Abstract
Many good projects fail despite good intentions and general support. When projects in addition involve research in clinical environments, the risk is even greater for failure. This is particularly the case when introducing quantitative research into couple and family therapy contexts, challenging core theoretical assumptions of the systemic field. The authors share experiences from a multicenter pilot project regarding implementing systematic feedback at three family therapy units in Norway. The findings are discussed in light of knowledge from implementation and project theories. And it is especially by discussing the implementation failures that the authors wish to convey lessons learned to the reader. Therefore, the presentation mainly focuses on the unit that in particular experienced many ups and downs in the implementation process that are described and discussed through five phases. The chapter identifies barriers and challenges that one should be familiar with before initiating a project, and how these can be met in order to increase the chance of an implementation success.
Adapted from Tilden et al. (2015).
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Notes
- 1.
KOR is a Norwegian acronym for Klient—og resultatstyrt praksis, also called Feedback Informed Therapy, using the ORS (Outcome Rating Scale) and the SRS (Session Rating Scale)—(Duncan et al. 2010).
References
Andersen, E. S. (2006). Toward a project management theory for renewal projects. Project Management Journal, 37, 15–30.
Anker, M. G., Duncan, B. L., & Sparks, J. A. (2009). Using client feedback to improve couple therapy outcomes: A randomized clinical trial in a naturalistic setting. Journal of Consulting and Clinical Psychology, 77, 693–704.
Boswell, J. F., Kraus, D. R., Miller, S. D., & Lambert, M. J. (2015). Implementing routine outcome monitoring in clinical practice: Benefits, challenges, and solutions. Psychotherapy Research, 25(1), 6–19.
Brownson, R. C., Kreuter, M. W., Arrington, B. A., & True, W. R. (2006). Translating scientific discoveries into public health action: How can schools of public health move us forward? Public Health Reports, 121, 97–103.
Castonguay, L. G., & Muran, J. C. (2015). Fostering collaboration between researchers and clinicians through building practice-oriented research: An introduction. Psychotherapy Research, 25, 1–5.
Christensen, A., & Dalgaard, M. (2013). Implementering af Feedback Informed Treatment i institutioner. Fokus på familien, 41(4), 321–341.
De Jong, K., Van Sluis, P., Nugter, M. A., Heiser, W. J., & Spinhoven, P. (2012). Understanding the differential impact of outcome monitoring: Therapist variables that moderate feedback effects in a randomized clinical trial. Psychotherapy Research, 22(4), 464–474.
Duncan, B., Miller, S. D., Wampold, B. E., & Hubble, M. (Eds.). (2010). The heart and soul of change. Delivering what works (2nd ed.). Washington DC: American Psychological Association.
Fixsen, D. L., Naoom, S. f., Blasé, K. A., Friedman, R. M., & Wallace, F. (2005). Implementation research: A synthesis of the literature. http://nirn.fpg.unc.edu/sites/nirn.fpg.unc.edu/files/resources/NIRN-MonographFull-01-2005.pdf. Accessed July 26, 2016.
Flottorp, S., & Aakhus, E. (2013). Implementeringsforskning: vitenskap for forbedring av praksis. Norsk Epidemiologi, 23, 187–196.
Friis, S., & Vaglum, P. (1999). Fra idé til prosjekt: en innføring i klinisk forskning. Oslo: Tano Aschehoug.
Havik, O. (2011). Langt fra forskning til klinikk. http://www.forskningsradet.no/prognett-psykiskhelse/Nyheter/Nyhet/1253964493280?lang=no. Accessed July 26, 2016.
Johnsen, A., & Torsteinsson, V. W. (2012). Lærebok i familieterapi. Oslo: Universitetsforlaget.
Krägeloh, C. U., Czuba, K. J., Billington, D. R., Kersten, P., & Siegert, R. J. (2015). Using feedback from patient-reported outcome measures in mental health services: A scoping study and typology. Psychiatric Services, 55(3), 224–241.
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.
