Enhancing psychotherapy outcomes via providing feedback on client progress: a replication
Abstract
Several systems have been developed to monitor and feedback information about a client's responses to psychotherapy as a method of enhancing client outcome. The current study divided 1020 clients into four groups (two experimental and two control) to determine if feedback regarding client progress, when provided to a therapist, affected client outcome and number of sessions attended. Results showed that feedback increased the duration of treatment and improved outcome for clients identified as potential treatment failures thereby replicating an earlier study using nearly identical methodology. Nearly twice as many clients in the feedback group achieved clinically significant or reliable change and fewer were classified as deteriorated by the time treatment ended. For those clients who were predicted to have a positive response to treatment, feedback to therapists resulted in an equal number of treatment sessions and equivalent outcomes compared to the no feedback controls. The results are discussed in terms of quality management in routine clinical practice and the need to base treatment decisions on clients' response to treatment rather than arbitrary session limits. Suggestions for additional research aimed at enhancing the effects of feedback on client outcome are made. Copyright © 2002 John Wiley & Sons, Ltd.
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MBC has been associated with multi-faceted clinical benefits, including greater retention, engagement, and therapeutic alliances during treatment with better patient outcomes that occur more quickly and last longer than traditional care.
“MBC has been associated with multi-faceted clinical benefits, including greater retention, engagement, and therapeutic alliances during treatment with better patient outcomes that occur more quickly and last longer than traditional care (14-19).”
From Initial insights from a quality improvement initiative to develop an evidence-informed young adult substance use program (2022) · cites this paper as [18]
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Self-citationYoun, S. J., Castonguay, L. G., Xiao, H., Janis, R. A., McAleavey, A. A., Lockard, A. J., Locke, B. D., & Hayes, J. A. (2015) · Psychotherapy · doi:10.1037/pst0000029 · Cited by 46 · see citing works
Identifying Youth at Risk for Treatment Failure in Outpatient Community Mental Health Services
Warren, J. S., Nelson, P. L., & Burlingame, G. M. (2009) · Journal of Child and Family Studies · doi:10.1007/s10826-009-9275-9 · Cited by 43 · see citing works
Towards an evidence-based unified psychodynamic protocol for emotional disorders
Leichsenring, F., & Steinert, C. (2017) · Journal of Affective Disorders · doi:10.1016/j.jad.2017.11.036 · Cited by 44 · see citing works
Adverse events in psychotherapy randomized controlled trials: A systematic review
Klatte, R., Strauss, B. M., Flückiger, C., & Rosendahl, J. (2023) · Psychotherapy Research · doi:10.1080/10503307.2023.2286992 · Cited by 44 · see citing works
Schiepek, G. K., Gelo, O. C. G., Viol, K., Kratzer, L., Orsucci, F. F., de Felice, G., Stöger‐Schmidinger, B., Sammet, I., Aichhorn, W., & Schöller, H. J. (2020) · Counselling and Psychotherapy Research · doi:10.1002/capr.12300 · Cited by 43 · see citing works
Emotional intelligence and psychotherapy outcomes in the training clinic.
Rieck, T. P., & Callahan, J. L. (2013) · Training and Education in Professional Psychology · doi:10.1037/a0031659 · Cited by 40 · see citing works
Roseborough, D. J., McLeod, J. T., & Wright, F. I. (2015) · Research on Social Work Practice · doi:10.1177/1049731515569073 · Cited by 39 · see citing works
Lambert, M. J., Hansen, N. B., & Harmon, S. C. (2010) · Wiley eBooks · doi:10.1002/9780470687994.ch6 · Cited by 38 · see citing works
Self-citationPercevic, R., Lambert, M. J., & Kordy, H. (2006) · Psychotherapy Research · doi:10.1080/10503300500485524 · Cited by 38 · see citing works
Self-citationGerich, M., Trittel, M., & Schmitz, B. (2016) · Journal of Educational and Psychological Consultation · doi:10.1080/10474412.2016.1220862 · Cited by 37 · see citing works
Burlingame, G. M., Whitcomb, K. E., Woodland, S. C., Olsen, J. A., Beecher, M. E., & Gleave, R. (2018) · Psychotherapy · doi:10.1037/pst0000133 · Cited by 37 · see citing works
Errázuriz, P., & Zilcha‐Mano, S. (2017) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000277 · Cited by 36 · see citing works
Reuter, L., Bengel, J., & Scheidt, C. E. (2014) · Zeitschrift für psychosomatische Medizin und Psychotherapie · doi:10.13109/zptm.2014.60.2.121 · Cited by 35 · see citing works
Wie effektiv sind systematische Rückmeldungen des Therapieverlaufs an den Therapeuten?
Berking, M., Orth, U., & Lutz, W. (2006) · Zeitschrift für Klinische Psychologie und Psychotherapie · doi:10.1026/1616-3443.35.1.21 · Cited by 34 · see citing works
Gibbons, M. B. C., Kurtz, J. E., Thompson, D. L., Mack, R. A., Lee, J. K., Rothbard, A. B., Eisen, S. V., Gallop, R., & Crits-Christoph, P. F. (2015) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0039302 · Cited by 34 · see citing works
Lutz, W., Stulz, N., Martinovich, Z., Leon, S. C., & Saunders, S. M. (2009) · Psychotherapy Research · doi:10.1080/10503300802688486 · Cited by 33 · see citing works
A Tipping Point for Measurement-Based Care
Fortney, J. C., Unützer, J., Wrenn, G. L., Pyne, J. M., Smith, G. R., Schoenbaum, M., & Harbin, H. T. (2018) · FOCUS The Journal of Lifelong Learning in Psychiatry · doi:10.1176/appi.focus.16303 · Cited by 32 · see citing works
Probst, T., Lambert, M. J., Dahlbender, R. W., Loew, T. H., & Tritt, K. (2014) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2014.03.010 · Cited by 32 · see citing works
Self-citationThe development and validation of the Beliefs About Losing Control Inventory (BALCI)
Radomsky, A. S., & Gagné, J. (2019) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2019.1614978 · Cited by 31 · see citing works
Amble, I., Gude, T., Stubdal, S., Øktedalen, T., Skjorten, A. M., Andersen, B. J., Solbakken, O. A., Brorson, H. H., Arnevik, E. A., Lambert, M. J., et al. (2013) · Psychotherapy Research · doi:10.1080/10503307.2013.849016 · Cited by 32 · see citing works
Self-citation
- Authors
- Lambert, M. J., Whipple, J. L., Vermeersch, D. A., Smart, D. W., Hawkins, E. J., Nielsen, S. L., & Goates, M.
- Affiliations
- Brigham Young University (US)
- Corresponding author
- Lambert, Michael J.
- Venue
- Clinical Psychology & Psychotherapy
- Publisher
- Wiley
- Published
- 2002-03
- Volume
- 9
- Issue
- 2
- Pages
- 91-103
- ISSN
- 1063-3995 (ISSN-L)
- 1099-0879
- OpenAlex
- W2084587614
- Cited by
- 306
- References
- 26
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 9 · 2023: 7 · 2022: 13 · 2021: 9 · 2020: 11 · 2019: 9 · 2018: 16 · 2017: 8 · 2016: 22 · 2015: 33 · 2014: 23 · 2013: 22 · 2012: 22
- FWCI
- 8.81
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Psychology & Psychotherapy (publishedVersion)
- Funders
- Brigham Young University
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Counseling, Therapy, and Family Dynamics
- Social Sciences › Psychology › Social Psychology › Counseling Practices and Supervision
- Keywords
- psychotherapy outcome, therapist feedback, treatment duration, treatment failure prediction, reliable change, replication
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