Evidence map›Paper›PMID 42150825›Full record

Observational studyBMJ open2026

Generating practice-based evidence for common mental health problems using routine outcome monitoring: a protocol for a longitudinal naturalistic study in Ecuadorian mental health services.

Clara Paz, Itaty Benalcázar-Betancourt, Jorge Valdiviezo-Oña, Chris Evans

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07257848 (Practice-Based Evidence in Ecuador), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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.

NCT07257848 recruitingnot on this map

Practice-Based Evidence in Ecuador: Routine Monitoring of Outcomes and Change in Psychotherapy for Common Mental Health Problems

Typeobservational_patient_registrySponsorUniversidad de las Americas - QuitoRan2025 to 2028Enrolled340ConditionsPsychological DistressArmsPsychological Intervention
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Clara PazGrupo de Investigación Bienestar, Salud y Sociedad, Escuela de Psicología y Educación, Universidad de Las Américas, Quito, Ecuador clara.paz@udla.edu.ec.ORCID http://orcid.org/0000-0003-1106-9567
Itaty Benalcázar-BetancourtGrupo de Investigación Bienestar, Salud y Sociedad, Escuela de Psicología y Educación, Universidad de Las Américas, Quito, Ecuador.ORCID http://orcid.org/0009-0005-9849-257X
Jorge Valdiviezo-OñaGrupo de Investigación Bienestar, Salud y Sociedad, Escuela de Psicología y Educación, Universidad de Las Américas, Quito, Ecuador.ORCID http://orcid.org/0000-0002-9382-0512
Chris EvansGrupo de Investigación Bienestar, Salud y Sociedad, Escuela de Psicología y Educación, Universidad de Las Américas, Quito, Ecuador.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPractice-oriented research uses scientific methods to generate practice-based evidence on psychotherapy processes and outcomes. The Consorcio Latinoamericano de Investigación en Psicoterapia (CLIP) unifies data collection across multiple sites to enhance the value of routine outcome monitoring. This project aims to generate practice-based evidence on the implementation, progress and predictors of change in psychological interventions within Ecuador's routine mental health settings, using CLIP's unified data forms. METHODS AND ANALYSES: This is a protocol for an observational, naturalistic, longitudinal study. From February 2025 to February 2028, we will describe implementation processes and examine intervention progress and outcomes across 11 Ecuadorian mental health services. Participants will include adolescents (11-17 years) and adults (≥18 years) seeking psychological intervention along with their therapists and trainees. Clients' change will be monitored through psychological distress measures. Socio-demographic and intervention satisfaction data will be collected alongside information on therapists and services. Analyses will include initial contact characterisation, reliable change, outcome predictors and the examination of how time, therapist and service characteristics each contribute to clients' change. ETHICS AND DISSEMINATION: The protocol for this study was approved by the Human Research Ethics Committee of the Universidad de Las Américas, Ecuador (ID: 2024-OBS-033). The results will be disseminated within the services for service improvement, in peer-reviewed scientific articles and at conferences and workshops. TRIAL REGISTRATION NUMBER: NCT07257848.

Indexed as

Evidence-Based PracticeMental DisordersMental Health ServicesOutcome Assessment, Health CarePsychotherapyAdolescentAdultChildEcuadorFemaleHumansLongitudinal StudiesMaleResearch DesignMENTAL HEALTHPatient Reported Outcome MeasuresPsychological StressTreatment Outcome

Identifiers

PMID42150825
PMCPMC13185008

What OpenQuestion holds

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Registered trials

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.