scholarly journals Therapeutic Relationship and Dropout in High-Risk Adolescents’ Intensive Group Psychotherapeutic Programme

2020 ◽  
Vol 11 ◽  
Author(s):  
Kirsten Hauber ◽  
Albert Boon ◽  
Robert Vermeiren
Keyword(s):  
Therapeutic Relationship ◽  
Rating Scale ◽  
Important Determinant ◽  
Reliable Change Index ◽  
Treatment Termination ◽  
Treatment Staff ◽  
Session Rating Scale ◽  
Intensive Group ◽  
Termination Status

ObjectiveDropout rates are a prominent problem in youth psychotherapy. An important determinant of dropouts is the quality of the therapeutic relationship. This study aimed to evaluate the association between the therapeutic relationship and dropouts in an intensive mentalization-based treatment (MBT) for adolescents with personality disorders.MethodsPatients (N = 105) included were either dropouts (N = 36) or completers (N = 69) of an intensive MBT. The therapeutic relationship was measured with the child version of the Session Rating Scale (C-SRS), which was completed by the patient after each group therapy session. For each patient, the treatment termination status (dropout or completer) was indicated by the treatment staff. The reliable change index (RCI) was calculated for the C-SRS to determine significant changes in the therapeutic relationship.ResultsWhile both groups started with similar scores on the C-SRS, the scores between dropouts and completers differed significantly at the end of the treatment period. On average, during therapy, an increase was seen in the scores of completers, and a decrease was seen in the scores of dropouts. While dropouts could not be predicted based on the C-SRS scores, a significant decrease (RCI) in C-SRS scores during the last two sessions occurred more often for dropouts than for completers.ConclusionOur findings show that to prevent dropouts, the patient’s judgment of the quality of the therapeutic relationship should be monitored continuously, and decreases discussed with the patient and the group.

scholarly journals Validation of the French Versions of Two Brief,Clinician-friendly Outcome Monitoring Tools: The ORS and SRS.

2019 ◽  
Author(s):  
Christophe Cazauvieilh ◽  
Kamel Gana ◽  
Scott D Miller ◽  
Bruno Quintard
Keyword(s):  
Therapeutic Relationship ◽  
Rating Scale ◽  
Well Being ◽  
Routine Outcome Monitoring ◽  
Factorial Structure ◽  
Monitoring Tools ◽  
Outcome Monitoring ◽  
Session Rating Scale ◽  
French Validation ◽  
Outcome Rating Scale

<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>

scholarly journals Spanish Versions of the Outcome Rating Scale and the Session Rating Scale: Normative Data, Reliability, and Validity

2021 ◽  
Vol 12 ◽  
Author(s):  
Nelson Andrade-González ◽  
Irene Rodrigo-Holgado ◽  
Jesús Fernández-Rozas ◽  
Pablo F. Cáncer ◽  
Guillermo Lahera ◽  
...  
Keyword(s):  
Mental Health ◽  
Latin American ◽  
Discriminant Validity ◽  
Rating Scale ◽  
Clinical Sample ◽  
Reliability And Validity ◽  
Reliable Change Index ◽  
Outcome Monitoring ◽  
Session Rating Scale ◽  
Outcome Rating Scale

Routine outcome monitoring (ROM) uses standardized measures to both track and inform mental health service delivery. Use of ROM has been shown to improve the outcome of psychotherapy when applied to different types of patients. The present research was designed to determine the reliability and validity of the Outcome Rating Scale (ORS) and the Session Rating Scale (SRS) in a sample of Spanish patients. After a controlled process of translation into the Spanish that is spoken and written in Spain (i.e., in Europe, as distinct from, e.g., Latin American Spanish), both measures were completed by patients of an outpatient mental health unit during eight sessions of psychotherapy. Sixty mental health patients filled out the ORS and 59 the SRS. In addition, the ORS was completed by 33 people who constituted the non-clinical sample. The cut-off of the ORS was 24.52 points, and the Reliable Change Index (RCI) was 9.15 points. ORS and SRS scores exhibited excellent internal consistency. The temporal stability of the SRS was adequate. The convergent and discriminant validity of the two measures were adequate. Regarding the factorial validity of the ORS and the SRS, in the third psychotherapy session, confirmatory factor analyses evidenced the existence of a unifactorial model. The predictive validity of SRS was acceptable. The ORS was sensitive to changes in patients’ symptoms. In conclusion, compared to the original English versions of the ORS and SRS measures, the Spanish versions of the measures are also reliable and valid.

