Individualized Progress Measures Are More Acceptable to Clinicians Than Standardized Measures: Results of a National Survey

  • Amanda Jensen-Doss
  • Ashley M. Smith
  • Emily M. Becker-Haimes
  • Vanesa Mora Ringle
  • Lucia M. Walsh
  • Monica Nanda
  • Samantha L. Walsh
  • Colleen A. Maxwell
  • Aaron R. Lyon
Original Article


Despite research supporting measurement-based care grounded in standardized progress measures, such measures are underutilized by clinicians. Individualized measures of client-specific targets present an alternative, but little is known about their acceptability or use. We compared attitudes toward and use of standardized and individualized progress measures in a national sample of 504 clinicians. Clinicians reported neutral to positive attitudes toward both types of measures, but strongly preferred and were more likely to use individualized measures. Clinician attitudes, theoretical orientation, and work setting predicted assessment preferences and practices. Implications for dissemination and implementation of measurement-based care are discussed.


Measurement-based care Standardized assessment Individualized assessment evidence based practice Therapists 



This research was supported by an award from the University of Miami’s Provost Resaerch Award program to Dr. Jensen-Doss. Dr. Lyon’s work on this project was supported by the National Institute Of Mental Health of the National Institutes of Health (NIH) under Award K08MH095939.

Compliance with Ethical Standards

Conflict of interest

None of the authors have conflicts of interest to declare.

Ethical Approval

All procedures performed in this study were in accordance with the ethical standards of the University of Miami Institutional Review Board and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

This study was approved for a waiver of signed consent; all participants were provided with a consent statement.


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Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  • Amanda Jensen-Doss
    • 1
  • Ashley M. Smith
    • 1
    • 5
  • Emily M. Becker-Haimes
    • 2
  • Vanesa Mora Ringle
    • 1
  • Lucia M. Walsh
    • 1
  • Monica Nanda
    • 1
  • Samantha L. Walsh
    • 3
  • Colleen A. Maxwell
    • 1
  • Aaron R. Lyon
    • 4
  1. 1.Department of PsychologyUniversity of MiamiCoral GablesUSA
  2. 2.Perelman School of MedicineUniversity of PennsylvaniaPhiladelphiaUSA
  3. 3.Massachusetts General HospitalBostonUSA
  4. 4.Department of Psychiatry and Behavioral SciencesUniversity of WashingtonSeattleUSA
  5. 5.University of CaliforniaLos AngelesUSA

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