Individualized Progress Measures Are More Acceptable to Clinicians Than Standardized Measures: Results of a National Survey
- 271 Downloads
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.
KeywordsMeasurement-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.
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.
This study was approved for a waiver of signed consent; all participants were provided with a consent statement.
- Ashworth, M., Evans, C., & Clement, S. (2009). Measuring psychological outcomes after cognitive behaviour therapy in primary care: A comparison between a new patient-generated measure “PSYCHLOPS” (Psychological Outcome Profiles) and “HADS” (Hospital Anxiety and Depression Scale). Journal of Mental Health, 18, 169–177.CrossRefGoogle Scholar
- Bickman, L., Douglas, S. R., De Andrade, A. R. V., Tomlinson, M., Gleacher, A., Olin, S., & Hoagwood, K. (2016). Implementing a measurement feedback system: A tale of two sites. Administration and Policy in Mental Health and Mental Health Services Research, 43, 410–425.CrossRefPubMedPubMedCentralGoogle Scholar
- Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale: Lawrence Earlbaum Associates, Inc.Google Scholar
- Cone, J. D. (1986). Idiographic, nomothetic, and related perspectives in behavioral assessment. In R. O. Nelson & S. C. Hayes (Eds.), Conceptual foundations of behavioral assessment (pp. 111–128). New York: The Guilford Press.Google Scholar
- Dillman, D. A., Smyth, J. D., & Christian, L. M. (2009). Internet, mail, and mixed-mode surveys: The tailored design method (3rd ed.). Wiley.Google Scholar
- Garland, A. F., Brookman-Frazee, L., Hurlburt, M. S., Accurso, E. C., Zoffness, R. J., Haine-Schlagel, R., & Ganger, W. (2010). Mental health care for children with disruptive behavior problems: A view inside therapists’ offices. Psychiatric Services, 61, 788–795.CrossRefPubMedPubMedCentralGoogle Scholar
- Gleacher, A. A., Olin, S. S., Nadeem, E., Pollock, M., Ringle, V., Bickman, L., … Hoagwood, K. (2016). Implementing a measurement feedback system in community mental health clinics: A case study of multilevel barriers and facilitators. Administration and Policy in Mental Health and Mental Health Services Research, 43, 426–440.CrossRefPubMedPubMedCentralGoogle Scholar
- Gondek, D., Edbrooke-Childs, J., Fink, E., Deighton, J., & Wolpert, M. (2016). Feedback from outcome measures and treatment effectiveness, treatment efficiency, and collaborative practice: A systematic review. Administration and Policy in Mental Health and Mental Health Services Research, 43, 325–343.CrossRefPubMedPubMedCentralGoogle Scholar
- Jensen-Doss, A., Becker, E. M., Smith, A. M., Lyon, A. R., Lewis, C. C., Stanick, C. F., & Hawley, K. M. (in press). Monitoring treatment progress and providing feedback is viewed favorably but rarely used in practice. Administration and Policy in Mental Health and Mental Health Services Research.Google Scholar
- Kotte, A., Hill, K. A., Mah, A. C., Korathu-Larson, P. A., Au, J. R., Izmirian, S., … Higa-McMillan, C. K. (2016). Facilitators and barriers of implementing a measurement feedback system in public youth mental health. Administration and Policy in Mental Health and Mental Health Services Research, 43, 861–878.CrossRefPubMedGoogle Scholar
- Lewis, C. C., Scott, K., Marti, C. N., Marriott, B. R., Kroenke, K., Putz, J. W., … Rutkowski, D (2015). Implementing measurement-based care (iMBC) for depression in community mental health: A dynamic cluster randomized trial study protocol. Implementation Science, 10, 127.CrossRefPubMedPubMedCentralGoogle Scholar
- Lindhiem, O., Bennett, C. B., Orimoto, T. E., & Kolko, D. J. (2016). A meta-analysis of personalized treatment goals in psychotherapy: A preliminary report and call for more studies. Clinical Psychology: Science and Practice, 23, 165–176.Google Scholar
- Lyon, A. R., Lewis, C. C., Boyd, M. R., Hendrix, E., & Liu, F. (2016a). Capabilities and characteristics of digital measurement feedback systems: Results from a comprehensive review. Administration and Policy in Mental Health and Mental Health Services Research, 43, 441–466.CrossRefPubMedPubMedCentralGoogle Scholar
- Lyon, A. R., Ludwig, K., Wasse, J. K., Bergstrom, A., Hendrix, E., & McCauley, E. (2016b). Determinants and functions of standardized assessment use among school mental health clinicians: A mixed methods evaluation. Administration and Policy in Mental Health and Mental Health Services Research, 43, 122–134.CrossRefPubMedPubMedCentralGoogle Scholar
- McGuire, J. F., Sukhodolsky, D. G., Bearss, K., Grantz, H., Pachler, M., Lombroso, P. J., & Scahill, L. (2014). Individualized assessments in treatment research: An examination of parent-nominated target problems in the treatment of disruptive behaviors in youth with Tourette syndrome. Child Psychiatry and Human Development, 45, 686–694.CrossRefPubMedGoogle Scholar
- Persons, J. B. (2006). Case formulation-drive psychotherapy. Clinical Psychology: Science and Practice, 13, 167–170.Google Scholar
- Ringle, V. A., Read, K. L., Edmunds, J. M., Brodman, D. M., Kendall, P. C., Barg, F., & Beidas, R. S. (2015). Barriers to and facilitators in the implementation of cognitive-behavioral therapy for youth anxiety in the community. Psychiatric Services, 66, 938–945.CrossRefPubMedPubMedCentralGoogle Scholar
- Stirman, S. W., Gutiérrez-Colina, A., Toder, K., Esposito, G., Barg, F., Castro, F., … Crits-Christoph, P. (2013). Clinicians’ perspectives on cognitive therapy in community mental health settings: Implications for training and implementation. Administration and Policy in Mental Health and Mental Health Services Research, 40, 274–285.CrossRefPubMedPubMedCentralGoogle Scholar
- Weisz, J. R., Chorpita, B. F., Frye, A., Ng, M. Y., Lau, N., Bearman, S. K., … Hoagwood, K. E. (2011). Youth top problems: Using idiographic, consumer-guided assessment to identify treatment needs and to track change during psychotherapy. Journal of Consulting and Clinical Psychology, 79, 369–380.CrossRefPubMedGoogle Scholar
- Whipple, J. L., Lambert, M. J., Vermeersch, D. A., Smart, D. W., Nielsen, S. L., & Hawkins, E. J. (2003). Improving the effects of psychotherapy: The use of early identification of treatment and problem-solving strategies in routine practice. Journal of Counseling Psychology, 50, 59–68.CrossRefGoogle Scholar