Practice-based evidence in psychotherapy: the challenge in Latin America
DOI:
https://doi.org/10.21615/cesp.13.3.1Keywords:
Evidence-Based Practice, Practice-Based Evidence, Treatment Process and Outcome Measures, Psychotherapeutic Outcomes, Psychotherapy, Psychotherapy Research, Mental HealthAbstract
This article presents a theoretical review of the Evidence-Based Practice and the Practice-Based Evidence in psychotherapy, the latter is explained in depth considering its association with the research of the effectiveness in psychotherapy. Subsequently, the functioning of this last paradigm in health systems, particularly in mental health care is contextualized, emphasizing its applicability in routine evaluation and its potential to contribute to the field of research in psychotherapy. Finally, some conclusions are presented on how to promote research based on the paradigm of Practice-Based Evidence in psychotherapeutic contexts, based on Practice Research Networks in Latin American countries.
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References
Alarcón, R. D. (2003). Mental health and mental health care in Latin America. World Psychiatry : Official Journal of the World Psychiatric Association (WPA), 2(1), 54–546.
APA Presidential Task Force on Evidence-Based Practice. (2006). Evidence-based practice in psychology. The American Psychologist, 61(4), 271.
Barkham, M. (2014). Practice-based research networks: Origins, overview, obstacles, and opportunities. Counselling and Psychotherapy Research, 14(3), 167–173. https://doi.org/10.1080/14733145.2014.929414
Barkham, M., Delgadillo, J. Firth, N. & Saxon, D. (2018). Practice based evidence and the law of variability in psychological treatment. Revista Argentina de Clínica Psicológica, 27(12), 115-135. https://doi.org/10.24205/03276716.2018.1059
Barkham, M., & Margison, F. (2007). Practice-based evidence as a complement to evidence-based practice: From dichotomy to chiasmus. En C. Freeman & M. Power (Eds), Handbook of evidence-based psychotherapies: A guide for research and practice, (pp. 443-476). Londres, Inglaterra: John Wiley & Sons Ltd.
Barkham, M., & Mellor-Clark, J. (2000). Rigour and relevance: practice-based evidence in the psychological therapies. En N. Rowland, & S. Goss (Eds), Evidence based counselling and psychological therapies (pp. 127– 144). Londres, Inglaterra: Routledge.
Barkham, M., & Mellor‐Clark, J. (2003). Bridging evidence‐based practice and practice‐based evidence: Developing a rigorous and relevant knowledge for the psychological therapies. Clinical Psychology & Psychotherapy, 10(6), 319-327.
Barkham, M., Stiles, W. B., Lambert, M. J., & Mellor-Clark, J. (2010). Building a rigorous and relevant knowledge-base for the psychological therapies. En M. Barkham, G. E. Hardy, & J. Mellor-Clark (Eds). Developing and delivering practice-based evidence: A guide for the psychological therapies, (pp. 329-353). Londres, Inglaterra: John Wiley & Sons Ltd.
Borkovec, T. D. (2002). Training clinic research and the possibility of a national training clinics practice research network. The Behavior Therapist, 25, 98–103.
