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Br J Psychiatry. 2000 Aug;177:123-30.

Measurement and psychotherapy. Evidence-based practice and practice-based evidence.

Author information

  • 1Department of Psychotherapy, Manchester Royal Infirmary, UK. frmargison@aol.com

Abstract

BACKGROUND:

Measurement is the foundation of evidence-based practice. Advances in measurement procedures should extend to psychotherapy practice.

AIMS:

To review the developments in measurement relevant to psychotherapy.

METHOD:

Domains reviewed are: (a) interventions; (b) case formulation; (c) treatment integrity; (d) performance (including adherence, competence and skillfulness); (e) treatment definitions; (f) therapeutic alliance; and (g) routine outcome measurement.

RESULTS:

Modern methods of measurement can support 'evidence-based practice' for psychological treatments. They also support 'practice-based evidence', a complementary paradigm to improve clinical effectiveness in routine practice via the infrastructure of Practice Research Networks (PRNs).

CONCLUSIONS:

Advances in measurement derived from psychotherapy research support a model of professional self-management (practice-based evidence) which is widely applicable in psychiatry and medicine.

PMID:
11026951
[PubMed - indexed for MEDLINE]
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