The feasibility, acceptability and effectiveness of a feedback-informed group treatment (FIGT) tool for patients with anxiety or depressive disorders
Research in Psychotherapy Psychopathology Process and Outcome, vol. 25
Abstract
Monitoring treatment progress by the use of standardized measures in individual therapy, also called feedback-informed treatment (FIT), has a small but significant effect on improving outcomes. Results of FIT in group therapy settings are mixed, possibly due to contextual factors. The goals of this study were to investigate the feasibility, acceptability and effectiveness of a feedback-informed group treatment (FIGT) tool, based on the principles of the Contextual Feedback Theory and earlier FIGT research. Patients with anxiety or depressive disorders following interpersonal or cognitive behavioural group psychotherapy (IPT-G or CBT-G) were randomized to either feedback (n=104) or Treatment As Usual (TAU; n=93). In the feedback condition, patients filled out the Outcome-Questionnaire 45 (OQ-45) weekly in a FIGT tool and therapists were instructed to discuss the results in each session. Dropout, attendance and outcomes were measured. Additionally, in the feedback condition, OQ-45 response, feedback discussions and acceptability by patients and therapists were assessed. Results showed no differences on dropout, but lower attendance rates in the feedback condition. Although therapists reported high rates of feedback use and helpfulness, patients experienced that results were discussed with them only half of the time and they were also less optimistic about its usefulness. The findings indicate that the FIGT instrument was partially feasible, more acceptable to therapists than patients, and was not effective as intended. Future research is needed to discover how feedback can be beneficial for both therapists and patients in group therapy.
Authors 7
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Marjolein M. W. Koementas-de Vos corresponding
Radboud University Nijmegen · GGZ Noord-Holland-Noord
Affiliation as printed
Radboud University, Nijmegen, The Netherlands; GGZ Noord-Holland-Noord, Heerhugowaard. m.koementas@ggz-nhn.nl
GGZ Noord-Holland-Noord, Heerhugowaard
Radboud University, Nijmegen, The Netherlands
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Lucas C. Colleye corresponding
Affiliation as printed
GGZ Noord-Holland-Noord, Heerhugowaard. marjoleinkoementas@gmail.com
GGZ Noord-Holland-Noord, Heerhugowaard
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Bea G Tiemens corresponding
Affiliation as printed
Radboud University, Nijmegen. marjoleinkoementas@gmail.com
Radboud University, Nijmegen
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Fabiana Engelsbel corresponding
Affiliation as printed
GGZ Noord-Holland-Noord, Heerhugowaard. m.koementas@ggz-nhn.nl
GGZ Noord-Holland-Noord, Heerhugowaard
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Affiliation as printed
Leiden University, Institute of Psychology, Clinical Psychology Unit, Leiden. marjoleinkoementas@gmail.com
Leiden University, Institute of Psychology, Clinical Psychology Unit, Leiden
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Cilia L. M. Witteman corresponding
Affiliation as printed
Radboud University, Nijmegen. marjoleinkoementas@gmail.com
Radboud University, Nijmegen
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Annet Nugter corresponding
Affiliation as printed
GGZ Noord-Holland-Noord, Heerhugowaard. marjoleinkoementas@gmail.com
GGZ Noord-Holland-Noord, Heerhugowaard
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