Benefits and challenges in practice-oriented psychotherapy research in Germany: The TK and the QS-PSY-BAY projects of quality assurance in outpatient psychotherapy

Psychotherapy Research

Volumn 25, Issue 1, 2015, Pages 32-51

  Strauss, Bernhard Michael ^a   Lutz, Wolfgang ^b   Steffanowski, Andres ^c   Wittmann, Werner W ^d   Boehnke, Jan R ^b   Rubel, Julian ^b   Scheidt, Carl E ^e   Caspar, Franz ^f   Vogel, Heiner ^g   Altmann, Uwe ^h   Steyer, Rolf ^h   Zimmermann, Anna ^a   Bruckmayer, Ellen ⁱ   von Heymann, Friedrich ⁱ   Kramer, Dietmar ^j   Kirchmann, Helmut ^a  

^a JENA UNIVERSITY HOSPITAL   (Germany)

^b UNIVERSITY OF TRIER   (Germany)

^c SRH UNIVERSITY HEIDELBERG   (Germany)

^d UNIVERSITY OF MANNHEIM   (Germany)

^e UNIVERSITY OF FREIBURG   (Germany)

^f UNIVERSITY OF BERN   (Switzerland)

^g UNIVERSITY HOSPITAL WÜRZBURG   (Germany)

^h FRIEDRICH SCHILLER UNIVERSITY JENA   (Germany)

ⁱ Initiating Group QS PSY BAY project   (Germany)

^j National Association of Statutory Health Insurance Physicians of Bavaria   (Germany)

more..

Author keywords

mental health services research; outcome research; process research

Indexed keywords

COOPERATION; GERMANY; HEALTH CARE QUALITY; HEALTH SERVICES RESEARCH; HUMAN; OUTPATIENT; PSYCHOTHERAPY; STANDARDS;

COOPERATIVE BEHAVIOR; GERMANY; HEALTH SERVICES RESEARCH; HUMANS; OUTPATIENTS; PSYCHOTHERAPY; QUALITY ASSURANCE, HEALTH CARE;

EID: 84914704021     PISSN: 10503307     EISSN: 14684381     Source Type: Journal    
DOI: 10.1080/10503307.2013.856046     Document Type: Article

References (47)

