Browsing by Author "Schwartz, Brian"

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    Developing a European Psychotherapy Consortium (EPoC): Towards Adopting a Single-Item Self-Report Outcome Measure Across European Countries
    (2024) Goncalves, Miguel M.; Lutz, Wolfgang; Schwartz, Brian; Oliveira, Joao Tiago; Saarni, Suoma E.; Tishby, Orya; Rubel, Julian A.; Boehnke, Jan R.; Montesano, Adrian; Paiva, Dario; Ceridono, Davide; Zech, Emmanuelle; Willemsen, Jochem; Saarni, Samuli I.; Erzar, Katarina Kompan; Janeiro, Luis; Gelo, Omar C. G.; Errazuriz, Paula; Holas, Pawel; Styla, Rafal; Rozic, Tatjana; Rosenstrom, Tom; Bekes, Vera; Unoka, Zsolt; Barkham, Michael
    Background: Complementing the development of evidence-based psychological therapies, practice-based evidence has developed from patient samples collected in routine care, addressing questions relevant to patients and practitioners, and thereby expanding our knowledge of psychological therapies and their impact. Implementation of assessments in routine care allows for timely clinical decision support and the collection of multiple practice-based data sets by addressing the needs of patients and clinicians (e.g., routine outcome monitoring) and the needs of researchers (e.g., identifying the impact of therapist variables on outcomes). Method: In this article we describe an initiative developed in Europe, through the European Chapter of the Society for Psychotherapy Research, aimed at creating a consortium that has the potential for collecting data on tens of thousands of patients per year. Results: A survey identified one of the main problems in the development of a common data set to be the heterogeneity of measures used by members (e.g., 87 different pre-post outcomes). We report on the results of the survey and the initial stage of identifying a single-item - the Emotional and Psychological Outcome (EPO-1) - measure and the process of its translation into multiple European languages. Conclusions: We conclude this first stage of the overall project by discussing the future potential of the Consortium in relation to the development of procedures that allow crosswalks of outcome measures and the creation of a task force that may be consulted when new data sets are collected, aiming for new common measures to be implemented and shared.
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    Precision Mental Health and Data-Informed Decision Support in Psychological Therapy: An Example
    (2024) Lutz, Wolfgang; Schaffrath, Jana; Eberhardt, Steffen T.; Hehlmann, Miriam I.; Schwartz, Brian; Deisenhofer, Ann-Kathrin; Vehlen, Antonia; Schuermann, Stephanie Vaccarezza; Uhl, Jessica; Moggia, Danilo
    Outcome measurement including data-informed decision support for therapists in psychological therapy has developed impressively over the past two decades. New technological developments such as computerized data assessment, and feedback tools have facilitated advanced implementation in several seetings. Recent developments try to improve the clinical decision-making process by connecting clinical practice better with empirical data. For example, psychometric data can be used by clinicians to personalize the selection of therapeutic programs, strategies or modules and to monitor a patient's response to therapy in real time. Furthermore, clinical support tools can be used to improve the treatment for patients at risk for a negative outcome. Therefore, measurement-based care can be seen as an important and integral part of clinical competence, practice, and training. This is comparable to many other areas in the healthcare system, where continuous monitoring of health indicators is common in day-to-day clinical practice (e.g., fever, blood pressure). In this paper, we present the basic concepts of a data-informed decision support system for tailoring individual psychological interventions to specific patient needs, and discuss the implications for implementing this form of precision mental health in clinical practice.