Practice-Based Evidence in Ecuador: Routine Outcome Monitoring in Psychotherapy for Common Mental Health Problems
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 发起方
- 入组人数
- 340
- 试验地点
- 1
- 主要终点
- Change in Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM)
研究概览
简要总结
This is a naturalistic study implementing a routine outcome monitoring system to track clients' change and outcomes at the Centro de Psicología Aplicada (CPA) of the Universidad de Las Américas in Quito, Ecuador
详细描述
This is an exploratory and descriptive naturalistic longitudinal project. The general objective of this study is to systematically examine the progress and outcomes of psychological interventions provided at the Centro de Psicología Aplicada (CPA) of the Universidad de Las Américas by routinely monitoring outcomes through an standardized system.
Characteristics of the participants and the received interventions will be recorded through the use of assessment forms filled by therapists before and after therapy, and clients will complete outcome measures on psychological distress, life satisfaction, ambivalence in psychotherapy, family functioning, therapeutic alliance, and satisfaction with the treatment received.
This is the first project in Ecuador to propose a system for routine outcome monitoring in psychotherapy. It could contribute to develop normative trajectories of change and expected recovery curves in the future and to improve the quality of psychological treatments.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 11 Years 至 100 Years（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Be 11 years of age or older.
- •Have sufficient ability to communicate in Spanish.
- •Undergo psychological treatment at the CPA.
排除标准
- •Present substantial cognitive deficits that do not allow the development of the evaluation.
结局指标
主要结局
Change in Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM)
时间窗: CORE-OM is administered to adult clients at baseline and immediately after treatment completion
The CORE-OM (Evans et al., 2002) is a 34-item self-report instrument designed for use in heterogeneous services and based on a pan-theoretic core of psychological distress, including subjective well-being, problems, risk, and functioning. Items are scored on a scale from 0 (never) to 4 (always or almost always). Higher scores indicate greater psychological distress. This instrument is suitable as an initial assessment tool and as an outcome measure. The Spanish versionof this measure will be used. This version was translated by Feixas et al. (2012) and has shown good psychometric properties in Spain (Trujillo et al. 2016) and Ecuador (Paz et al. 2020).
Change in Clinical Outcomes in Routine Evaluation-10 (CORE-10)
时间窗: CORE-10 is administered to adult clients at the second week and then routinely every week until treatment completion
The CORE-10 (Barkham et al., 2013) is a generic, short, and easy-to-use assessment measure. Its items were drawn from the CORE-OM. The CORE-10 is an instrument that has shown good psychometric properties (Barkham et al., 2013) and is practical for use on a session-by-session basis with people presenting with psychological distress in mental health settings. Its Spanish version will be used (Feixas et al., 2012).
Change in Young Person's-Clinical Outcomes in Routine Evaluation (YP-CORE)
时间窗: YP-CORE is administered to adolescent clients at baseline and then routinely every week until treatment completion
The YP-CORE is a brief self-report instrument capable of detecting psychological distress in adolescents, generated by a wide range of problems, while providing information about the person's general functioning (Twigg et al., 2009). It has 10 items, which must be answered on a 5-point scale (0 to 4). Its Spanish version will be used. The YP-CORE was translated to Spanish by Feixas et al. (2018) and showed adequate psychometric properties. In the present study, we will use a version of this measure adapted for Ecuador and Latin America whose psychometric properties are being explored.
次要结局
- Change in Ambivalence in Psychotherapy Questionnaire (APQ)(APQ is administered to adult clients at baseline and then routinely every four weeks)
- Change in Systemic Clinical Outcome and Routine Evaluation-15 (SCORE-15)(SCORE-15 is administered to all clients at baseline, at four weeks and immediately after treatment completion)
- Change in Life Satisfaction Scale(Life Satisfaction Scale is administered to all clients at baseline and immediately after treatment completion)
- Satisfaction with the Treatment Received Scale (CRES-4)(CRES-4 is administered to all clients immediately after treatment completion)
- Change in Therapeutic Alliance Scale(Therapeutic Alliance Scale is administered to all clients immediately after the first intervention and then routinely every week until treatment completion)
研究者
Jorge Valdiviezo Oña
Prof.
Universidad de las Americas - Quito