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Feedback formal do cliente na 1ª sessão e continuidade do acompanhamento psicológico: estudo exploratório
| Name: | Description: | Size: | Format: | |
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| 1.62 MB | Adobe PDF |
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Abstract(s)
Apesar da eficácia da psicoterapia estar já bem documentada são ainda muitos os estudos que mostram que a intervenção psicológica nem sempre resulta em resultados positivos para um número considerável de clientes (Lambert, 2013). A partir de uma revisão meta-analítica acerca do sistema de garantia da qualidade da psicoterapia, Shimokawa, Lambert e Smart (2010) concluem existir evidência que apoia a eficácia das intervenções baseadas no feedback formal dos clientes, especialmente para os clientes que não estão a progredir como o esperado.
Assim sendo, o nosso estudo pretende comparar se existem diferenças entre os resultados de dois grupos de clientes, os que desistiram da intervenção e os que continuaram em acompanhamento, relativamente à forma como avaliam os resultados (Outcome Rating Scale, ORS; Miller, Ducan, Sparks & Claud (2003) e a sessão (Session Rating Scale, SRS; Ducan, Miller, Sparks & Reynolds, 2003).
Para isso realizamos um estudo de natureza descritiva e inferencial, a partir de uma amostra de conveniência constituída por clientes de todas as faixas etárias que, durante o período compreendido entre setembro de 2020 e junho 2021 com um total de 27 clientes, com idades compreendidas entre os 8 e os 68 anos, sendo 85,2% do sexo feminino e 14,8% do sexo masculino. Destes participantes, 17 continuaram em acompanhamento e 10 fizeram dropout.
Quanto aos resultados finais do objetivo desta investigação, foi possível concluir que efetivamente os clientes apresentavam resultados bastantes baixos quanto ao bemestar (ORS), e valores animadores quanto à sessão (SRS), mas, quando comparamos o resultado dos dois grupos é possível afirmar que, o feedback formal fornecido pelos participantes/clientes que desistiram, quanto aos resultados (ORS) e quanto à sessão (SRS), não apresentou diferenças estatisticamente significativas em comparação com os participantes/clientes que deram continuidade na intervenção, assim sendo, o feedback formal do cliente na 1º sessão não parece ser uma variável relevante na forma como o cliente progride em psicoterapia.
Although the effectiveness of psychotherapy is already well documented, there are still many studies that show thar psychological intervention does not always result in positive results for a considerable number of clients (Lambert, 2013). From a metaanalytic review of the psychotherapy quality assurance system, Shimokawa, Lambert, and Smart (2010) conclude that there is evidence supporting the effectiveness of interventions based on formal client feedback, especially for clients who are not progress as expected. Therefore, our study aims to compare whether there are differences between the results of two groups of clients, those who dropped out of the intervention and those who remained in follow-up, regarding the way they evaluate the results (Outcome Rating Scale, ORS; Miller, Ducan, Sparks & Claud (2003) and the session (Session Rating Scale, SRS; Ducan, Miller, Sparks & Reynolds, 2003). For this, we carried out a descriptive and inferential study, based on a convenience sample consisting of customers of all age groups who, during the period between September 2020 and June 2021 with a total of 27 customers, aged between 8 and 68 years old, being 85.2% female and 14.8% male. Of these participants, 17 continued to be followed up and 10 dropped out. As for the final results of the objective of this investigation, it was possible to conclude that the clients actually presented very low results regarding well-being (ORS), and encouraging values regarding the session (SRS), but when we compare the results of the two groups it is possible affirm that the formal feedback provided by the participants/clients who dropped out, regarding the results (ORS) and regarding the session (SRS), did not present statistically significant differences compared to the participants/clients who continued the intervention, therefore, the Formal feedback from the client in the 1st session does not seem to be a relevant variable in how the client progresses in psychotherapy.
Although the effectiveness of psychotherapy is already well documented, there are still many studies that show thar psychological intervention does not always result in positive results for a considerable number of clients (Lambert, 2013). From a metaanalytic review of the psychotherapy quality assurance system, Shimokawa, Lambert, and Smart (2010) conclude that there is evidence supporting the effectiveness of interventions based on formal client feedback, especially for clients who are not progress as expected. Therefore, our study aims to compare whether there are differences between the results of two groups of clients, those who dropped out of the intervention and those who remained in follow-up, regarding the way they evaluate the results (Outcome Rating Scale, ORS; Miller, Ducan, Sparks & Claud (2003) and the session (Session Rating Scale, SRS; Ducan, Miller, Sparks & Reynolds, 2003). For this, we carried out a descriptive and inferential study, based on a convenience sample consisting of customers of all age groups who, during the period between September 2020 and June 2021 with a total of 27 customers, aged between 8 and 68 years old, being 85.2% female and 14.8% male. Of these participants, 17 continued to be followed up and 10 dropped out. As for the final results of the objective of this investigation, it was possible to conclude that the clients actually presented very low results regarding well-being (ORS), and encouraging values regarding the session (SRS), but when we compare the results of the two groups it is possible affirm that the formal feedback provided by the participants/clients who dropped out, regarding the results (ORS) and regarding the session (SRS), did not present statistically significant differences compared to the participants/clients who continued the intervention, therefore, the Formal feedback from the client in the 1st session does not seem to be a relevant variable in how the client progresses in psychotherapy.
Description
Keywords
Psicoterapia Dropout Sistemas de feedback PCOMS Psychotherapy Feedback systems