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Rewiring efficacy studies to increase their relevance to routine practice

By Michael Barkham, Chris Leach, David A. Shapiro, Gillian E. Hardy, Mike Lucock and Anne Rees


Current efficacy literature relies heavily on the Beck Depression Inventory (BDI) as the gold standard patient self-report measure. In contrast, the evaluation of psychological therapies in routine practice relies heavily on the CORE-OM. Although the two measures are conceptually distinct, they have been shown to be highly correlated. This suggests the possibility of replacing one measure with the other - a procedure we refer to as rewiring - in service of making the results of efficacy studies using the BDI have greater relevance of practitioners who routinely use the CORE-OM. We tested this proposition using transformation tables (Leach et al., in press) to convert BDI-I scores into CORE-OM scores and reran the analysis of a major efficacy study of depression - the Second Sheffield Psychotherapy Project (Shapiro et al., 1994). Results showed a near perfect replication of the original results and examples of benchmarks concerning the overall effects of treatment as well as differences between treatments are provided against which outcomes in routine practice can be contrasted. The implications for bridging efficacy and effectiveness research are discussed

Topics: R1
Publisher: University of Huddersfield
Year: 2005
OAI identifier: oai:eprints.hud.ac.uk:1394

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  1. (1997). (in press). Therapists’ recall of early sudden gains in routine clinical practice. Psychology and Psychotherapy: Theory, Research and Practice Department of Health. doi
  2. (1998). A Community Needs Assessment: For Care Needs Assessment Pack for Dementia (CARENAPD) – It’s Development, Reliability and Validity’. doi
  3. (2002). A Comparison of Methods for the Evaluation of Mental Health Day Hospitals for Older People’. doi
  4. (1995). A comparison study of day hospital and day care attendees’.
  5. (1991). A Follow-Up Study of Psychogeriatric Day Hospital Patients with Dementia’. doi
  6. (2003). A systematic approach to practice-based evidence in a psychological therapies service, doi
  7. (2003). A Systematic Approach to Practice-Based Evidence in a Psychological Therapies Service. Clinical Psychology and Psychotherapy, doi
  8. (2003). Acknowledgement: the cover image was created by a participant of the ‘Inspire’ mental health and cre ativity project,
  9. Additional points on style to assist contributors Clarke, L .2003. Nurse education: why Socrates would disapprove. doi
  10. (1982). An Evaluation of a Day Hospital for the Demented Elderly’.
  11. (1961). An inventory for measuring depression. doi
  12. (1997). Articles will be reports of mental health and learning disabili
  13. (2001). Assessing Health Care: A Study in Organisational Evaluation, Open University Press: Milton Keynes Wattis,
  14. (1995). Autobiographical memory and depression. doi
  15. (1999). Autobiographical Memory in Recovered Depressives. Memory epoch influences retrieval of specific memories in recovered depressives: A preliminary study.
  16. (2002). Autobiographical Memory Specificity and the course of Major Depressive Disorder. doi
  17. (1997). Baghill House and Fieldhead Hospital are located within South West Yorkshire Mental Health NHS Trust. Baghill House is the base for a community mental health
  18. (1999). Clinical Governance and primary care. Department of Health: London.
  19. (1996). Clinically Relevant Theory: Integrating Clinical Insight with Cognitive Science.
  20. (1989). Cognitive change processes in psychotherapy. doi
  21. (1980). Cognitive self-statements in depression, development of an automatic thoughts questionnaire. doi
  22. (1996). Cognitive Therapy in Action, A practitioner's Casebook. doi
  23. (1998). Cognitive Vulnerability to Depression. doi
  24. (1999). Consensus statement on the upcoming crisis in geriatric mental health: research agenda for the next two decades. doi
  25. (1992). Content analysis: method, applications and issues. Health care for women international, doi
  26. (1978). Day Care in Geriatric Psychiatry’. doi
  27. (2001). Day Hospital Provision for the Elderly Mentally Ill within the South East Thames Regional Health Authority. Institute of psychiatry,
  28. (1994). Day hospitals: the case in favour. doi
  29. (2001). Day-Clinic treatment of Late-Life Depression’. doi
  30. (1998). Developing Guidelines for Day Hospitals for Older People: Adaptation of National Guidelines for Local Use’. doi
  31. (1978). Development and Validation of the Dysfunctional Attitude Scale. In Paper presented at the 12th annual meeting of the Association for the Advancement of Behaviour Therapy,
  32. (2000). Dysfunctional Thinking in Major Depressive Disorder: A Deficit in Metacognitive Monitoring? doi
  33. (2003). Early sudden gains in psychotherapy in routine service conditions: everybody at Fieldhead Hospital. doi
  34. (1994). Editorial. ‘The Day Hospital Debate’. doi
  35. (1994). Evaluating Health and Social Care. London, doi
  36. (2004). Evaluating psychological therapies services: A review of outcome measures and their utility. doi
  37. (1994). Evaluating the effects of brief day hospital closure. doi
  38. (1994). Evaluating the effects of brief day hospital closure’. doi
  39. (1997). Evidence-based Sainsbury Centre for Mental Health.
  40. for Clinical Excellence (2005). Post-traumatic stress disorder (PTSD): The management of PTSD in adults and children in primary and secondary care. doi
