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Measurement and psychotherapy. Evidence-based practice and practice-based evidence
F R Margison1, M Barkham, C Evans
1Department of Psychotherapy, Manchester Royal Infirmary, UK. frmargison@aol.com
The British Journal of Psychiatry : the Journal of Mental Science
|October 12, 2000
Summary
Advances in measurement enhance evidence-based practice in psychotherapy. Modern methods support both evidence-based and practice-based evidence, improving clinical effectiveness and professional self-management.
Area of Science:
- Psychotherapy research
- Clinical measurement
- Evidence-based practice
Background:
- Measurement is fundamental to evidence-based practice.
- Measurement advancements are crucial for psychotherapy.
- Integrating robust measurement into clinical settings is essential.
Purpose of the Study:
- To review recent developments in measurement techniques applicable to psychotherapy.
- To explore how enhanced measurement can advance psychotherapy practice.
- To identify key domains of measurement in psychotherapy.
Main Methods:
- Review of measurement domains including interventions, case formulation, and treatment integrity.
- Analysis of performance metrics such as adherence, competence, and skillfulness.
- Examination of treatment definitions, therapeutic alliance, and routine outcome measurement.
Main Results:
- Modern measurement methods bolster evidence-based practice in psychological treatments.
- Practice-based evidence, supported by measurement, complements evidence-based practice.
- Practice Research Networks (PRNs) facilitate improved clinical effectiveness through measurement.
Conclusions:
- Psychotherapy research advances in measurement support professional self-management.
- Practice-based evidence offers a model for self-management applicable across psychiatry and medicine.
- Enhanced measurement in psychotherapy fosters a paradigm of continuous improvement and professional accountability.