1. Altmann, U., Steyer, R., Steffanowski, A., Kramer, D., Wittmann, W. W., Bruckmayer, E., Strauss, B. (submitted). Verlaufsmuster depressiver Störungen bei ambulanten psychotherapeutischen Behandlungen: Ergebnisse der QS-PSY-BAY-Studie [Process patterns of depressive symptoms during outpatient psychotherapies: Results from the QS-PSY-BAY study]. Zeitschrift für Psychosomatische Medizin und Psychotherapie.
2. Altmann, U., Steffanowski, A., Wittmann, W. W., Kramer, D., Bruckmayer, E., Pfaffinger, I., Strauß, B. (in press). Verlängerungen ambulanter Psychotherapien: Eine Studie zu Patienten-, Therapeuten-, Behandlungs- und Verlaufsmerkmalen [Extensions of outpatient psychotherapy: A study about patients, therapists, therapy course, and treatment characteristics]. Psychotherapie, Psychosomatik, Medizinische Psychologie.
3. Averbeck, M., Leiberich, P., Grote-Kusch, M. T., Olbrich, E., Schröder, A., Brieger, M., & Schumacher, K. (1997). Skalen zur Erfassung der Lebensqualität (SEL). Frankfurt: Pearson Assessment.
4. Bassler, M., Potratz, B., & Krauthauser, H. (1995). Der “Helping Alliance Questionnaire” (HAQ) von Luborsky. Psychotherapeut, 40, 1–23.
5. Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571.
6. Bengel, J., & Koch, U. (2000). Grundlagen der Rehabilitationswissenschaften. Berlin: Springer.
7. Castonguay, L. G., Barkham, M., Lutz, W., & McAleavy, A. (2013). Practice-oriented research – approaches and applications. In M. J. Lambert (Ed.), Bergin and Garfield's handbook of psychotherapy and behavior change (6th ed., pp. 85–133). New York, NY: John Wiley & Sons.
8. Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155–159. doi:10.1037/0033-2909.112.1.155
9. Derogatis, L. R. (1975). Brief symptom inventory. Baltimore, MD: Clinical Psychometric Research.
10. German Federal Government. (2010). SGB V Öffentliches Gesundheitswesen. München: Beck.
11. Endicott, J., Spitzer, R. L., Fleiss, J. L., & Cohen, J. (1976). The global assessment scale. A procedure for measuring overall severity of psychiatric disturbance. Archives of General Psychiatry, 33, 766–771.
12. Grove, W. M., & Meehl, P. E. (1996). Comparative efficiency of informal (subjective, impressionistic) and formal (mechanical, algorithmic) prediction procedures: The clinical-statistical controversy. Psychology, Public Policy, and Law, 2, 293–323. doi:10.1037/1076-8971.2.2.293
13. Hatfield, D., McCullough, L., Frantz, S. H., & Krieger, K. (2010). Do we know when our clients get worse? An investigation of therapists’ ability to detect negative client change. Clinical Psychology & Psychotherapy, 17, 25–32.
14. Heuft, G., & Senf, W. (1998). Praxis der Qualitätssicherung in der Psychotherapie: Das Manual zur Psy-BaDo. Stuttgart: Thieme.
15. Hiller, W., Zaudig, M., & Mombour, W. (2004). IDCL – International Diagnostic Checklists for ICD-10 and DSM-IV. Bern: Huber.
16. Horowitz, L., Strauss, B., & Kordy, H. (2000). Inventar zur Erfassung interpersonaler Probleme (IIP-D). Handanweisung (2. Aufl.) [Inventory of Interpersonal Problems – German version (IIP-D). Manual (2nd ed.)]. Weinheim: Beltz Test Gesellschaft.
17. Howard, K. I., Moras, K., Brill, P. L., Martinovich, Z., & Lutz, W. (1996). Evaluation of psychotherapy. Efficacy, effectiveness, and patient progress. The American Psychologist, 51, 1059–1064. doi:10.1037/0003-066X.51.10.1059
18. Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12–19. doi:10.1037/0022-006X.59.1.12
19. Lambert, M. (2007). Presidential address: What we have learned from a decade of research aimed at improving psychotherapy outcome in routine care. Psychotherapy Research, 17, 1–14. doi:10.1080/10503300601032506
20. Lambert, M. J. (2001). Psychotherapy outcome and quality improvement: Introduction to the special section on patient-focused research. Journal of Consulting and Clinical Psychology, 69, 147–149. doi:10.1037/0022-006X.69.2.147
21. Lambert, M. J., Whipple, J. L., Smart, D. W., Vermeersch, D. A., & Nielsen, S. L. (2001).The effects of providing therapists with feedback on patient progress during psychotherapy: Are outcomes enhanced? Psychotherapy Research, 11, 49–68. doi:10.1080/713663852
22. Lambert, M. J., Whipple, J. L., Vermeersch, D. A., Smart, D. W., Hawkins, E. J., Nielsen, S. L., & Goates, M. (2002). Enhancing psychotherapy outcomes via providing feedback on client progress: A replication. Clinical Psychology & Psychotherapy, 9, 91–103. doi:10.1002/cpp.324
23. Löwe, B., Spitzer, R. L., Zipfel, S., & Herzog, W. (2002). PHQ-D Gesundheitsfragebogen für Patienten. Manual Komplettversion und Kurzform. Autorisierte deutsche Version des “Prime MD Patient Health Questionnaire (PHQ)” (2. Auflage). Heidelberg: Medizinische Universitätsklinik, Abteilung Innere Medizin II.
24. Luborsky, L., Barber, J., Siqueland, L., Johnson, S., Najavits, L. M., Frank, A., & Daley, D. (1996). The Revised Helping Alliance Questionnaire (HAqII) – Psychometric Properties. Journal of Psychotherapy Practice & Research, 5, 260–271.
25. Lutz, W. (2002). Patient-focused psychotherapy research and individual treatment progress as scientific groundwork for an empirically based clinical practice. Psychotherapy Research, 12, 251–272. doi:10.1080/713664389
