Practice-Based Evidence in Psychotherapy in Ecuador

Republished By Plato

October 16, 2022

Studies

Study First Submitted Date	2022-03-31
Study First Posted Date	2022-04-25
Last Update Posted Date	2022-10-19
Start Month Year	October 17, 2022
Primary Completion Month Year	September 2025
Verification Month Year	October 2022
Verification Date	2022-10-31
Last Update Posted Date	2022-10-19

Detailed Descriptions

Sequence:

20832340

Description

This is an exploratory and descriptive naturalistic longitudinal project. The general objective of this study is to systematically examine the progress and outcomes of psychological interventions provided at the Centro de Psicología Aplicada (CPA) of the Universidad de Las Américas by routinely monitoring outcomes through an standardized system. Characteristics of the participants and the received interventions will be recorded through the use of assessment forms filled by therapists before and after therapy, and clients will complete outcome measures on psychological distress, life satisfaction, ambivalence in psychotherapy, family functioning, therapeutic alliance, and satisfaction with the treatment received. This is the first project in Ecuador to propose a system for routine outcome monitoring in psychotherapy. It could contribute to develop normative trajectories of change and expected recovery curves in the future and to improve the quality of psychological treatments.

Facilities

Sequence:	201120614
Status	Recruiting
Name	Centro de Psicología Aplicada
City	Quito
State	Pichincha
Country	Ecuador

Facility Contacts

Sequence:	28259042
Facility Id	201120614
Contact Type	primary
Name	Pablo Molina, M.Sc.
Email	[email protected]
Phone	3981000
Phone Extension	667

Conditions

Sequence:	52455114
Name	Psychological Distress
Downcase Name	psychological distress

Id Information

Sequence:	40361803
Id Source	org_study_id
Id Value	20211202_jvaldiviezo

Countries

Sequence:	42795903
Name	Ecuador
Removed	False

Design Groups

Sequence:	55908843
Title	Helpseeking Ecuadorian adult and adolescent clients
Description	The participants will be adolescent (11-17 years) and adult (>18 years) clients presenting with common non-severe mental health problems who seek mental health services at the Centro de Psicología Aplicada. The CPA is an outpatient psychological service where students of the last semesters of the Clinical Psychology degree develop and practice their psychological care skills as co-therapists of professional clinical psychologists.

Interventions

Sequence:	52765230
Intervention Type	Other
Name	Psychological Intervention
Description	The CPA provides outpatient psychological services to individuals: children, adolescents and adults, couples and families. At the CPA, care is carried out through the co-therapy model, which involves the participation of a professional clinical psychologist and a trainee. Psychotherapists with diverse theoretical and clinical backgrounds (mainly psychodynamic, cognitive, systemic and integrative), but a common constructivist approach, work in the center. The following elements are transversal in their practice: therapeutic alliance, healing environment, and a collaborative procedure between the client, the psychotherapist and the trainee co-therapist.

Keywords

Sequence:	80253991	Sequence:	80253992	Sequence:	80253993	Sequence:	80253994	Sequence:	80253995	Sequence:	80253996
Name	practice-based evidence	Name	routine outcome monitoring	Name	psychotherapy	Name	change	Name	outcome	Name	psychological distress
Downcase Name	practice-based evidence	Downcase Name	routine outcome monitoring	Downcase Name	psychotherapy	Downcase Name	change	Downcase Name	outcome	Downcase Name	psychological distress

Design Outcomes

Sequence:

178446446

Sequence:

178446447

Sequence:

178446448

Sequence:

178446449

Sequence:

178446450

Sequence:

178446451

Sequence:

178446452

Sequence:

178446453

Sequence:

178446454

Sequence:

178446455

Outcome Type

primary

Outcome Type

primary

Outcome Type

primary

Outcome Type

secondary

Outcome Type

secondary

Outcome Type

secondary

Outcome Type

secondary

Outcome Type

secondary

Outcome Type

other

Outcome Type

other

Measure

Change in Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM)

Measure

Change in Clinical Outcomes in Routine Evaluation-10 (CORE-10)

