Abstract
Objective
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).
Method:
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.
Results:
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.
Conclusions:
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.
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).
Method:
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.
Results:
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.
Conclusions:
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 language | English |
|---|---|
| Pages (from-to) | 434-448 |
| Number of pages | 15 |
| Journal | Psychotherapy Research |
| Volume | 34 |
| Issue number | 4 |
| Early online date | 7 Aug 2023 |
| DOIs | |
| Publication status | Published - 18 May 2024 |
Funding
This study was supported by the Czech Ministry of Education, Youth, and Sports under Grant MUNI/A/1446/2022 and by J. William Fulbright Commission in the Czech Republic. Jesse Owen was awarded funds to support this work by the John Templeton Foundation and SonderMind, Inc.
Keywords
- session rating
- measurement-based care
- client experience
- psychotherapy outcomes
- psychotherapy process
- routine outcome monitoring