Lambert, M. J., & Shimokawa, K. (2011). Collecting client feedback. Psychotherapy, 48, 72–79.
McHugh, R. K., & Barlow, D. H. (2010). The dissemination and implementation of evidence-based psychological treatments: A review of current efforts. American Psychologist, 65, 73–84.
Miller, S. D., Hubble, M. A., Chow, D., & Seidel, J. (2015). Beyond measures and monitoring: Realizing the potential of feedback-informed treatment. Psychotherapy, 52, 449–457.
Oanes, C. J., Borg, M., & Karlsson, B. (2015). Significant conversations or reduced relational capacity? Exploring couple and family therapists’ expectations for including a client feedback procedure. Australian and New Zealand Journal of Family Therapy, 36, 342–355.
Pinsof, W. M., & Chambers, A. (2009). Empirically informed systemic psychotherapy: Tracking patient change and therapist behavior during therapy. In J. Bray & M. Stanton (Eds.), The Wiley-Blackwell handbook of family psychology (pp. 431–446). New York: Wiley-Blackwell.
Pinsof, W. M., Goldsmith, J. Z., & Latta, A. T. (2012). Information technology and feedback research can bridge the scientist-practitioner gap: A couple therapy example. Couple and Family Psychology: Research and Practice, 1(4), 253–273.
Sexton, T. L., Datchi, C., Evans, L., LaFollette, J., & Wright, L. (2013). The effectiveness of couple and family-based clinical interventions. In M. J. Lambert (Ed.) Bergin and Garfield’s handbook of psychotherapy and behavior change (6th., pp. 587–639). New York: Wiley.
Solem, M.-B., Tilden, T., & Thuen, F. (2008). Å ta empirien på alvor. Fokus på familien, 36, 88–106.
Sundet, R. (2012). Therapist perspectives on the use of feedback on process and outcome: Patient-focused research and practice. Canadian Psychology, 53(2), 122–130.
Sørlie, M.-A., Ogden, T., Solholm, R., & Olseth, A. R. (2010). Implementeringskvalitet – om å få tiltak til å virke. En oversikt. Tidsskrift for Norsk Psykologforening, 47, 315–321.
Tilden, T. (2010). The course and outcome of dyadic adjustment and individual distress during and after residential couple therapy. Faculty of Medicine, University of Oslo. Dissertation No. 1015. https://www.duo.uio.no/bitstream/handle/10852/27917/dravhandling-tilden.pdf?sequence=1&isAllowed=y. Accessed July 26, 2016.
Tilden, T., Håland, Å. T., Hunnes, K., Fossli, G., & Oanes, C. J. (2015). Utprøving av systematisk tilbakemelding i par- og familieterapi. Fokus på familien, 43, 292–312.
Tilden, T., Håland, Å. T., Hunnes, K., Lærum, K., Finset, A., & Gude, T. (2010). Internett-basert tilbakemelding i par- og familieterapi: Erfaringer med empiriinformert terapi. Tidsskrift for Norsk Psykologforening, 47, 1115–1118.
Tuseth, A. G., Sverdrup, S., Hjort, H., & Friestad, C. (2006). Å spørre den det gjelder. Rapport, R-BUP, Region helse Sør-Øst: Erfaringer med bruk av klient- og resultatstyrt terapi i psykisk helsearbeid.
Utvåg, K. M., Steinkopf, S., & Holgersen, H. (2014). Vilkår for klinisk autonomi og dens betydning for praksis. Tidsskrift for Norsk Psykologforening, 51, 861–867.
Walfish, S., McAlister, B., O’Donnell, P., & Lambert, M. J. (2012). An investigation of self-assessment bias in mental health providers. Psychological Reports, 110, 639–644.
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Håland, Å.T., Tilden, T. (2017). Lessons Learned from the Implementation of a Feedback System in Couple and Family Therapy. In: Tilden, T., Wampold, B. (eds) Routine Outcome Monitoring in Couple and Family Therapy. European Family Therapy Association Series. Springer, Cham. https://doi.org/10.1007/978-3-319-50675-3_12
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