Measure

Change in Young Person's-Clinical Outcomes in Routine Evaluation (YP-CORE)

Measure

Change in Life Satisfaction Scale

Measure

Change in Ambivalence in Psychotherapy Questionnaire (APQ)

Measure

Change in Systemic Clinical Outcome and Routine Evaluation-15 (SCORE-15)

Measure

Satisfaction with the Treatment Received Scale (CRES-4)

Measure

Change in Therapeutic Alliance Scale

Measure

CORE Therapy Assessment Form (TAF)

Measure

CORE End of Therapy (EoT)

Time Frame

CORE-OM is administered to adult clients at baseline and immediately after treatment completion

Time Frame

CORE-10 is administered to adult clients at the second week and then routinely every week until treatment completion

Time Frame

YP-CORE is administered to adolescent clients at baseline and then routinely every week until treatment completion

Time Frame

Life Satisfaction Scale is administered to all clients at baseline and immediately after treatment completion

Time Frame

APQ is administered to adult clients at baseline and then routinely every four weeks

Time Frame

SCORE-15 is administered to all clients at baseline, at four weeks and immediately after treatment completion

Time Frame

CRES-4 is administered to all clients immediately after treatment completion

Time Frame

Therapeutic Alliance Scale is administered to all clients immediately after the first intervention and then routinely every week until treatment completion

Time Frame

CORE TAF is completed at baseline

Time Frame

CORE EoT is completed immediately after treatment completion

Description

The CORE-OM (Evans et al., 2002) is a 34-item self-report instrument designed for use in heterogeneous services and based on a pan-theoretic core of psychological distress, including subjective well-being, problems, risk, and functioning. Items are scored on a scale from 0 (never) to 4 (always or almost always). Higher scores indicate greater psychological distress. This instrument is suitable as an initial assessment tool and as an outcome measure. The Spanish versionof this measure will be used. This version was translated by Feixas et al. (2012) and has shown good psychometric properties in Spain (Trujillo et al. 2016) and Ecuador (Paz et al. 2020).

Description

The CORE-10 (Barkham et al., 2013) is a generic, short, and easy-to-use assessment measure. Its items were drawn from the CORE-OM. The CORE-10 is an instrument that has shown good psychometric properties (Barkham et al., 2013) and is practical for use on a session-by-session basis with people presenting with psychological distress in mental health settings. Its Spanish version will be used (Feixas et al., 2012).

Description

The YP-CORE is a brief self-report instrument capable of detecting psychological distress in adolescents, generated by a wide range of problems, while providing information about the person's general functioning (Twigg et al., 2009). It has 10 items, which must be answered on a 5-point scale (0 to 4). Its Spanish version will be used. The YP-CORE was translated to Spanish by Feixas et al. (2018) and showed adequate psychometric properties. In the present study, we will use a version of this measure adapted for Ecuador and Latin America whose psychometric properties are being explored.

Description

It is a 10-point scale that asks respondents to rate their degree of satisfaction with life in the present. It will be presented in Spanish.

Description

It is a 9-item scale that measures the level of ambivalence towards change perceived by the consultants. It includes two subscales, demoralization and oscillation, and an overall score of ambivalence towards change (Oliveira et al., 2020). Both the original version (Oliveira et al., 2020) and the Spanish version (Montesano et al., submitted for publication) have demonstrated good psychometric properties, including good convergent and divergent validity. In this study the Spanish version will be used.

Description

It is a 15-item questionnaire with a scale of 1 to 5, where 1 means "strongly disagree" and 5 means "strongly agree". It was designed to be completed by family members, aged 12 years or older (Stratton et al., 2010). It has three dimensions: strengths, difficulties and communication. Lower scores correspond to better family functioning. In addition, the SCORE-15 has two scales ranging from 1 to 10 on which participants rate the perceived effectiveness of the therapeutic intervention and the perceived severity of the difficulty leading to treatment. In the present study, we will use the Spanish version of this measure which has shown adequate reliability and validity in a Spanish sample (Rivas & Pereira, 2016).

