Implementation of a routine outcome monitoring and feedback system for psychotherapy in Argentina: A pilot study

Autores
Gómez Penedo, Juan Martín; Manubens, Rocío Tamara; Areas, Malenka Alejandra; Fernández Álvarez, Javier; Meglio, Manuel; Babl, Anna; Juan, Santiago; Ronchi, Agnese; Muiños, Roberto Daniel; Roussos, Andres Jorge; Lutz, Wolfgang; Grosse Holtforth, Martin
Año de publicación
2023
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Introduction: Routine Outcome Monitoring (ROM) has emerged as a strong candidate to improve psychotherapy processes and outcome. However, its use and implementation are greatly understudied in Latin-America. Therefore, the aim of the present pilot study conducted in Argentina was to implement a ROM and feedback system grounded on a psychometrically sound instrument to measure session by session outcome in psychotherapy. Methods: The sample consisted of 40 patients and 13 therapists. At baseline, the patients completed the Patient Health Questionnaire-9 and the Generalized Anxiety Disorder-7, and they also completed the Hopkins Symptom Checklist-11 before each of the first five sessions. To estimate patient change during the first sessions, we conducted a quantitative analysis using Hierarchical Linear Models. Furthermore, we conducted a qualitative analysis using Consensual Qualitative Research to analyze therapist perception regarding the ROM and feedback system. Results: Results showed a significant reduction in patients’ symptomatic severity during the first five sessions. Additionally, baseline depression significantly predicted the estimated severity at the end of the fifth session. Feedback was given to the therapists after the first four sessions based on these analyses. With regard to the perception of the feedback system, clinicians underlined its usefulness and user-friendly nature. They also mentioned that there was a match between the information provided and their clinical judgment. Furthermore, they provided suggestions to enhance the system that was incorporated in a new and improved version. Discussion: Limitations and clinical implications are discussed.
Fil: Gómez Penedo, Juan Martín. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Psicología; Argentina
Fil: Manubens, Rocío Tamara. Universidad de Buenos Aires. Facultad de Psicología; Argentina
Fil: Areas, Malenka Alejandra. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Psicología; Argentina
Fil: Fernández Álvarez, Javier. University of Bern; Suiza. Universitat Jaume I; España. Universidad de Buenos Aires. Facultad de Psicología; Argentina
Fil: Meglio, Manuel. Universidad de Buenos Aires. Facultad de Psicología; Argentina
Fil: Babl, Anna. Adelphi University; Estados Unidos
Fil: Juan, Santiago. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Psicología; Argentina
Fil: Ronchi, Agnese. Universidad de Buenos Aires. Facultad de Psicología; Argentina
Fil: Muiños, Roberto Daniel. Universidad de Buenos Aires. Facultad de Psicología; Argentina
Fil: Roussos, Andres Jorge. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Psicología; Argentina
Fil: Lutz, Wolfgang. Universitat Trier; Alemania
Fil: Grosse Holtforth, Martin. University of Bern; Suiza. University Hospital Insel; Suiza
Materia
BASELINE CHARACTERISTICS
FEEDBACK
MONITORING
PSYCHOTHERAPY OUTCOME
ROM
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/219811
Acceder
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oai_identifier_str oai:ri.conicet.gov.ar:11336/219811
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Implementation of a routine outcome monitoring and feedback system for psychotherapy in Argentina: A pilot studyGómez Penedo, Juan MartínManubens, Rocío TamaraAreas, Malenka AlejandraFernández Álvarez, JavierMeglio, ManuelBabl, AnnaJuan, SantiagoRonchi, AgneseMuiños, Roberto DanielRoussos, Andres JorgeLutz, WolfgangGrosse Holtforth, MartinBASELINE CHARACTERISTICSFEEDBACKMONITORINGPSYCHOTHERAPY OUTCOMEROMhttps://purl.org/becyt/ford/5.1https://purl.org/becyt/ford/5Introduction: Routine Outcome Monitoring (ROM) has emerged as a strong candidate to improve psychotherapy processes and outcome. However, its use and implementation are greatly understudied in Latin-America. Therefore, the aim of the present pilot study conducted in Argentina was to implement a ROM and feedback system grounded on a psychometrically sound instrument to measure session by session outcome in psychotherapy. Methods: The sample consisted of 40 patients and 13 therapists. At baseline, the patients completed the Patient Health Questionnaire-9 and the Generalized Anxiety Disorder-7, and they also completed the Hopkins Symptom Checklist-11 before each of the first five sessions. To estimate patient change during the first sessions, we conducted a quantitative analysis using Hierarchical Linear Models. Furthermore, we conducted a qualitative analysis using Consensual Qualitative Research to analyze therapist perception regarding the ROM and feedback system. Results: Results showed a significant reduction in patients’ symptomatic severity during the first five sessions. Additionally, baseline depression significantly predicted the estimated severity at the end of the fifth session. Feedback was given to the therapists after the first four sessions based on these analyses. With regard to the perception of the feedback system, clinicians underlined its usefulness and user-friendly nature. They also mentioned that there was a match between the information provided and their clinical judgment. Furthermore, they provided suggestions to enhance the system that was incorporated in a new and improved version. Discussion: Limitations and clinical implications are discussed.Fil: Gómez Penedo, Juan Martín. