Feedback-informed treatment in emergency psychiatry; a randomised controlled trial

BMC Psychiatry

Research Article

Suzy Schipper¹  Irene Visch¹  Jaap Peen¹  Rien Van¹  Flip Jan van Oenen²  Jack Dekker³  Robert Schoevers⁴ 

[1] Arkin, Klaprozenweg 111, 1033 NN, Amsterdam, The Netherlands;Arkin, Klaprozenweg 111, 1033 NN, Amsterdam, The Netherlands;Baarsjesweg 224, 1058 AA, Amsterdam, The Netherlands;Arkin, Klaprozenweg 111, 1033 NN, Amsterdam, The Netherlands;Klinische Psychologie Vrije Universiteit van Amsterdam, de Boelelaan 1105, 1081 HV, Amsterdam, The Netherlands;Universitair Medisch Centrum Groningen, Hanzeplein 1, 9713 GZ, Groningen, The Netherlands;

关键词: Patient feedback;    Randomised controlled trial;    Crisis intervention;    Efficacy;    Outcome monitoring;   

DOI  :  10.1186/s12888-016-0811-z

 received in 2015-03-19, accepted in 2016-04-11,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundImmediate patient feedback has been shown to improve outcomes for patients in mild distress but it is unclear whether psychiatric patients in severe distress benefit equally from feedback. This study investigates the efficacy of an immediate feedback instrument in the treatment of patients with acute and severe psychosocial or psychiatric problems referred in the middle of a crisis.MethodsA naturalistic mixed diagnosis sample of patients (N = 370) at a Psychiatric Emergency Centre was randomised to a Treatment-as-Usual (TAU) or a Feedback (FB) condition. In the FB condition, feedback on patient progress was provided on a session-by-session basis to both therapists and patients. Outcomes of the two treatment conditions were compared using repeated measures MANCOVA, Last Observation Carried Forward and multilevel analysis.ResultsAfter 3 months, symptom improvement in FB (ES 0.60) did not significantly differ from TAU (ES 0.71) (p = 0.505). After 6 weeks, FB patients (ES 0.31) actually improved less than TAU patients (0.56) (p = 0.019).ConclusionsPatients with psychiatric problems and severe distress seeking emergency psychiatric help did not benefit from direct feedback.Trial registrationDutch Trial Register, NTR3168, date of registration 1-9-2009

【 授权许可】

CC BY   
© van Oenen et al. 2016

【 图 表 】

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