Monitoring Alliance and Outcome with Client Feedback Measures

2014 ◽  
Vol 36 (1) ◽  
pp. 43-57 ◽  
Author(s):  
Sidney Shaw ◽  
Kirsten Murray
Keyword(s):  
Therapeutic Alliance ◽  
Rating Scale ◽  
Empirical Support ◽  
Client Feedback ◽  
Two Measures ◽  
Session Rating Scale ◽  
Outcome Rating Scale ◽  
Counseling Outcomes ◽  
Empirical Means

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.

scholarly journals French Validation PCOMS Outcome and Session rating scales ORS SRS Cazauvieilh et al .pdf

2019 ◽  
Author(s):  
Christophe Cazauvieilh ◽  
Kamel Gana ◽  
Scott D Miller ◽  
Bruno Quintard
Keyword(s):  
Therapeutic Relationship ◽  
Rating Scales ◽  
Rating Scale ◽  
Well Being ◽  
Routine Outcome Monitoring ◽  
Factorial Structure ◽  
Outcome Monitoring ◽  
Session Rating Scale ◽  
French Validation ◽  
Outcome Rating Scale

<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>

Measuring Feedback From Clients

2014 ◽  
Vol 30 (2) ◽  
pp. 86-92 ◽  
Author(s):  
Pauline Janse ◽  
Liesbeth Boezen-Hilberdink ◽  
Maarten K. van Dijk ◽  
Marc J. P. M. Verbraak ◽  
Giel J. M. Hutschemaekers
Keyword(s):  
Concurrent Validity ◽  
Rating Scale ◽  
Mental Healthcare ◽  
Validity And Reliability ◽  
Treatment Results ◽  
Adequate Test ◽  
Session Rating Scale ◽  
Test Retest Reliability ◽  
Outcome Rating Scale

Treatment results can be improved by obtaining feedback from clients concerning their progress during therapy and the quality of the therapeutic relationship. This feedback can be rated using short instruments such as the Outcome Rating Scale (ORS) and the Session Rating Scale (SRS), which are being increasingly used in many countries. This study investigates the validity and reliability of the Dutch ORS and SRS in a large sample of subjects (N = 587) drawn from the clients of an outpatient mental healthcare organization. The results are compared to those of previous Dutch and American studies. While both the ORS and the SRS exhibited adequate test-retest reliability and internal consistency, their concurrent validity was limited (more for the SRS than for the ORS). New standards are proposed for the Dutch ORS and SRS. The scores obtained with these standards are interpreted differently than those obtained using American standards. The clinical implications of the limited validity of the ORS and the SRS are discussed, as is the use of different standards in conjunction with these instruments.

scholarly journals Patients’ Adult Attachment Interview classification and their experience of the therapeutic relationship: are they associated?

2019 ◽  
Vol 22 (2) ◽  
Author(s):  
Alessandro Talia ◽  
Madeleine Miller-Bottome ◽  
Rachel Wyner ◽  
Peter Lilliengren ◽  
Jordan Bate
Keyword(s):  
Therapeutic Relationship ◽  
Adult Attachment ◽  
Rating Scale ◽  
Adult Attachment Interview ◽  
Attachment Representations ◽  
End Of Treatment ◽  
Brief Relational Therapy ◽  
Pre Treatment ◽  
The Relationship