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Psicología; ArgentinaFil: Manubens, Rocío Tamara. Universidad de Buenos Aires. Facultad de Psicología; ArgentinaFil: Areas, Malenka Alejandra. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Psicología; ArgentinaFil: Fernández Álvarez, Javier. University of Bern; Suiza. Universitat Jaume I; España. Universidad de Buenos Aires. Facultad de Psicología; ArgentinaFil: Meglio, Manuel. Universidad de Buenos Aires. Facultad de Psicología; ArgentinaFil: Babl, Anna. Adelphi University; Estados UnidosFil: Juan, Santiago. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Psicología; ArgentinaFil: Ronchi, Agnese. Universidad de Buenos Aires. Facultad de Psicología; ArgentinaFil: Muiños, Roberto Daniel. Universidad de Buenos Aires. Facultad de Psicología; ArgentinaFil: Roussos, Andres Jorge. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Psicología; ArgentinaFil: Lutz, Wolfgang. Universitat Trier; AlemaniaFil: Grosse Holtforth, Martin. University of Bern; Suiza. University Hospital Insel; SuizaFrontiers Media2023-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/219811Gómez Penedo, Juan Martín; Manubens, Rocío Tamara; Areas, Malenka Alejandra; Fernández Álvarez, Javier; Meglio, Manuel; et al.; Implementation of a routine outcome monitoring and feedback system for psychotherapy in Argentina: A pilot study; Frontiers Media; Frontiers in Psychology; 13; 5; 1-2023; 1-101664-1078CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://www.frontiersin.org/articles/10.3389/fpsyg.2022.1029164/fullinfo:eu-repo/semantics/altIdentifier/doi/10.3389/fpsyg.2022.1029164info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-29T10:41:49Zoai:ri.conicet.gov.ar:11336/219811instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-29 10:41:50.07CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Implementation of a routine outcome monitoring and feedback system for psychotherapy in Argentina: A pilot study
title Implementation of a routine outcome monitoring and feedback system for psychotherapy in Argentina: A pilot study
spellingShingle Implementation of a routine outcome monitoring and feedback system for psychotherapy in Argentina: A pilot study
Gómez Penedo, Juan Martín
BASELINE CHARACTERISTICS
FEEDBACK
MONITORING
PSYCHOTHERAPY OUTCOME
ROM
title_short Implementation of a routine outcome monitoring and feedback system for psychotherapy in Argentina: A pilot study
title_full Implementation of a routine outcome monitoring and feedback system for psychotherapy in Argentina: A pilot study
title_fullStr Implementation of a routine outcome monitoring and feedback system for psychotherapy in Argentina: A pilot study
title_full_unstemmed Implementation of a routine outcome monitoring and feedback system for psychotherapy in Argentina: A pilot study
title_sort Implementation of a routine outcome monitoring and feedback system for psychotherapy in Argentina: A pilot study
dc.creator.none.fl_str_mv Gómez Penedo, Juan Martín
Manubens, Rocío Tamara
Areas, Malenka Alejandra
Fernández Álvarez, Javier
Meglio, Manuel
Babl, Anna
Juan, Santiago
Ronchi, Agnese
Muiños, Roberto Daniel
Roussos, Andres Jorge
Lutz, Wolfgang
Grosse Holtforth, Martin
author Gómez Penedo, Juan Martín
author_facet Gómez Penedo, Juan Martín
Manubens, Rocío Tamara
Areas, Malenka Alejandra
Fernández Álvarez, Javier
Meglio, Manuel
Babl, Anna
Juan, Santiago
Ronchi, Agnese
Muiños, Roberto Daniel
Roussos, Andres Jorge
Lutz, Wolfgang
Grosse Holtforth, Martin
author_role author
author2 Manubens, Rocío Tamara
Areas, Malenka Alejandra
Fernández Álvarez, Javier
Meglio, Manuel
Babl, Anna
Juan, Santiago
Ronchi, Agnese
Muiños, Roberto Daniel
Roussos, Andres Jorge
Lutz, Wolfgang
Grosse Holtforth, Martin
author2_role author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv BASELINE CHARACTERISTICS
FEEDBACK
MONITORING
PSYCHOTHERAPY OUTCOME
ROM
topic BASELINE CHARACTERISTICS
FEEDBACK
MONITORING
PSYCHOTHERAPY OUTCOME
ROM
purl_subject.fl_str_mv https://purl.org/becyt/ford/5.1
https://purl.org/becyt/ford/5
dc.description.none.fl_txt_mv Introduction: Routine Outcome Monitoring (ROM) has emerged as a strong candidate to improve psychotherapy processes and outcome. However, its use and implementation are greatly understudied in Latin-America. Therefore, the aim of the present pilot study conducted in Argentina was to implement a ROM and feedback system grounded on a psychometrically sound instrument to measure session by session outcome in psychotherapy. Methods: The sample consisted of 40 patients and 13 therapists. At baseline, the patients completed the Patient Health Questionnaire-9 and the Generalized Anxiety Disorder-7, and they also completed the Hopkins Symptom Checklist-11 before each of the first five sessions. To estimate patient change during the first sessions, we conducted a quantitative analysis using Hierarchical Linear Models. Furthermore, we conducted a qualitative analysis using Consensual Qualitative Research to analyze therapist perception regarding the ROM and feedback system. Results: Results showed a significant reduction in patients’ symptomatic severity during the first five sessions. Additionally, baseline depression significantly predicted the estimated severity at the end of the fifth session. Feedback was given to the therapists after the first four sessions based on these analyses. With regard to the perception of the feedback system, clinicians underlined its usefulness and user-friendly nature. They also mentioned that there was a match between the information provided and their clinical judgment. Furthermore, they provided suggestions to enhance the system that was incorporated in a new and improved version. Discussion: Limitations and clinical implications are discussed.
