Self-monitoring and Reflection's Impact on Psychotherapy Outcomes: A Trial Protocol.

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

520 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-09-15

Study Completion Date

2024-01-23

Brief Summary

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The primary objective of this randomized controlled trial is to examine the influence of a brief post-session battery, designed to foster patient self-monitoring and reflection on their emotional reactions toward their psychotherapist, on the quality of the therapeutic relationship and treatment outcomes.

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Detailed Description

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The quality of the therapeutic relationship is critical in determining psychotherapy outcomes. However, facilitating patients' self-awareness and reflection on their affective responses to their therapist remains understudied as a potential tool for enhancing this relationship and subsequent treatment outcomes. The primary objective of this study is to examine the influence of a brief post-session battery, designed to foster patient self-monitoring and reflection on their emotional reactions toward their psychotherapist, on the quality of the therapeutic relationship and treatment outcomes. Using an observational randomized control trial design, participants will be allocated into intervention and control groups. Those in the intervention group will complete a postsession battery following each therapy session, while the control group will only undergo regular treatment. Data collection will be facilitated through the Qualtrics online survey software and span baseline, mid-trial (5th week), and end-of-trial (10th week) assessments.

Conditions

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Psychotherapy Therapeutic Alliance Psychological

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized controlled trial design. Allocation ratio of 1:1.

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Individual Psychotherapy + Self-Monitoring

Participants in the intervention group will continue their regular individual psychotherapy sessions. Additionally, after each session, they will complete a brief postsession battery consisting of two scales on the affective reactions of the participants towards their therapist during session and read general feedback encouraging them to discuss their feelings and reflections with their therapist. This questionnaire aims to prompt reflection on the own experience of the therapeutic relationship.

Group Type EXPERIMENTAL

Self-Monitoring

Intervention Type OTHER

The post-session battery consists of two self-report scales measuring both positive and negative affective reactions of the participants toward their therapist during the therapy session. The general feedback is a brief text that encourages participants to share and discuss their feelings and reflections with their therapist.

Individual Psychotherapy

Intervention Type OTHER

Individual psychotherapy sessions

Individual Psychotherapy

Participants in the control group will receive only treatment as usual (i.e., individual psychotherapy) sand and will not complete post-session questionnaires. Additionally, they will not receive any feedback at all encouraging them to discuss their emotional responses with their therapist during the session.

Group Type ACTIVE_COMPARATOR

Individual Psychotherapy

Intervention Type OTHER

Individual psychotherapy sessions

Interventions

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Self-Monitoring

The post-session battery consists of two self-report scales measuring both positive and negative affective reactions of the participants toward their therapist during the therapy session. The general feedback is a brief text that encourages participants to share and discuss their feelings and reflections with their therapist.

Intervention Type OTHER

Individual Psychotherapy

Individual psychotherapy sessions

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* being aged 18 years or older,
* being fluent in English,
* being currently under individual psychotherapy with a minimum frequency of two sessions per month.