In the last decade of his career, Jeremy Safran became increasingly interested in investigating the ways in which attachment representations influence the therapeutic relationship. In this paper, we test such influence in a sample of thirty outpatients who received Brief Relational Therapy by comparing their independently coded pre-treatment Adult Attachment Interview (AAI) with their narratives in a post-treatment interview about the relationship with the therapist (the Patient Relationship Interview at Termination, PRI-T). The PRI-T was coded with the following three measures: i) The Patient Attachment to Therapist Rating Scale (PAT-RS), which assesses the quality of the patient’s attachment relationship to the therapist; ii) the Coherence scale from the AAI, adapted for use on the PRI-T; and iii) the Patient Attachment Classification System (PACS), which measures generalized differences in how individuals convey their experiences and feelings. Results suggest that patients’ AAI predicts how they experience, represent, and communicate about the therapeutic relationship at the end of treatment, as shown by the PAT-RS, the Coherence scale adapted for use on the PRI-T, and the PACS applied to the PRI-T. These findings lend support to Safran and others’ hypothesis that patients’ AAI-status plays a role in patients’ representations of the relationship with the therapist.

scholarly journals Validation of the French Versions of Two Brief,Clinician-friendly Outcome Monitoring Tools: The ORS and SRS.

2019 ◽  
Author(s):  
Christophe Cazauvieilh ◽  
Kamel Gana ◽  
Scott D Miller ◽  
Bruno Quintard
Keyword(s):  
Therapeutic Relationship ◽  
Rating Scale ◽  
Well Being ◽  
Routine Outcome Monitoring ◽  
Factorial Structure ◽  
Monitoring Tools ◽  
Outcome Monitoring ◽  
Session Rating Scale ◽  
French Validation ◽  
Outcome Rating Scale

<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>

Depression: Beyond Description As an Important Comorbidity in Pulmonary Arterial Hypertension—The Next Steps

2012 ◽  
Vol 10 (4) ◽  
pp. 227-232 ◽  
Author(s):  
Deborah H. McCollister ◽  
Philippe Weintraub ◽  
David B. Badesch
Keyword(s):  
Pulmonary Arterial Hypertension ◽  
Arterial Hypertension ◽  
Important Determinant ◽  
Provider Education ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Broad Array ◽  
Pulmonary Arterial

The recent identification of depression as an important comorbidity in pulmonary arterial hypertension (PAH)12 is leading to a broad array of efforts to further refine our understanding of this disorder, enhance patient and provider education about it, and encourage prompt recognition, appropriate diagnosis, and treatment of affected individuals. We will provide an update on the nature and extent of the problem, and describe ongoing and future efforts to address this very important determinant of quality of life and possible long-term outcome in patients with PAH.

The functionality and quality of nutrition-related mobile applications in China (Preprint)

2018 ◽  
Author(s):  
Yuan Li ◽  
Jingmin Ding ◽  
Yishan Wang ◽  
Chengyao Tang ◽  
Puhong Zhang
Keyword(s):  
Disease Management ◽  
Nutrition Education ◽  
Mobile Applications ◽  
Rating Scale ◽  
Dietary Guidelines ◽  
Diet Analysis ◽  
Innovative Technology ◽  
Nutritional Knowledge ◽  
Food Record

