Session Reactions Scale-3: initial psychometric evidence

Tomáš Řiháček, Robert Elliott, Jesse Owen, Michaela Ladmanová, Jeremy J. Coleman, Matteo Bugatti

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)
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This study aimed to develop an updated brief self-report post-session measure, suitable for collecting systematic feedback on clients’ session reactions in the context of measurement-based care (MBC).

The Session Reactions Scale-3 (SRS-3; 33 items) was developed by extending and adjusting the Revised Session Reactions Scale. In Study 1, the psychometric properties of the SRS-3 were tested on N = 242 clients. In Study 2, a brief version of the SRS-3 (SRS-3-B; 15 items) was developed using a combination of conceptual, empirical, and pragmatic criteria. In Study 3, the psychometric properties of the SRS-3-B were tested on a new sample of N = 265 clients.

Exploratory factor analysis supported the use of the SRS-3-B as a two-factor (helpful reactions, hindering reactions) or unidimensional (overall session evaluation) instrument. The SRS-3-B was meaningfully related to another process measure (Individual Therapy Process Questionnaire) both on the item and factor levels.

The SRS-3-B is a reliable process measure to elicit rich and clinically meaningful feedback from clients within the MBC context and as a research instrument to assess the helpful and hindering aspects of therapy sessions.
Original languageEnglish
Pages (from-to)1-15
Number of pages15
JournalPsychotherapy Research
Early online date7 Aug 2023
Publication statusPublished - 7 Aug 2023


  • session rating
  • measurement-based care
  • client experience
  • psychotherapy outcomes
  • psychotherapy process
  • routine outcome monitoring


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