Feedback-informed treatment versus usual psychological treatment for depression and anxiety: a multisite, open-label, cluster randomised controlled trial

Publication date: Available online 21 June 2018 Source:The Lancet Psychiatry Author(s): Jaime Delgadillo, Kim de Jong, Mike Lucock, Wolfgang Lutz, Julian Rubel, Simon Gilbody, Shehzad Ali, Elisa Aguirre, Mark Appleton, Jacqueline Nevin, Harry O'Hayon, Ushma Patel, Andrew Sainty, Peter Spencer, Dean McMillan Background Previous research suggests that the use of outcome feedback technology can enable psychological therapists to identify and resolve obstacles to clinical improvement. We aimed to assess the effectiveness of an outcome feedback quality assurance system applied in stepped care psychological services. Methods This multisite, open-label, cluster randomised controlled trial was done at eight National Health Service (NHS) Trusts in England, involving therapists who were qualified to deliver evidence-based low-intensity or high-intensity psychological interventions. Adult patients (18 years or older) who accessed individual therapy with participating therapists were eligible for inclusion, except patients who accessed group therapies and those who attended less than two individual therapy sessions. Therapists were randomly assigned (1:1) to an outcome feedback intervention group or a treatment-as-usual control group by use of a computer-generated randomisation algorithm. The allocation of patients to therapists was quasi-random, whereby patients on waiting lists were allocated sequentially on the basis of therapist availability. All patients received l...
Source: The Lancet Psychiatry - Category: Psychiatry Source Type: research