BACKGROUND There are an increasing number of mobile applications that provide dietary guidance in supporting healthy lifestyle and disease management. However, the characteristics of these nutrition-related apps are not well analyzed. OBJECTIVE This study aimed to evaluate the functionality and quality of nutrition-related apps in China. METHODS Mobile apps providing dietary guidance were screened in Chinese iOS and android app stores using stepwise searching criteria in November 2017. Primary review was conducted by extracting information from the description of apps. Free apps that contain all the information of diet and nutrition, with the last update after 1st Jan 2016 were downloaded for further analysis on the nutritional functionality features based on the framework of Chinese Dietary Guidelines and on the market related features as well. The user version of the Mobile Application Rating Scale (uMARS) was used to assess the quality of apps. RESULTS Among the 44 downloaded nutrition-related apps screened from 628 apps with dietary guidance content, only 11(25%) were aimed exclusively for dietary guidance, the others were aimed for fitness guidance (17, 39%), disease management (11, 25%) and maternal health (5, 11%) respectively. The nutritional functionalities of the 44 apps included nutritional information enquiry (40, 91%), nutrition education (35, 80%), food record (34, 77%), diet analysis (34, 77%), and personalized recipes (21, 48%). Twelve out of 44 apps contained all of the above five nutrition related functionalities. The diet analysis and suggestions were mainly focused on energy (33/44, 75%), less on other factors like dietary structure (10/44, 23%). About 96% (42/44) of the apps provided social communication functionality and 59% (26/44) of the apps supported user incentives. Eight out of 44 apps (18%) also applied intelligent recognition technology. Using 5-point uMARS as scales of quality, the median scores of the 44 apps was 3.6 (IQR = 0.7). CONCLUSIONS Most nutrition-related apps are developed in the service of health management other than for dietary guidance exclusively. Although basic energy balance theory was generally applied, the nutritional functionality of the nutrition-related apps is relatively limited and not individualized. More efforts should be taken to integrate with the scientific nutritional knowledge and innovative technology in developing an app followed with complete and personalized dietary guidance.

Psychometric evaluation of the Mobile Application Rating Scale (MARS) (Preprint)

2020 ◽  
Author(s):  
Yannik Terhorst ◽  
Paula Philippi ◽  
Lasse Sander ◽  
Dana Schultchen ◽  
Sarah Paganini ◽  
...  
Keyword(s):  
Health Care ◽  
Construct Validity ◽  
Mobile Application ◽  
Concurrent Validity ◽  
Rating Scale ◽  
Psychometric Evaluation ◽  
Confirmatory Factor ◽  
Health Domains ◽  
Psychometric Quality

BACKGROUND Mobile health apps (MHA) have the potential to improve health care. The commercial MHA market is rapidly growing, but the content and quality of available MHA are unknown. Consequently, instruments of high psychometric quality for the assessment of the quality and content of MHA are highly needed. The Mobile Application Rating Scale (MARS) is one of the most widely used tools to evaluate the quality of MHA in various health domains. Only few validation studies investigating its psychometric quality exist with selected samples of MHAs. No study has evaluated the construct validity of the MARS and concurrent validity to other instruments. OBJECTIVE This study evaluates the construct validity, concurrent validity, reliability, and objectivity, of the MARS. METHODS MARS scoring data was pooled from 15 international app quality reviews to evaluate the psychometric properties of the MARS. The MARS measures app quality across four dimensions: engagement, functionality, aesthetics and information quality. App quality is determined for each dimension and overall. Construct validity was evaluated by assessing related competing confirmatory models that were explored by confirmatory factor analysis (CFA). A combination of non-centrality (RMSEA), incremental (CFI, TLI) and residual (SRMR) fit indices was used to evaluate the goodness of fit. As a measure of concurrent validity, the correlations between the MARS and 1) another quality assessment tool called ENLIGHT, and 2) user star-rating extracted from app stores were investigated. Reliability was determined using Omega. Objectivity was assessed in terms of intra-class correlation. RESULTS In total, MARS ratings from 1,299 MHA covering 15 different health domains were pooled for the analysis. Confirmatory factor analysis confirmed a bifactor model with a general quality factor and an additional factor for each subdimension (RMSEA=0.074, TLI=0.922, CFI=0.940, SRMR=0.059). Reliability was good to excellent (Omega 0.79 to 0.93). Objectivity was high (ICC=0.82). The overall MARS rating was positively associated with ENLIGHT (r=0.91, P<0.01) and user-ratings (r=0.14, P<0.01). CONCLUSIONS he psychometric evaluation of the MARS demonstrated its suitability for the quality assessment of MHAs. As such, the MARS could be used to make the quality of MHA transparent to health care stakeholders and patients. Future studies could extend the present findings by investigating the re-test reliability and predictive validity of the MARS.

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