Assessing patient progress in psychological therapy through feedback in supervision: the MeMOS* randomized controlled trial (*Measuring and Monitoring clinical Outcomes in Supervision: MeMOS)

Kate M. Davidson, Michelle L. Rankin, Amelie Begley, Suzanne Lloyd, Sarah J.E. Barry, Paula McSkimming, Lisa Bell, Carole Allan, Morag Osborne, George Ralston, Geraldine Bienkowski, John Mellor-Clark, Andrew Walker

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: Psychological therapy services are often required to demonstrate their effectiveness and are implementing systematic monitoring of patient progress. A system for measuring patient progress might usefully ?inform supervision? and help patients who are not progressing in therapy. Aims: To examine if continuous monitoring of patient progress through the supervision process was more effective in improving patient outcomes compared with giving feedback to therapists alone in routine NHS psychological therapy. Method: Using a stepped wedge randomized controlled design, continuous feedback on patient progress during therapy was given either to the therapist and supervisor to be discussed in clinical supervison (MeMOS condition) or only given to the therapist (S-Sup condition). If a patient failed to progress in the MeMOS condition, an alert was triggered and sent to both the therapist and supervisor. Outcome measures were completed at beginning of therapy, end of therapy and at 6-month follow-up and session-by-session ratings. Results: No differences in clinical outcomes of patients were found between MeMOS and S-Sup conditions. Patients in the MeMOS condition were rated as improving less, and more ill. They received fewer therapy sessions. Conclusions: Most patients failed to improve in therapy at some point. Patients? recovery was not affected by feeding back outcomes into the supervision process. Therapists rated patients in the S-Sup condition as improving more and being less ill than patients in MeMOS. Those patients in MeMOS had more complex problems.
LanguageEnglish
Pages209-224
Number of pages16
JournalBehavioural and Cognitive Psychotherapy
Volume45
Issue number3
Early online date7 Feb 2017
DOIs
Publication statusPublished - 1 May 2017

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Randomized Controlled Trials
Psychology
Therapeutics
Physiologic Monitoring
Outcome Assessment (Health Care)

Keywords

  • clinical supervision
  • patient progress
  • psychotherapy outcome research
  • CORE
  • randomized controlled trial

Cite this

Davidson, Kate M. ; Rankin, Michelle L. ; Begley, Amelie ; Lloyd, Suzanne ; Barry, Sarah J.E. ; McSkimming, Paula ; Bell, Lisa ; Allan, Carole ; Osborne, Morag ; Ralston, George ; Bienkowski, Geraldine ; Mellor-Clark, John ; Walker, Andrew. / Assessing patient progress in psychological therapy through feedback in supervision : the MeMOS* randomized controlled trial (*Measuring and Monitoring clinical Outcomes in Supervision: MeMOS). In: Behavioural and Cognitive Psychotherapy. 2017 ; Vol. 45, No. 3. pp. 209-224.
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Assessing patient progress in psychological therapy through feedback in supervision : the MeMOS* randomized controlled trial (*Measuring and Monitoring clinical Outcomes in Supervision: MeMOS). / Davidson, Kate M.; Rankin, Michelle L.; Begley, Amelie; Lloyd, Suzanne; Barry, Sarah J.E.; McSkimming, Paula; Bell, Lisa; Allan, Carole; Osborne, Morag; Ralston, George; Bienkowski, Geraldine; Mellor-Clark, John; Walker, Andrew.

In: Behavioural and Cognitive Psychotherapy, Vol. 45, No. 3, 01.05.2017, p. 209-224.

Research output: Contribution to journalArticle

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T1 - Assessing patient progress in psychological therapy through feedback in supervision

T2 - Behavioural and Cognitive Psychotherapy

AU - Davidson, Kate M.

AU - Rankin, Michelle L.

AU - Begley, Amelie

AU - Lloyd, Suzanne

AU - Barry, Sarah J.E.

AU - McSkimming, Paula

AU - Bell, Lisa

AU - Allan, Carole

AU - Osborne, Morag

AU - Ralston, George

AU - Bienkowski, Geraldine

AU - Mellor-Clark, John

AU - Walker, Andrew

PY - 2017/5/1

Y1 - 2017/5/1

N2 - Background: Psychological therapy services are often required to demonstrate their effectiveness and are implementing systematic monitoring of patient progress. A system for measuring patient progress might usefully ?inform supervision? and help patients who are not progressing in therapy. Aims: To examine if continuous monitoring of patient progress through the supervision process was more effective in improving patient outcomes compared with giving feedback to therapists alone in routine NHS psychological therapy. Method: Using a stepped wedge randomized controlled design, continuous feedback on patient progress during therapy was given either to the therapist and supervisor to be discussed in clinical supervison (MeMOS condition) or only given to the therapist (S-Sup condition). If a patient failed to progress in the MeMOS condition, an alert was triggered and sent to both the therapist and supervisor. Outcome measures were completed at beginning of therapy, end of therapy and at 6-month follow-up and session-by-session ratings. Results: No differences in clinical outcomes of patients were found between MeMOS and S-Sup conditions. Patients in the MeMOS condition were rated as improving less, and more ill. They received fewer therapy sessions. Conclusions: Most patients failed to improve in therapy at some point. Patients? recovery was not affected by feeding back outcomes into the supervision process. Therapists rated patients in the S-Sup condition as improving more and being less ill than patients in MeMOS. Those patients in MeMOS had more complex problems.

AB - Background: Psychological therapy services are often required to demonstrate their effectiveness and are implementing systematic monitoring of patient progress. A system for measuring patient progress might usefully ?inform supervision? and help patients who are not progressing in therapy. Aims: To examine if continuous monitoring of patient progress through the supervision process was more effective in improving patient outcomes compared with giving feedback to therapists alone in routine NHS psychological therapy. Method: Using a stepped wedge randomized controlled design, continuous feedback on patient progress during therapy was given either to the therapist and supervisor to be discussed in clinical supervison (MeMOS condition) or only given to the therapist (S-Sup condition). If a patient failed to progress in the MeMOS condition, an alert was triggered and sent to both the therapist and supervisor. Outcome measures were completed at beginning of therapy, end of therapy and at 6-month follow-up and session-by-session ratings. Results: No differences in clinical outcomes of patients were found between MeMOS and S-Sup conditions. Patients in the MeMOS condition were rated as improving less, and more ill. They received fewer therapy sessions. Conclusions: Most patients failed to improve in therapy at some point. Patients? recovery was not affected by feeding back outcomes into the supervision process. Therapists rated patients in the S-Sup condition as improving more and being less ill than patients in MeMOS. Those patients in MeMOS had more complex problems.

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KW - patient progress

KW - psychotherapy outcome research

KW - CORE

KW - randomized controlled trial

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ER -