The feasibility, acceptability and effectiveness of a feedback-informed group treatment (FIGT) tool for patients with anxiety or depressive disorders
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...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
PAGEPress Publications
2022-09-01
|
| Series: | Research in Psychotherapy |
| Subjects: | |
| Online Access: | https://www.researchinpsychotherapy.org/index.php/rpsy/article/view/647 |
| _version_ | 1798035841386283008 |
|---|---|
| author | Marjolein M. W. Koementas-de Vos Lucas C. Colleye Bea Tiemens Fabiana Engelsbel Kim de Jong Cilia L. M. Witteman M. Annet Nugter |
| author_facet | Marjolein M. W. Koementas-de Vos Lucas C. Colleye Bea Tiemens Fabiana Engelsbel Kim de Jong Cilia L. M. Witteman M. Annet Nugter |
| author_sort | Marjolein M. W. Koementas-de Vos |
| collection | DOAJ |
| description |
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 behavioral 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.
|
| first_indexed | 2024-04-11T21:03:53Z |
| format | Article |
| id | doaj.art-4cddf3319da648b285b57af0b6cb9e98 |
| institution | Directory Open Access Journal |
| issn | 2499-7552 2239-8031 |
| language | English |
| last_indexed | 2024-04-11T21:03:53Z |
| publishDate | 2022-09-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Research in Psychotherapy |
| spelling | doaj.art-4cddf3319da648b285b57af0b6cb9e982022-12-22T04:03:25ZengPAGEPress PublicationsResearch in Psychotherapy2499-75522239-80312022-09-0110.4081/ripppo.2022.647The feasibility, acceptability and effectiveness of a feedback-informed group treatment (FIGT) tool for patients with anxiety or depressive disordersMarjolein M. W. Koementas-de Vos0Lucas C. Colleye1Bea Tiemens2Fabiana Engelsbel3Kim de Jong4Cilia L. M. Witteman5M. Annet Nugter6Radboud University, Nijmegen, The Netherlands; GGZ Noord-Holland-Noord, HeerhugowaardGGZ Noord-Holland-Noord, HeerhugowaardRadboud University, NijmegenGGZ Noord-Holland-Noord, HeerhugowaardLeiden University, Institute of Psychology, Clinical Psychology Unit, LeidenRadboud University, NijmegenGGZ Noord-Holland-Noord, Heerhugowaard 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 behavioral 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. https://www.researchinpsychotherapy.org/index.php/rpsy/article/view/647FIGTfeedback-informed group treatmentgroup psychotherapyfeedbackfeasibility. |
| spellingShingle | Marjolein M. W. Koementas-de Vos Lucas C. Colleye Bea Tiemens Fabiana Engelsbel Kim de Jong Cilia L. M. Witteman M. Annet Nugter The feasibility, acceptability and effectiveness of a feedback-informed group treatment (FIGT) tool for patients with anxiety or depressive disorders Research in Psychotherapy FIGT feedback-informed group treatment group psychotherapy feedback feasibility. |
| title | The feasibility, acceptability and effectiveness of a feedback-informed group treatment (FIGT) tool for patients with anxiety or depressive disorders |
| title_full | The feasibility, acceptability and effectiveness of a feedback-informed group treatment (FIGT) tool for patients with anxiety or depressive disorders |
| title_fullStr | The feasibility, acceptability and effectiveness of a feedback-informed group treatment (FIGT) tool for patients with anxiety or depressive disorders |
| title_full_unstemmed | The feasibility, acceptability and effectiveness of a feedback-informed group treatment (FIGT) tool for patients with anxiety or depressive disorders |
| title_short | The feasibility, acceptability and effectiveness of a feedback-informed group treatment (FIGT) tool for patients with anxiety or depressive disorders |
| title_sort | feasibility acceptability and effectiveness of a feedback informed group treatment figt tool for patients with anxiety or depressive disorders |
| topic | FIGT feedback-informed group treatment group psychotherapy feedback feasibility. |
| url | https://www.researchinpsychotherapy.org/index.php/rpsy/article/view/647 |
| work_keys_str_mv | AT marjoleinmwkoementasdevos thefeasibilityacceptabilityandeffectivenessofafeedbackinformedgrouptreatmentfigttoolforpatientswithanxietyordepressivedisorders AT lucasccolleye thefeasibilityacceptabilityandeffectivenessofafeedbackinformedgrouptreatmentfigttoolforpatientswithanxietyordepressivedisorders AT beatiemens thefeasibilityacceptabilityandeffectivenessofafeedbackinformedgrouptreatmentfigttoolforpatientswithanxietyordepressivedisorders AT fabianaengelsbel thefeasibilityacceptabilityandeffectivenessofafeedbackinformedgrouptreatmentfigttoolforpatientswithanxietyordepressivedisorders AT kimdejong thefeasibilityacceptabilityandeffectivenessofafeedbackinformedgrouptreatmentfigttoolforpatientswithanxietyordepressivedisorders AT cilialmwitteman thefeasibilityacceptabilityandeffectivenessofafeedbackinformedgrouptreatmentfigttoolforpatientswithanxietyordepressivedisorders AT mannetnugter thefeasibilityacceptabilityandeffectivenessofafeedbackinformedgrouptreatmentfigttoolforpatientswithanxietyordepressivedisorders AT marjoleinmwkoementasdevos feasibilityacceptabilityandeffectivenessofafeedbackinformedgrouptreatmentfigttoolforpatientswithanxietyordepressivedisorders AT lucasccolleye feasibilityacceptabilityandeffectivenessofafeedbackinformedgrouptreatmentfigttoolforpatientswithanxietyordepressivedisorders AT beatiemens feasibilityacceptabilityandeffectivenessofafeedbackinformedgrouptreatmentfigttoolforpatientswithanxietyordepressivedisorders AT fabianaengelsbel feasibilityacceptabilityandeffectivenessofafeedbackinformedgrouptreatmentfigttoolforpatientswithanxietyordepressivedisorders AT kimdejong feasibilityacceptabilityandeffectivenessofafeedbackinformedgrouptreatmentfigttoolforpatientswithanxietyordepressivedisorders AT cilialmwitteman feasibilityacceptabilityandeffectivenessofafeedbackinformedgrouptreatmentfigttoolforpatientswithanxietyordepressivedisorders AT mannetnugter feasibilityacceptabilityandeffectivenessofafeedbackinformedgrouptreatmentfigttoolforpatientswithanxietyordepressivedisorders |