Diagnostik und psychometrische Verlaufsrückmeldungen im Rahmen eines Modellprojektes zur Qualitätssicherung in der ambulanten Psychotherapie

Wolfgang Lutz, Jan Boehnke, Katharina Köck, Andre Bitterman

    Research output: Contribution to journalArticle

    19 Citations (Scopus)

    Abstract

    This is the first study in Germany to evaluate a new quality assurance and feedback tool with regard to its practical feasibility in routine care and within the German health insurance System. In this paper, the effectiveness of outpatient psychotherapy under routine care, the effects of the implementation of a checklist to support the diagnosis, the effect of the feedback system based on psychometrics and the evaluation of the project by its Participants (patients) are covered. Data was available for 1,708 patients treated by 245 therapists (intervention group:1,031; control group:677). What Data available for 1,708 patients treated by 245 therapists (intervention group: 1.031, control group: 677). Overall, the study demonstrated the effectivity of outpatient psychotherapy and its application to clinically impaired patients. Overall, the study demostrated the effectivity of outpatient psychotherapy and its application to clinically impaired patients. The implementation of the more structured diagnostic tool (IDCL) had an impact on the distribution of diagnosis between groups as well as on the overall frequency in detecting comorbidity. The implementation of the more structured diagnostic tool (IDCL) had an impact on the distribution of diagnosis between groups as well as on the overall frequency in Detecting comorbidity. With respect to feedback, it was possible to group patients (in accordance with previous results from the literature) based on their early feedback results into different predictive outcome groups. With respect to feedback, it was possibleness to group patients (in accor dance with previous results from the literature) based on Their early feedback predictive results into different outcome groups. Most therapists used the feedback to adapt their treatment and discussed it with their patients. Most therapists used the feedback to Adapt Their treatment and it Discussed With Their patients. Additionally, the patients in the intervention group (IG) were more satisfied with the therapy ( d = .27). Additionally, the patients in the intervention group (IG) were more satisfied with the therapy (d = .27). The duration of the IG is well in the range of the duration in other control groups delivering the same service in different regions of Germany. The duration of the IG is well in the range of the duration in other control groups delivering the same service in different regions of Germany. The satisfaction with the project in the IG was very high for patients. The satisfaction with the project in the IG was very high for patients. The patients thought of the feedback system as an important feature of the therapy, acceptable in time needed, helpful, and in accordance with their own perception. The patients thought of the feedback system as in important feature of the therapy, acceptable in time needed, helpful, and in accordance with Their Own perception. The study is seen as further support for the importance of feedback into clinical practice. The study is seen as further support for the Importance of feedback into clinical practice.
    Original languageGerman
    Pages (from-to)283-297
    Number of pages15
    JournalZeitschrift für Klinische Psychologie und Psychotherapie
    Volume40
    Issue number4
    DOIs
    Publication statusPublished - 2011

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