  41. (2002). Guided Reflection: Reflection in Practice. doi
  42. (1995). How does cognitive therapy depressive relapse and why should attentional control (mindfulness) training help? doi
  43. (1990). How does cognitive therapy work? Cognitive change and symptom change in cognitive therapy and pharmacotherapy for depression. doi
  44. (2001). Improving Community-Based Services for Older Patients with Depression: The Benefits of an Educational and Service Initiative’. Australian and New Zealand doi
  45. (2001). In harm’s way: a postmodern narrative inquiry. doi
  46. (1988). Inventory of Interpersonal Problems: Psychometric properties and clinical applications. doi
  47. (1998). Life Histories’. doi
  48. (2002). Lists, Stories, and Dreams: Strategic Invitation to Relationship in Psychotherapy Narrative. In:
  49. (1997). Manualised behaviour therapy; Merits and challenges.
  50. (2000). Measurement and psychotherapy: Evidence-based practice and practice-based evidence. doi
  51. Mechanism of action of antidepressant medications. [Review] [53 refs].
  52. (1993). Mediators and Moderators of Change in Cognitive Therapy of Depression. doi
  53. (1996). Memory Processes in Psychotherapy.
  54. (1995). Mind over Mood, A Cognitive Therapy Manual for Clients.
  55. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. doi
  56. (1990). Mode-Specific Effects Among Three Treatments for Depression. doi
  57. (1999). National Service Framework for Mental Health. doi
  58. (1985). Naturalistic Inquiry. doi
  59. (1994). Needs and Needs Assessment: Their Components and Definitions with Reference to Dementia. Health Social Care Community, doi
  60. (1999). Old Age Psychiatry; a Speciality in Transition- Results of the doi
  61. (1981). On the relation of clinical research to clinical practice: Current issues. doi
  62. (2004). Organising and Delivering Psychological Therapies.
  63. (2000). Practising Clinical Supervision: A Reflective Approach.
  64. (2000). Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. doi
  65. (1984). Problems posed for supporting relatives of geriatric and psychogeriatric day patients. doi
  66. (1972). Psychiatric day-care: The new chronic population’? doi
  67. (1985). Psychological Aspects of
  68. (1997). Real World Research.
  69. (1998). Recovered Memories of Trauma: Phenomenology and Cognitive Mechanisms. doi
  70. (1990). Refining strategies for research on self-representations in emotional disorders. doi
  71. (2004). Reflective Practice within the occupational therapy curriculum.
  72. (1982). Review of Day-Hospital Provision in Psychogeriatrics’.
  73. (2000). Rigour and relevance: The role of practicebased evidence in the psychological therapies.
  74. (1976). Single case experimental designs: Strategies for studying behaviour change. doi
  75. (1983). Social-environmental factors in unipolar depression: Comparisons of depressed patients and non-depressed controls. doi
  76. (1993). Socratic Questioning: Changing Minds or Guiding Discovery? Paper to BACP conference London.
  77. (2000). Supervision in the Helping Professions an individual, group, and organizational approach.
  78. (2001). The Cardiff Depression Study: a sib-pair study of dysfunctional attitudes in depressed probands and healthy control subjects. doi
  79. (1999). The Day Hospital Debate – A Contribution’. doi
  80. (1994). The day hospital in old age psychiatry: the case against. doi
  81. (2003). The Effect of Cognitive Behaviour Therapy on the Specificity of Personal Memories – a Preliminary Study. Paper presented at British Association of Behavioural and Cognitive Psychotherapies.
  82. (1995). The effectiveness of psychotherapy: The Consumer Reports study. doi
  83. (2003). The effects of providing therapists with feedback on patient progress during psychotherapy: Are outcomes enhanced? doi
  84. (2003). The essence of care – patient focussed benchmarking for clinical governance. NHS Modernisation Agency, Department of Health. http://www.modern.nhs.uk/home/key/docs/Essence%20of%20Care.pdf Persons,
  85. (1994). The Fifth Discipline Fieldbook: Strategies and tools for building a learning organization. doi
  86. (1995). The Knowledge-Creating Company: How Japanese Companies Create the Dynamics of Innovation. doi
  87. (2004). The myth of evidence-based psychotherapy.
  88. (2000). The NHS Plan: a plan for investment, a plan for reform. Department of Health: London. doi
  89. (1994). The omnipotence of voices. A cognitive approach to auditory hallucinations, doi
  90. (1983). The Reflective Practitioner. doi
  91. (2000). The role of reflection in nurturing creative clinical conversations.
  92. (1994). The role of the psychogeriatric day hospital. doi
  93. (1994). The Role of the Psychogeriatric Day Hospital’. doi
  94. (1984). The Scientist Practitioner. Pergamon General Psychology Series, doi
  95. (1997). The Truth about Burnout: How organisations cause personal stress and what to do about it.
  96. (1996). Theoretical Foundations of Cognitive-Behaviour Therapy for Anxiety and Depression. doi
  97. (2000). Treatment guidelines for PTSD. doi
  98. (2003). Two Year Outcomes of a Multi-Agency Elderly Mentally Ill Unit Providing Intermediate Care’. doi
  99. (2002). User-led research and evidence based medicine. doi
  100. (1986). Utilization of Psychotherapy Research. doi
  101. (1999). What Do Service Planners and Policy-Makers Need From Research’? doi
  102. (1996). What works for whom? A critical review of Psychotherapy Research.

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