Evidence map›Paper›PMID 26337327›Full record

Trial reportPsychotherapy research : journal of the Society for Psychotherapy Research2015

Feedback mechanisms of change: How problem alerts reported by youth clients and their caregivers impact clinician-reported session content.

Susan R Douglas, Bae Jonghyuk, Ana Regina Vides de Andrade, M Michele Tomlinson, Ryan Pamela Hargraves, Leonard Bickman

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychotherapy research : journal of the Society for Psychotherapy Research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
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  7. Review
  8. Using Progress Feedback to Enhance Treatment Outcomes: A Narrative Review.Administration and policy in mental health · 2025
    Review
  9. Article
  10. Article
  11. Article
  12. Characterizing measurement-based care implementation using therapist report.Evidence-based practice in child and adolescent mental health · 2023
    Article
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  14. Article
  15. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Susan R Douglasa Department of Psychology and Human Development , Vanderbilt University , Nashville , TN , USA.
Bae Jonghyukb Department of Economics , Vanderbilt University , Nashville , TN , USA.
Ana Regina Vides de Andradeb Department of Economics , Vanderbilt University , Nashville , TN , USA.
M Michele Tomlinsonc Hope Network, Grand Rapids , Michigan.
Ryan Pamela Hargravesd Emma , Nashville , Tennessee.
Leonard Bickmana Department of Psychology and Human Development , Vanderbilt University , Nashville , TN , USA.

Funding

Combining an Evidenced Based Treatment with a Measurement Feedback SystemR01MH087814 · NIMH · VANDERBILT UNIVERSITY · PI BICKMAN, LEONARD · 2010 to 2013
$2.5M
NIMH NIH HHS R01 MH087814PHS HHS R01087814
6 · The paper itself

Abstract

objectiveThis study explored how clinician-reported content addressed in treatment sessions was predicted by clinician feedback group and multi-informant cumulative problem alerts that appeared in computerized feedback reports for 299 clients aged 11-18 years receiving home-based community mental health treatment.

methodMeasures included a clinician report of content addressed in sessions and additional measures of treatment progress and process (e.g., therapeutic alliance) completed by clinicians, clients, and their caregivers. Item responses in the top 25th percentile in severity from these measures appeared as "problem alerts" on corresponding computerized feedback reports. Clinicians randomized to the feedback group received feedback weekly while the control group did not. Analyses were conducted using the Cox proportional hazards regression for recurrent events.

resultsFor all content domains, the results of the survival analyses indicated a robust effect of the feedback group on addressing specific content in sessions, with feedback associated with shorter duration to first occurrence and increased likelihood of addressing or focusing on a topic compared to the non-feedback group.

conclusionThere appears to be an important relationship between feedback and cumulative problem alerts reported by multiple informants as they influence session content.

Indexed as

FeedbackAdolescentCaregiversChildCommunity Mental Health ServicesHealth Services ResearchHome Care ServicesHumansOutcome and Process Assessment, Health CarePsychotherapychild psychotherapymeasurement feedback systemmental health services researchprocess researchSession Report Formtechnology in psychotherapy research and training

Identifiers

PMID26337327
PMCPMC4654104

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.