Description

The CRES-4 scale has 4 items: one question on satisfaction, one on the level of resolution of the main problem, one on the emotional state before the start of treatment and one question on the emotional state when completing the questionnaire (Feixas et al., 2012). These questions allow interpretations to be made about the perceived change in their emotional state, satisfaction and resolution of the problem. In this study, the Spanish version of this measure will be used (Feixas et al., 2012).

Description

It is a 10-point one-item measure that evaluates therapeutic alliance. Clients are asked to state, in general, how connected they feel to their therapist and if they have talked about what the clients were interested in addressing in therapy. It will be presented in Spanish.

Description

The CORE TAF is a pragmatic form designed to be filled out by therapists at baseline. The CORE-TAF includes referral information, sociodemographic data on the client, and data on the nature, severity, and duration of the client's problems. (Barkham et al., 2015; Evans 2003). We will use its Spanish version, which is currently being translated.

Description

The CORE EoT is a pragmatic form designed to be filled out by therapists immediately after treatment completion. The CORE-EoT reports on the completed treatment, including the number of sessions, type of therapy, length and frequency of sessions, whether the ending was planned or unplanned, and the potential benefits of therapy (Barkham et al., 2015; Evans 2003). We will use its Spanish version, which is currently being translated.

Overall Officials

Sequence:	29433852	Sequence:	29433853	Sequence:	29433854
Role	Principal Investigator	Role	Study Director	Role	Study Director
Name	Jorge Valdiviezo-Oña, MSc	Name	Clara Paz, PhD	Name	Adrián Montesano del Campo, PhD
Affiliation	University of Americas	Affiliation	University of Americas	Affiliation	Universitat Oberta de Catalunya

Central Contacts

Sequence:	12082211	Sequence:	12082212
Contact Type	primary	Contact Type	backup
Name	Jorge Valdiviezo-Oña, MSc	Name	Clara Paz, PhD
Phone	+5933981000	Phone	+5933981000
Email	[email protected]	Email	[email protected]
Phone Extension	7085	Phone Extension	2518
Role	Contact	Role	Contact

Design Group Interventions

Sequence:	68538405
Design Group Id	55908843
Intervention Id	52765230

Eligibilities

Sequence:	30928314
Sampling Method	Non-Probability Sample
Gender	All
Minimum Age	11 Years
Maximum Age	100 Years
Population	Helpseeking clients undergoing treatment at the Centro de Psicología Aplicada of the Universidad de Las Américas
Criteria	Inclusion Criteria: Be 11 years of age or older. Have sufficient ability to communicate in Spanish. Undergo psychological treatment at the CPA. Exclusion Criteria: Present substantial cognitive deficits that do not allow the development of the evaluation.
Adult	True
Child	True
Older Adult	True

Calculated Values

Sequence:	254205693
Number Of Facilities	1
Registered In Calendar Year	2022
Were Results Reported	False
Has Us Facility	False
Has Single Facility	True
Minimum Age Num	11
Maximum Age Num	100
Minimum Age Unit	Years
Maximum Age Unit	Years
Number Of Primary Outcomes To Measure	3
Number Of Secondary Outcomes To Measure	5
Number Of Other Outcomes To Measure	2

Designs

Sequence:	30673970
Observational Model	Cohort
Time Perspective	Prospective

Responsible Parties

Sequence:	29040693
Responsible Party Type	Principal Investigator
Name	Jorge Valdiviezo Oña
Title	Prof.
Affiliation	Universidad de las Americas – Quito

Study References

Sequence:

52364405

Sequence:

52364406

Sequence:

52364407

Sequence:

52364408

Sequence:

52364409

Sequence:

52364410

Sequence:

52364411

Sequence:

52364412

Sequence:

52364413

Sequence:

52364414

Sequence:

52364415

Sequence:

52364416

Sequence:

52364417

Pmid

26641370

Pmid

11772852

Pmid

29892966

Pmid

32285558

Pmid

32873334

Pmid

27382288

Reference Type

background

Reference Type

background

Reference Type

background

Reference Type

background

Reference Type

background

Reference Type

background

Reference Type

background

Reference Type

background

Reference Type

background

Reference Type

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Reference Type

background

Citation

Barkham M, Bewick B, Mullin T, Gilbody S, Connell J, Cahill J, Mellor-Clark J, Richards D, Unsworth G, Evans C. The CORE-10: A short measure of psychological distress for routine use in the psychological therapies. Counselling and Psychotherapy Research. 2013; 13(1): 3-13.