Fil: Gómez Penedo, Juan Martín. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Psicología; Argentina
Fil: Manubens, Rocío Tamara. Universidad de Buenos Aires. Facultad de Psicología; Argentina
Fil: Areas, Malenka Alejandra. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Psicología; Argentina
Fil: Fernández Álvarez, Javier. University of Bern; Suiza. Universitat Jaume I; España. Universidad de Buenos Aires. Facultad de Psicología; Argentina
Fil: Meglio, Manuel. Universidad de Buenos Aires. Facultad de Psicología; Argentina
Fil: Babl, Anna. Adelphi University; Estados Unidos
Fil: Juan, Santiago. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Psicología; Argentina
Fil: Ronchi, Agnese. Universidad de Buenos Aires. Facultad de Psicología; Argentina
Fil: Muiños, Roberto Daniel. Universidad de Buenos Aires. Facultad de Psicología; Argentina
Fil: Roussos, Andres Jorge. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Psicología; Argentina
Fil: Lutz, Wolfgang. Universitat Trier; Alemania
Fil: Grosse Holtforth, Martin. University of Bern; Suiza. University Hospital Insel; Suiza
description Introduction: Routine Outcome Monitoring (ROM) has emerged as a strong candidate to improve psychotherapy processes and outcome. However, its use and implementation are greatly understudied in Latin-America. Therefore, the aim of the present pilot study conducted in Argentina was to implement a ROM and feedback system grounded on a psychometrically sound instrument to measure session by session outcome in psychotherapy. Methods: The sample consisted of 40 patients and 13 therapists. At baseline, the patients completed the Patient Health Questionnaire-9 and the Generalized Anxiety Disorder-7, and they also completed the Hopkins Symptom Checklist-11 before each of the first five sessions. To estimate patient change during the first sessions, we conducted a quantitative analysis using Hierarchical Linear Models. Furthermore, we conducted a qualitative analysis using Consensual Qualitative Research to analyze therapist perception regarding the ROM and feedback system. Results: Results showed a significant reduction in patients’ symptomatic severity during the first five sessions. Additionally, baseline depression significantly predicted the estimated severity at the end of the fifth session. Feedback was given to the therapists after the first four sessions based on these analyses. With regard to the perception of the feedback system, clinicians underlined its usefulness and user-friendly nature. They also mentioned that there was a match between the information provided and their clinical judgment. Furthermore, they provided suggestions to enhance the system that was incorporated in a new and improved version. Discussion: Limitations and clinical implications are discussed.
publishDate 2023
dc.date.none.fl_str_mv 2023-01
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/219811
Gómez Penedo, Juan Martín; Manubens, Rocío Tamara; Areas, Malenka Alejandra; Fernández Álvarez, Javier; Meglio, Manuel; et al.; Implementation of a routine outcome monitoring and feedback system for psychotherapy in Argentina: A pilot study; Frontiers Media; Frontiers in Psychology; 13; 5; 1-2023; 1-10
1664-1078
CONICET Digital
CONICET
url http://hdl.handle.net/11336/219811
identifier_str_mv Gómez Penedo, Juan Martín; Manubens, Rocío Tamara; Areas, Malenka Alejandra; Fernández Álvarez, Javier; Meglio, Manuel; et al.; Implementation of a routine outcome monitoring and feedback system for psychotherapy in Argentina: A pilot study; Frontiers Media; Frontiers in Psychology; 13; 5; 1-2023; 1-10
1664-1078
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/https://www.frontiersin.org/articles/10.3389/fpsyg.2022.1029164/full
info:eu-repo/semantics/altIdentifier/doi/10.3389/fpsyg.2022.1029164
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Frontiers Media
publisher.none.fl_str_mv Frontiers Media
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 13.069144

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