Measuring and Monitoring Patient Informed Clinical Outcomes In Psychological Therapy Supervision

Study Overview
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Brief Summary
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Providing feedback on patient progress to therapists improves clinical outcomes for patients, particularly those who are failing to improve with therapy. The encouraging research has been carried out by a small group of researchers, largely working in the United States health care context. The samples studied have been young people attending university counselling services, suffering from mild mental health disorders. The group studies are therefore not similar to patients seen for psychological therapy in the NHS. Also given that therapists are not necessarily alert to treatment failure, have an overly optimistic view of their patients progress even when provided with evidence to the contrary, clinical supervision may be a more effective method through which to provide patient informed clinical outcomes than directly to therapists themselves. We will assess if providing feedback through the supervision process is more effective than providing this information to therapists themselves in terms of improving clinical outcomes, particularly for patients who are failing to improve with routine NHS Psychological therapy.

Detailed Description
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As above

Official Title
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Measuring and Monitoring Patient Informed Clinical Outcomes In Psychological Therapy Supervision - A Stepped Wedge Cluster Randomised Controlled Trial

Conditions
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Patients Referred for Routine Psychological Therapy

Intervention / Treatment
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* Other: MEMOS


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients Able to give informed consent Male or female (>18 years of age) Requiring psychological treatment or therapy in routine Mental Health Services Able and competent to understand and complete CORE questionnaires Supervisors and their therapists Able to give written informed consent Any NHS Greater Glasgow and Clyde applied psychologist who is supervising therapists offering routine psychological therapy to patients in NHS Greater Glasgow and Clyde and whose therapists agree to take part in the study. Exclusion Criteria: Patients Below the age of 18 years Inability to give written informed consent Inability to understand and complete CORE questionnaires Supervisors and their therapists Those supervisors and therapists who are unlikely to be able to stay in the study for its duration.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: S-Sup<br>Standard supervision | |
| Experimental: MEMOS<br>Patient informed clinical outcomes supervision | Other: MEMOS<br>* Patient informed clinical outcomes supervision<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Overall CORE-OM score | Change from baseline at discharge and 6 months follow-up in the primary outcome will be compared between the supervision groups using a repeated measure analysis with appropriate correlation structure, including a random effect for therapist and fixed effects for baseline overall CORE-OM score and any other appropriate demographics. |  | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| CORE 10 |  |  |