Assessing Psychotherapy Outcome With Feedback

Family Dysfunction Clinical Trial

Official title:

Assessing Psychotherapy Outcome in Treatment as Usual Versus Treatment as Usual With the STIC Feedback System

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT02023736
• Other study ID #: TFI-001
• Status: Recruiting
• Phase: N/A
• First received: December 19, 2013
• Last updated: August 8, 2016
• Start date: December 2013
• Est. completion date: August 2017

Study information

• Verified date: August 2016
• Source: The Family Institute at Northwestern University
• Contact: Jacob Z Goldsmith, Ph.D.
• Phone: 847 733 4300
• Email: jgoldsmith2[@]family-institute.org
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

This study is a comparison of client outcomes in two different types of psychotherapy treatment. In one condition clients will receive treatment-as-usual (TAU); the therapy that they would normally receive. In the other condition clients will receive treatment-as-usual but in addition their therapist will have access to empirical feedback on client progress. Clients in the feedback condition will fill out weekly online questionnaires, and their therapists will have access to a website that feeds back the results of these questionnaires. The purpose of the study is to understand the impact of providing such feedback to therapists. Participating therapists at 4 sites will offer all of their clients the opportunity to participate, and participating clients will be randomly assigned to either condition. This should result in a representative sample of client seeking treatment at these 4 Chicago-area clinics.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 1000
• Est. completion date: August 2017
• Est. primary completion date: January 2017
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 12 Years and older

Eligibility

Inclusion Criteria:

• Client seeks therapy at one of the 4 participating sites

• For Individual therapy: client must consent and complete pre-test battery before the first therapy session

• For couple therapy: both clients must consent and complete pre-test battery before the first therapy session

• For family therapy: at least one client must consent and complete pre-test battery before the first therapy session

• Clients must be 12 years of age or older

• Clients must be able to read (English or Spanish) at a 6th grade level

Exclusion Criteria:

• Clients under 12 years of age

• Clients incapable of reading at a 6th grade level

• Clients who are blind, or are have sufficiently impaired sight as to be unable to read the questions on the web portal

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment

Related Conditions & MeSH terms

• Couple Dysfunction
• Family Dysfunction
• Individual Psychiatric Disorder
• Mental Disorders
• Problem Behavior

Intervention

Other:
• Systemic Therapy Inventory of Change (STIC)
The STIC is a computerized measurement and feedback system for use in psychotherapy. The measurement system consists of weekly questionnaires, completed on the computer, that target symptoms and functioning in a variety of domains of a clients life (e.g., individual symptoms, couple functioning, family functioning, relationship with children). The feedback system consists of a web-portal where therapists may access their clients' STIC responses, for the purposes of planning treatment, assessing progress, and discussing change with clients.
• Treatment as Usual
Clients receive psychotherapy treatment as planned and implemented by their psychotherapists. Exact type of treatment varies by therapist and according to client need.

Locations

Country	Name	City	State
United States	Catholic Charities	Chicago	Illinois
United States	Community Counseling Centers of Chicago	Chicago	Illinois
United States	Jewish Child and Family Services	Chicago	Illinois
United States	The Family Institute at Northwestern University	Evanston	Illinois

Sponsors (5)

Lead Sponsor	Collaborator
The Family Institute at Northwestern University	Catholic Charities, Community Counseling Centers of Chicago, Jewish Child and Family Services, The Chicago Community Trust

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in mental health symptoms at termination	Clients complete a self-report outcome packet measuring mental health symptoms, tailored to their demographics, including some or all of the following: Beck Depression Inventory II: Beck Anxiety Inventory: Outcome Questionnaire 45: Short-form 36 Health Survey: Revised Dyadic Adjustment Scale: Family Assessment Device: Strengths-Difficulties Questionnaire.	At the termination of therapy (varies naturally case-to-case, but an average of 7 weeks) clients complete the outcome packet that asks about mental health symptoms in the previous month.	No
Secondary	Change in mental health symptoms at 6-month follow up	Clients complete a self-report outcome packet measuring mental health symptoms, tailored to their demographics, including some or all of the following: Beck Depression Inventory II: Beck Anxiety Inventory: Outcome Questionnaire 45: Short Form 36 Health Survey: Revised Dyadic Adjustment Scale: Family Assessment Device: Strengths-Difficulties Questionnaire.	6 months post termination	No
Secondary	Change in mental health symptoms at 12-month follow-up	Clients complete a self-report outcome packet measuring mental health symptoms, tailored to their demographics, including some or all of the following: Beck Depression Inventory II: Beck Anxiety Inventory: Outcome Questionnaire 45: Short Form 36 Health Survey: Revised Dyadic Adjustment Scale: Family Assessment Device: Strengths-Difficulties Questionnaire.	12 months post termination	No