26. Lutz, W., Böhnke, J. R., & Köck, K. (2011). Lending an ear to feedback systems: evaluation of recovery and non-response in psychotherapy in a German outpatient setting. Community Mental Health Journal, 47, 311–317. doi:10.1007/s10597-010-9307-3
27. Lutz, W., Böhnke, J. R., Köck, K., & Bittermann, A. (2011). Diagnostik und psychometrische Verlaufsrückmeldungen im Rahmen eines Modellprojektes zur Qualitätssicherung in der ambulanten Psychotherapie. Zeitschrift für Klinische Psychologie und Psychotherapie, 40, 283–297. doi:10.1026/1616-3443/a000125
28. Lutz, W., Leach, C., Barkham, M., Lucock, M., & Stiles, W. B. (2005). Predicting change for individual psychotherapy clients on the basis of their nearest neighbors. Journal of Consulting and Clinical Psychology, 73, 904–913. doi:10.1037/0022-006X.73.5.904
29. Lutz, W., Stulz, N., Martinovich, Z., Leon, S., & Saunders, S. M. (2009). Methodological background of decision rules and feedback tools for outcomes management in psychotherapy. Psychotherapy Research, 19, 502–510. doi:10.1080/10503300802688486
30. Lutz, W., Wittmann, W. W., Böhnke, J. R., Rubel, J., & Steffanowski, A. (2012). Results from the Pilot Project of the Techniker Krankenkasse (TK) “Quality Monitoring in Outpatient Psychotherapy”: The evaluators’ perspective. Psychotherapie, Psychosomatik, medizinische Psychologie, 62(11), 413–417. doi:10.1055/s-0032-1327565
31. Meehl, P. E. (1954). Clinical versus statistical prediction: A theoretical analysis and a review of the evidence. Minneapolis: University of Minnesota Press. Online resource: http://www.tc.umn.edu/∼pemeehl/pubCategories.htm#cstix.
32. Meehl, P. E. (1986). Causes and effects of my disturbing little book. Journal of Personality Assessment, 50, 370–375. doi:10.1207/s15327752jpa5003_6
33. Percevic, R., Gallas, C., Arikan, L., Mößner, M., & Kordy, H. (2006). Internet-gestützte Qualitätssicherung und Ergebnismonitoring in Psychotherapie, Psychiatrie und psychosomatischer Medizin. Psychotherapeut, 51, 395–397. doi:10.1007/s00278-006-0504-z
34. Scheidt, C. E., Brockmann, J., Caspar, F., Rudolf, G., Stangier, U., & Vogel, H. (2012). Das Modellprojekt der Technikerkrankenkasse. Eine Kommentierung der Ergebnisse aus der Sicht des wissenschaftlichen Beirates. Psychotherapie, Psychosomatik, Medizinische Psychologie, 62, 405–412. doi:10.1055/s-0032-1321781
35. Schepank, H. (1995). Beeinträchtigungs-Schwere-Score (BSS). Ein Instrument zur Bestimmung der Schwere einer psychogenen Erkrankung [Impairement Intensity Score. An instrument for the determination of the intensity of a psychogenic illness]. Göttingen: Hogrefe.
36. Schmidt, J., Steffanowski, A., Nübling, R., Lichtenberg, S., & Wittmann, W. W. (2003). Ergebnisqualität stationärer psychosomatischer Rehabilitation. Vergleich unterschiedlicher Evaluationsstrategien. Regensburg: Roderer.
37. Schulgen, G., & Schumacher, M. (2007). Intention-to-treat analyse. In M. Schumacher & G. Schulgen (Eds.), Methodik klinischer Studien (pp. 161–169). Berlin: Springer.
38. Shimokawa, K., Lambert, M., & Smart, D. W. (2010). Enhancing treatment outcome of patients at risk of treatment failure: Meta-analytic and mega-analytic review of a psychotherapy quality assurance system. Journal of Consulting and Clinical Psychology, 78, 298–311. doi:10.1037/a0019247
39. Steffanowski, A., Löschmann, C., Schmidt, J., Wittmann, W. W., & Nübling, R. (2007). Meta-Analyse der Effekte stationärer psychosomatischer Rehabilitation. Bern: Huber.
40. Steffanowski, A., Kramer, D., Fembacher, A., Glahn, E. M., Bruckmayer, E., Heymann, F., von,. (2011). Praxisübergreifende Dokumentation der Ergebnisqualität ambulanter Psychotherapie in Bayern. Zeitschrift für Klinische Psychologie und Psychotherapie, 40, 267–282. doi:10.1026/1616-3443/a000124
41. Stiles, W. B., Barkham, M., Mellor-Clark, J., & Connel, J. (2008). Effectiveness of cognitive-behavioural, person-centred, and psychodynamic therapies in UK primary care routine practice: Replication with a larger sample. Psychological Medicine, 38, 667–688.
42. Vogel, H., Brockmann, J., Caspar, F., Rudolf, G., Stangier, U., & Scheidt, C. E. (2013). Versorgungsforschung im Feld ist möglich. Deutsches Ärtzeblatt, 8, 371–373.
43. Ware, J., Kosinski, M., & Keller, S. D. (1996). A 12-Item Short-Form Health Survey: Construction of scales and preliminary tests of reliability and validity. Medical Care, 34, 220–233.
44. 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. doi:10.1037/0022-0167.50.1.59
45. Wittmann, W. W., & Steffanowski, A. (2011). Qualitätsmonitoring in der ambulanten Psychotherapie: Ergebnisse des TK-Modellprojektes. Psychotherapie Aktuell, 3, 6–12.
46. Wittmann, W. W., Lutz, W., Steffanowski, A., Kriz, D., Glahn, E. M., Völkle, M. C., Ruprecht, T. (2011). Qualitätsmonitoring in der ambulanten Psychotherapie: Modellprojekt der Techniker Krankenkasse – Abschlussbericht [Quality monitoring in outpatient psychotherapy: Pilot project of the Techniker Krankenkasse – Final report]. Hamburg: Techniker Krankenkasse. Online resource: http://www.tk.de/centaurus/servlet/contentblob/342002/Datei/54714.
47. Wittmann, W. W., Nübling, R., & Schmidt, J. (2002). Evaluationsforschung und Programmevaluation im Gesundheitswesen. Zeitschrift für Evaluation, 1, 39–60.