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The STIC Norway RCT Study: Using Feedback in Psychotherapy. (STICNorway)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01873742
Recruitment Status : Completed
First Posted : June 10, 2013
Results First Posted : May 4, 2020
Last Update Posted : May 4, 2020
Stiftelsen Helse og Rehabilitering
Information provided by (Responsible Party):
Terje Tilden, PhD, Modum Bad

Brief Summary:
Feedback in psychotherapy involves clients monitoring therapy process and progress, and on a frequent basis clients register these data into online questionnaires. These data are then fed back to the therapist, hence informing about the process and progress in therapy. This information can be shared with the client, something that may enhance the client involvement in evaluating and planning of the therapy. The same data can be used for research purpose. This randomized controlled multicenter study within Norwegian couple and family contexts will explore the effects of feedback in natural settings, and it collaborates closely with a similar American study in Chicago/Evanston, Ill.

Condition or disease Intervention/treatment Phase
Psychological Feedback Other: STIC feedback system Not Applicable

Detailed Description:
The improvement rate in psychotherapy is generally regarded as 50%, while 10% of clients deteriorate after therapy. This indicates a potential for improvement. Research shows that in therapies with the lack of progress, the clients rarely express dissatisfaction about progress to their therapists, and parallel, these therapists consider the therapies to proceed in the right direction. There is therefore a need for more knowledge about (a) how to obtain reliable information about the therapy progress and process monitored frequently during the course of therapy, and (b) that this information is fed back to the therapist and the client so that they (c) jointly can evaluate and adjust the aims and means for improving the therapy, something that may (d) enable them to test more appropriate approaches. This clinical practice should also enhance the client collaboration and empowerment in therapy, hopefully leading to higher recovery rate, shorter treatments, and reduced drop-out. To date, there is limited research on whether and how the use of feedback can contribute to improved outcomes. Such research is especially lacking in couple and family therapy. In a 3-year Norwegian pilot project at the Center for Family and relationships, Modum Bad, Department of Child and Adolescent Mental Health, Sørlandet Sykehus, and at Ålesund family counseling office, the online-based feedback system STIC (Systemic Therapy Inventory of Change) has been implemented and tested. The clinical experience is positive, and the system is considered suitable. This project has evolved parallel to a similar project at the Family Institute at Northwestern University, Evanston, Ill., supervised by the founder of the STIC system, professor William M. Pinsof. The project now enters a new phase by conducting a randomized, controlled trial (RCT) at three Norwegian couple- and family therapy sites in collaboration with five American psychotherapy sites to investigate whether the use of ongoing feedback is associated to more effective therapy compared with therapy without use of feedback.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 328 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: The STIC Online Feedback System in Psychotherapy Process-outcome Research: A Multi-site, Multi-modality, International RCT-study.
Actual Study Start Date : June 1, 2013
Actual Primary Completion Date : October 15, 2016
Actual Study Completion Date : October 15, 2016

Arm Intervention/treatment
Experimental: The use of STIC feedback system
This will constitute the experimental condition, using of STIC feedback system.
Other: STIC feedback system
This condition includes the use of the STIC feedback system.

Experimental: Treatment as usual
This condition will not include the use of the STIC feedback system.
Other: STIC feedback system
This condition includes the use of the STIC feedback system.

Primary Outcome Measures :
  1. Beck Depression Inventory II [ Time Frame: The BDI was completed at the start and end of treatment. In this study the treatment length varied from two to 22 sessions. ]
    The Beck Depression Inventory (BDI-II - Beck et al., 1995a) is a widely used 21-item self-report questionnaire assessing cognitive, affective, motivational, and physiological symptoms of depression and variation over time. Items are scored on a scale from 0 to 3 and the sum-score expressed the depth of the depression, graded from no clinical depression (0-9), through mild (10-19), moderate (20-29) and severe depression (30-63). The BDI shows adequate psychometric properties (Beck et al., 1995b).

Information from the National Library of Medicine

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Ages Eligible for Study:   12 Years to 70 Years   (Child, Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • individuals,
  • couples,
  • families in Norwegian couple- and family therapy contexts

Exclusion Criteria:

  • psychosis,
  • current drug and alcohol abuse,
  • violent and threatening behavior,
  • not enable to understand Norwegian or English language.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01873742

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Drammen - Kongsberg family agency
Drammen, Buskerud, Norway, 3000
Center for family and relationship, Modum Bad
Vikersund, Buskerud, Norway, 3370
ABUP, Sørlandet sykehus
Kristiansand, Vest Agder, Norway, 4604
Sponsors and Collaborators
Modum Bad
Stiftelsen Helse og Rehabilitering
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Study Director: KariAnne Vrabel, PhD Modum Bad Research Institute
Additional Information:
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Responsible Party: Terje Tilden, PhD, Modum Bad Identifier: NCT01873742    
Other Study ID Numbers: 1-Tilden
2012/2/0275 ( Other Identifier: Rådet for psykisk helse, Norway )
First Posted: June 10, 2013    Key Record Dates
Results First Posted: May 4, 2020
Last Update Posted: May 4, 2020
Last Verified: April 2020
Keywords provided by Terje Tilden, PhD, Modum Bad:
Psychotherapy feedback