Can we predict failure in couple therapy early enough to enhance outcome?

Christopher A. Pepping, W. Kim Halford, Brian Doss

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Feedback to therapists based on systematic monitoring of individual therapy progress reliably enhances therapy outcome. An implicit assumption of therapy progress feedback is that clients unlikely to benefit from therapy can be detected early enough in the course of therapy for corrective action to be taken. To explore the possibility of using feedback of therapy progress to enhance couple therapy outcome, the current study tested whether weekly therapy progress could detect off-track clients early in couple therapy. In an effectiveness trial of couple therapy, 136 couples were monitored weekly on relationship satisfaction and an expert derived algorithm was used to attempt to predict eventual therapy outcome. As expected, the algorithm detected a significant proportion of couples who did not benefit from couple therapy at Session 3, but prediction was substantially improved at Session 4 so that eventual outcome was accurately predicted for 70% of couples, with little improvement of prediction thereafter. More sophisticated algorithms might enhance prediction accuracy, and a trial of the effects of therapy progress feedback on couple therapy outcome is needed.

Original languageEnglish
Pages (from-to)60-66
Number of pages7
JournalBehaviour Research and Therapy
Volume65
DOIs
StatePublished - Feb 1 2015

Fingerprint

Couples Therapy
Therapeutics
Therapy
Outcome Assessment (Health Care)

Keywords

  • Couple therapy
  • Feedback
  • Marital therapy
  • Outcome
  • Progress monitoring

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology
  • Experimental and Cognitive Psychology
  • Arts and Humanities (miscellaneous)
  • Developmental and Educational Psychology

Cite this

Can we predict failure in couple therapy early enough to enhance outcome? / Pepping, Christopher A.; Halford, W. Kim; Doss, Brian.

In: Behaviour Research and Therapy, Vol. 65, 01.02.2015, p. 60-66.

Research output: Contribution to journalArticle

Pepping, Christopher A. ; Halford, W. Kim ; Doss, Brian. / Can we predict failure in couple therapy early enough to enhance outcome?. In: Behaviour Research and Therapy. 2015 ; Vol. 65. pp. 60-66.
@article{3890db313a3542648320b643fd9ece15,
title = "Can we predict failure in couple therapy early enough to enhance outcome?",
abstract = "Feedback to therapists based on systematic monitoring of individual therapy progress reliably enhances therapy outcome. An implicit assumption of therapy progress feedback is that clients unlikely to benefit from therapy can be detected early enough in the course of therapy for corrective action to be taken. To explore the possibility of using feedback of therapy progress to enhance couple therapy outcome, the current study tested whether weekly therapy progress could detect off-track clients early in couple therapy. In an effectiveness trial of couple therapy, 136 couples were monitored weekly on relationship satisfaction and an expert derived algorithm was used to attempt to predict eventual therapy outcome. As expected, the algorithm detected a significant proportion of couples who did not benefit from couple therapy at Session 3, but prediction was substantially improved at Session 4 so that eventual outcome was accurately predicted for 70{\%} of couples, with little improvement of prediction thereafter. More sophisticated algorithms might enhance prediction accuracy, and a trial of the effects of therapy progress feedback on couple therapy outcome is needed.",
keywords = "Couple therapy, Feedback, Marital therapy, Outcome, Progress monitoring",
author = "Pepping, {Christopher A.} and Halford, {W. Kim} and Brian Doss",
year = "2015",
month = "2",
day = "1",
doi = "10.1016/j.brat.2014.12.015",
language = "English",
volume = "65",
pages = "60--66",
journal = "Behaviour Research and Therapy",
issn = "0005-7967",
publisher = "Elsevier Limited",

}

TY - JOUR

T1 - Can we predict failure in couple therapy early enough to enhance outcome?

AU - Pepping, Christopher A.

AU - Halford, W. Kim

AU - Doss, Brian

PY - 2015/2/1

Y1 - 2015/2/1

N2 - Feedback to therapists based on systematic monitoring of individual therapy progress reliably enhances therapy outcome. An implicit assumption of therapy progress feedback is that clients unlikely to benefit from therapy can be detected early enough in the course of therapy for corrective action to be taken. To explore the possibility of using feedback of therapy progress to enhance couple therapy outcome, the current study tested whether weekly therapy progress could detect off-track clients early in couple therapy. In an effectiveness trial of couple therapy, 136 couples were monitored weekly on relationship satisfaction and an expert derived algorithm was used to attempt to predict eventual therapy outcome. As expected, the algorithm detected a significant proportion of couples who did not benefit from couple therapy at Session 3, but prediction was substantially improved at Session 4 so that eventual outcome was accurately predicted for 70% of couples, with little improvement of prediction thereafter. More sophisticated algorithms might enhance prediction accuracy, and a trial of the effects of therapy progress feedback on couple therapy outcome is needed.

AB - Feedback to therapists based on systematic monitoring of individual therapy progress reliably enhances therapy outcome. An implicit assumption of therapy progress feedback is that clients unlikely to benefit from therapy can be detected early enough in the course of therapy for corrective action to be taken. To explore the possibility of using feedback of therapy progress to enhance couple therapy outcome, the current study tested whether weekly therapy progress could detect off-track clients early in couple therapy. In an effectiveness trial of couple therapy, 136 couples were monitored weekly on relationship satisfaction and an expert derived algorithm was used to attempt to predict eventual therapy outcome. As expected, the algorithm detected a significant proportion of couples who did not benefit from couple therapy at Session 3, but prediction was substantially improved at Session 4 so that eventual outcome was accurately predicted for 70% of couples, with little improvement of prediction thereafter. More sophisticated algorithms might enhance prediction accuracy, and a trial of the effects of therapy progress feedback on couple therapy outcome is needed.

KW - Couple therapy

KW - Feedback

KW - Marital therapy

KW - Outcome

KW - Progress monitoring

UR - http://www.scopus.com/inward/record.url?scp=84920573089&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84920573089&partnerID=8YFLogxK

U2 - 10.1016/j.brat.2014.12.015

DO - 10.1016/j.brat.2014.12.015

M3 - Article

C2 - 25574777

AN - SCOPUS:84920573089

VL - 65

SP - 60

EP - 66

JO - Behaviour Research and Therapy

JF - Behaviour Research and Therapy

SN - 0005-7967

ER -