclusion Using a tray over the bleaching agent can increase the level and risk of tooth sensitivity for the first 24 hours after in-office bleaching.


2012 ◽  
Vol 38 (2) ◽  
pp. 73-87 ◽  
Author(s):  
Albert Boon ◽  
Sjouk De Boer ◽  
Emmeline Ravestijn

2015 ◽  
Vol 86 (4) ◽  
pp. 625-630 ◽  
Author(s):  
Wendy D. Lobre ◽  
Brent J. Callegari ◽  
Gary Gardner ◽  
Curtis M. Marsh ◽  
Anneke C. Bush ◽  
...  

ABSTRACT Objective:  To investigate the relationship between a micropulse vibration device and pain perception during orthodontic treatment. Materials and Methods:  This study was a parallel group, randomized clinical trial. A total of 58 patients meeting eligibility criteria were assigned using block allocation to one of two groups: an experimental group using the vibration device or a control group (n  =  29 for each group). Patients used the device for 20 minutes daily. Patients rated pain intensity on a visual analog scale at appropriate intervals during the weeks after the separator or archwire appointment. Data were analyzed using repeated measures analysis of variance at α  =  .05. Results:  During the 4-month test period, significant differences between the micropulse vibration device group and the control group for overall pain (P  =  .002) and biting pain (P  =  .003) were identified. The authors observed that perceived pain was highest at the beginning of the month, following archwire adjustment. Conclusion:  The micropulse vibration device significantly lowered the pain scores for overall pain and biting pain during the 4-month study period.


2016 ◽  
Vol 13 (6) ◽  
pp. 606-610 ◽  
Author(s):  
Jennifer R. O’Neill ◽  
Karin A. Pfeiffer ◽  
Marsha Dowda ◽  
Russell R. Pate

Background:Little is known about the relationship between children’s physical activity (PA) in preschool (in-school) and outside of preschool (out-of-school). This study described this relationship.Methods:Participants were 341 children (4.6 ± 0.3 years) in 16 preschools. Accelerometers measured moderate-to-vigorous physical activity (MVPA) and total physical activity (TPA) in-school and out-of-school. In the full sample, Pearson correlation was used to describe associations between in-school and out-of-school PA. In addition, children were categorized as meeting or not meeting a PA guideline during school. MVPA and TPA were compared between the 2 groups and in-school and out-of-school using 2-way repeated-measures analysis of variance.Results:In the full sample, in-school and out-of-school PA were positively correlated for MVPA (r = .13, P = .02) and TPA (r = .15, P = .01). Children who met the guideline in-school remained comparably active out-of-school. However, those who did not meet the guideline were more active out-of-school than in-school. The groups were active at comparable levels while out-of-school. Identical patterns were seen for MVPA and TPA.Conclusions:Children’s in-school PA was positively associated with out-of-school PA. Children who did not meet the guideline in-school were more active out-of-school than in-school, suggesting preschool and classroom factors may reduce some children’s PA in-school.


Author(s):  
Amani A. Mirdad Mirdad ◽  

Aim: to assess the relationship between deep overbite with palatal impingement and periodontal health status in a cohort of adult Saudi dental patients. Materials and Methods:Ten patients (4 males and 6 females, aged 16 to 31 years old) with deep traumatic overbite and palatal impingement were examined. A Hawley retainer appliance with an anterior bite plate was provided for all patients.Pocket depth, bleeding index, gingival index, plaque index and mobility were recorded for four visits after using the appliance with fixed intervals in-between. Repeated measures analysis of variance (ANOVA) was used to assess the differences between visits, control /experimental teeth and surfaces (palatal /labial) for pocket depth, bleeding index, plaque index,gingival index and mobility.


2018 ◽  
Vol 159 (3) ◽  
pp. 439-441
Author(s):  
Yu-Jin Lee ◽  
Uchechukwu Megwalu ◽  
Erick Melara ◽  
Vasu Divi ◽  
Vinay T. Fernandes ◽  
...  

To describe the relationship between jaw opening and access to the deep parotid window, we identified the following distances in 10 human skulls: symphysis to angle of mandible, mastoid tip to angle of mandible, angle of mandible to condylar process, and mastoid tip to condylar process. With the jaw closed and open, these distances were measured with 1 to 3 wooden blocks, each measuring 1 cm, between the upper and lower incisors. The triangular deep parotid area formed by the last 3 distances was calculated. A repeated measures analysis of variance showed a significant decrease in the deep parotid area with increasing interincisal distance ( P < .01). A generalized estimating equation model demonstrated a statistically significant decreasing area of the deep parotid window with increasing interincisal distance. These results suggest that nasal intubation may improve access to the parotid window.


2011 ◽  
Vol 14 (1) ◽  
pp. 27-37 ◽  
Author(s):  
Evelyn M. Clingerman ◽  
Adama Brown

Purpose: This study explored the relationship between migrant farmworker (MFW) stress and salivary cortisol (sC) in a sample of MFWs prior to migration. Sample: The sample, 40 ( N = 14 male, 26 female) adult MFWs residing in the lower Rio Grande Valley of Texas, primarily comprised middle-aged immigrants with a middle-school education. Design: This pilot feasibility study included a self-report farmworker stress inventory and five serial sC specimens in 24 hr. Results: The sC measures reflected an expected diurnal pattern. Lower total cortisol (area under the curve with respect to ground) was significantly associated with greater waist circumference ( r = –.63, p ≤ .01). Repeated measures analysis of variance (ANOVA) indicated that participants who perceived high levels of farmworker stress exhibited a significant change in sC over time; F(2.14, 72.65) = 43.90, p < .001. High- and low-perceived-stress groups differed significantly in the trajectory of changes in sC over the five time points. Conclusion: MFWs experienced significant levels of stress during premigration. Their sC responses varied significantly by level of perceived farmworker stress. Lower perceived stress may reflect blunting of the sC response pattern.


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