Feedback and Psychotherapeutic Competencies

Impact of Feedback on the Devolpment of Psychotherapeutic Competencies: a Randomized Controlled Trial

The purpose of the current study is to examine the influence of feedback on psychotherapeutic competency. The present randomized controlled study compares a feedback condition with a non-feedback condition. Therapists in the feedback condition receive feedback after every fourth session. The feedback is given by two trained and independent raters. The raters are licenced and experienced psychotherapists. Therapists in the non-feedback condition receive no feedback during the psychotherapy.

Study Overview

• Status: Completed
• Conditions: Mental Disorders
• Intervention / Treatment: Behavioral: Feedback after every fourth session; Behavioral: No feedback

• Study Type: Interventional
• Enrollment (Actual): 20
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Germany
  • Hessen
    • Frankfurt/ Main, Hessen, Germany, 60486
      • Department of Clinical Psychology and Psychotherapy of Goethe University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 65 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Therapists

Inclusion Criteria:

• Having successfully completed the interim audit
• Having started to treat ambulant patients
• Remaining at least 6 month in the ambulance

Exclusion Criteria:

-

Patients

Inclusion Criteria:

• Meeting ICD 10 criteria for a mental disorder
• Informed consent

Exclusion Criteria:

• Currently in psychotherapy
• Suicidal tendency
• Clinical diagnosis of alcohol or drug addiction, acute schizophrenia, schizoaffective disorder or bipolar disorder
• Clinical diagnosis of personality disorder cluster A (odd disorders) and B (dramatic, emotional or erratic)

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Feedback; Therapists assigned to this group will receive standardized feedback on their psychotherapeutic competency after every fourth treatment session with a patient for a period of 20 therapy sessions. The feedback will be given by two experienced raters who are licensed as psychological psychotherapists.	Behavioral: Feedback after every fourth session
Experimental: No feedback; Therapists assigned to this group will receive no feedback	Behavioral: No feedback; Therapists will receive no feedback.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Cognitive Therapy Scale (CTS)	external-assessment measure that assesses psychotherapeutic competency during a cognitive therapy session. CTS will be used by two trained raters licensed as psychological psychotherapists.	participants will be followed for the duration of psychotherapy, an expected average of 20 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Helping Alliance Questionaire (HAQ)	self-report measure to assess therapeutic alliance from the therapists perspective (therapist version; HAQ-T) and the patients perspective (HAQ-P)	participants will be followed for the duration of psychotherapy, an expected average of 20 weeks
Berner Stundenbögen Version 2000	self-report measure to assess therapeutic relationship from the therapists perspective (therapist version, TSTB) and the patients perspective (patient version; PSTB)	participants will be followed for the duration of psychotherapy, an expected average of 20 weeks
Global Assessment of Functioning (GAF)	external measure to assess the global functioning of the patient	participants will be followed for the duration of psychotherapy, an expected average of 20 weeks
Supervisory Questionaire (SQ)	self-report measure to assess the therapists self-opening	participants will be followed for the duration of psychotherapy, an expected average of 20 weeks
Supervisee Levels Questionaire (SLQ-R)	self-report measure to assess the therapists self-awareness	participants will be followed for the duration of psychotherapy, an expected average of 20 weeks
Counseling Self-Estimate Inventory (COSE)	self-report measure to assess self efficacy of the therapist	participants will be followed for the duration of psychotherapy, an expected average of 20 weeks
Fear of negative evaluation scale (Skala Angst vor negativer Bewertung; SANB)	self-report measure to assess fear of evaluation	participants will be followed for the duration of psychotherapy, an expected average of 20 weeks
Brief Symptom Inventory (BSI)	self-report measure to assess aspects of general psychopathology	participants will be followed for the duration of psychotherapy, an expected average of 20 weeks
Beck Depression Inventory II (BDI II)	self-report measure to assess depressive symptoms	participants will be followed for the duration of psychotherapy, an expected average of 20 weeks
Beck Anxiety Inventory (BAI)	self-report measure to assess anxiety symptoms	participants will be followed for the duration of psychotherapy, an expected average of 20 weeks
Client Satisfaction Questionaire (CSQ8)	self-report measure to assess satisfaction with therapy	participants will be followed for the duration of psychotherapy, an expected average of 20 weeks
Health-related quality of life (SF-12)	self-report measure to assess health-related quality of life	participants will be followed for the duration of psychotherapy, an expected average of 20 weeks

Collaborators and Investigators

• Sponsor: Goethe University

Study record dates

Study Major Dates

• Study Start: November 1, 2013
• Primary Completion (Actual): March 1, 2015
• Study Completion (Actual): March 1, 2015

Study Registration Dates

• First Submitted: November 11, 2013
• First Submitted That Met QC Criteria: November 11, 2013
• First Posted (Estimate): November 18, 2013

Study Record Updates

• Last Update Posted (Estimate): March 20, 2015
• Last Update Submitted That Met QC Criteria: March 19, 2015
• Last Verified: March 1, 2015

More Information

Terms related to this study

• Keywords: Training; Feedback; Therapeutic competencies
• Additional Relevant MeSH Terms: Mental Disorders
• Other Study ID Numbers: Feedback-01