Citation

Barkham M, Mellor-Clark J, Stiles WB. A CORE approach to progress monitoring and feedback: Enhancing evidence and improving practice. Psychotherapy (Chic). 2015 Dec;52(4):402-11. doi: 10.1037/pst0000030.

Citation

Evans C, Connell J, Barkham M, Margison F, McGrath G, Mellor-Clark J, Audin K. Towards a standardised brief outcome measure: psychometric properties and utility of the CORE-OM. Br J Psychiatry. 2002 Jan;180:51-60. doi: 10.1192/bjp.180.1.51.

Citation

Evans C, Connell J, Barkham M, Marshall C, Mellor-Clark J. Practice-based evidence: benchmarking NHS primary care counselling services at national and local levels. Clinical Psychology & Psychotherapy: An International Journal of Theory & Practice. 2003; 10(6): 374-388

Citation

Feixas G, Badia E, Bados A, Medina JC, Grau A, Magallon E, Botella L, Evans C. Adaptation and psychometric properties of the spanish version of the yp-core (Young Person's Clinical Outcomes in Routine Evaluation). Actas Esp Psiquiatr. 2018 May;46(3):75-82. Epub 2018 May 1.

Citation

Feixas G, Evans C, Trujillo A, Saúl LÁ, Botella L, Corbella S, González S, Bados A, Garcia-Grau A, López-González. M. La version española del CORE-OM: Clinical Outcomes in Routine Evaluation – Outcome Measure. Revista de Psicoterapia. 2012; 23(89): 109-135.

Citation

Feixas, G, Pucurull O, Roca C, Paz C, García-Grau E, Bados, A. Escala de satisfacción con el tratamiento recibido (CRES-4): la versión en español. Revista de Psicoterapia. 2012; 23(89): 51-58.

Citation

Oliveira JT, Ribeiro AP, Goncalves MM. Ambivalence in Psychotherapy Questionnaire: Development and validation studies. Clin Psychol Psychother. 2020 Sep;27(5):727-735. doi: 10.1002/cpp.2457. Epub 2020 Apr 27.

Citation

Paz C, Mascialino G, Evans C. Exploration of the psychometric properties of the Clinical Outcomes in Routine Evaluation-Outcome Measure in Ecuador. BMC Psychol. 2020 Sep 1;8(1):94. doi: 10.1186/s40359-020-00443-z.

Citation

Rivas G, Pereira R. Validación de una escala de evaluación familiar: adaptación del SCORE-15 con normas en español. Mosaico: revista de la Federación Española de Asociaciones de Terapia Familiar. 2016; 63: 16-28.

Citation

Stratton P, Bland J, Janes E, Lask J. Developing an indicator of family function and a practicable outcome measure for systemic family and couple therapy: the SCORE. Journal of family therapy. 2010; 32(3): 232-258.

Citation

Trujillo A, Feixas G, Bados A, Garcia-Grau E, Salla M, Medina JC, Montesano A, Soriano J, Medeiros-Ferreira L, Canete J, Corbella S, Grau A, Lana F, Evans C. Psychometric properties of the Spanish version of the Clinical Outcomes in Routine Evaluation – Outcome Measure. Neuropsychiatr Dis Treat. 2016 Jun 21;12:1457-66. doi: 10.2147/NDT.S103079. eCollection 2016.

Citation

Twigg E, Barkham M, Bewick BM, Mulhern B, Connell J, Cooper M. The YP-CORE: Development and validation of a young person's version of the CORE-OM. Counselling and Psychotherapy Research. 2009; 9: 160-168.