Boswell, J. F., Kraus, D. R., Miller, S. D., & Lambert, M. J. (2015). Implementing routine outcome monitoring in clinical practice: Benefits, challenges, and solutions. Psychotherapy Research, 25(1), 6–19. https://doi.org/10.1080/10503307.2013.817696
Caldas-de-Almeida, J. M. (2013). Mental Health Care Reforms in Latin America: An Overview of Mental Health Care Reforms in Latin America and the Caribbean. International Health, 5(1), 15–18. https://doi.org/10.1093/inthealth/ihs013
Cape, J., & Barkham, M. (2002). Practice improvement methods: Conceptual base, evidence‐based research, and practice‐based recommendations. British Journal of Clinical Psychology, 41(3), 285-307. https://doi.org/10.1348/014466502760379145
Castonguay, L. G., Pincus, A. L., & McAleavey, A. A. (2015). Practice research network in a psychology training clinic: Building an infrastructure to foster early attachment to the scientific-practitioner model. Psychotherapy Research, 25(1), 52–66. https://doi.org/10.1080/10503307.2013.856045
De la Parra, G. (2013). Psychotherapy research in developing countries: The case of Latin America. Psychotherapy Research, 23(6), 609–623. https://doi.org/10.1080/10503307.2013.830794
De La Parra, G., Von Bergen, A., & Del Río, M. (2002). Primeros hallazgos de la aplicación de un instrumento que mide resultados psicoterapéuticos en una muestra de pacientes y de población general. Revista Chilena de Neuro-Psiquiatria, 40(3), 201–209. https://doi.org/10.4067/S0717-92272002000300003
Drapeau, M. (2012). The value of tracking in psychotherapy. Integrating Science and Technology, 2(2). https://doi.org/10.1.1.680.46.34
Errázuriz, P., Opazo, S., Behn, A., Silva, O., & Gloger, S. (2017). Spanish Adaptation and Validation of the Outcome Questionnaire OQ-30.2. Frontiers in Psychology, 8(673), 1–9. https://doi.org/10.3389/fpsyg.2017.00673
Evans, C., Connell, J., Barkham, M., Margison, F., McGrath, G., Mellor-Clark, J., & Audin, K. (2002). Towards a standardised brief outcome measure: Psychometric properties and utility of the CORE-OM. British Journal of Psychiatry, 180(01), 51–60. https://doi.org/10.1192/bjp.180.1.51
Evans, C., Mellor-Clark, J., Margison, F., Barkham, M., Audin, K., Connell, J., & McGrath, G. (2000). CORE: Clinical Outcomes in Routine Evaluation. Journal of Mental Health, 9(3), 247–255.
Farfallini. L., Molinari, G., Espinoza, M., Suso Ribera, C., Gómez Penedo, J. M., & Fernández-Álvarez, J. (2018). Building a practice research network of young therapists and early career researchers in spanish speaking countries: why, who & how. Revista Argentina de Clínica Psicológica, 27(2), 203-228. https://doi.org/10.24205/03276716.2018.1067
Fernández-Alvarez, H., & Bregman, C. (2018). Clinical Psychology and Health Psychology. En R. Ardila (Ed) Psychology in Latin America: Current Status, Challenges and Perspectives, (pp. 53–75). Bogotá, Colombia: Springer. https://doi.org/10.1007/978-3-319-93569-0_4
Fernández-Alvarez, H., & Castonguay, L. G. (2018). Practice-Oriented Research: Advances in Clinicians-researchers collaborations. Introduction. Revista Argentina de Clínica Psicológica, 27(2), 107-114. https://doi.org/10.24205/03276716.2018.1069
Gérvas, J., & Pérez A, C. (2008). Evaluación de las intervenciones en salud: la búsqueda del equilibrio entre la validez interna de los resultados y la validez externa de las conclusiones. Revista Española de Salud Pública, 82, 577-579.
Green, D., & Latchford, G. (2012). Maximising the benefits of psychotherapy: A practice-based evidence approach. Oxford, United Kingdom: John Wiley & Sons.
Gutiérrez, G., & Landeira-Fernández, J. (2018). Psychological Research in Latin America: Current and Future Perspectives. En R. Ardila (Ed) Psychology in Latin America: Current Status, Challenges and Perspectives (pp. 7–26). https://doi.org/10.1007/978-3-319-93569-0_2
Henao, S., Quintero, S., Echeverri, J., Hernández, J., Rivera, E., & López, S. (2016). Políticas públicas vigentes de salud mental en Suramérica: un estado del arte. Revista Facultad Nacional de Salud Pública, 34(2). https://doi.org/10.17533/udea.rfnsp.v34n2a07
Holmqvist, R., Philips, B., & Barkham, M. (2015). Developing practice-based evidence: Benefits, challenges, and tensions. Psychotherapy Research, 25(1), 20-31. https://doi.org/10.1080/10503307.2013.861093
Jacobson, N.S., and Christensen, A. (1996). Studying the effectiveness of Psychotherapy. How well can clinical trials do the job? American Psychologist, 51(10), 1031-1039.
Kazarian, S. S., & Evans, D. R. (2001). Health psychology and culture: Embracing the 21st century. En S. S. Kazarian & D. R. Evans (Eds.), Handbook of Cultural Psychology (pp. 837-846). San Diego, CA, US: Academic Press.
Kazdin, A. E. (2014). Evidence-based psychotherapies I: Qualifiers and limitations in what we know. South African Journal of Psychology, 44(4), 381-403.
Lambert, M. J., Hansen, N., Umphress, V., Lunnen, K., Okiishi, J., Burlingamen, G., & Reisinger, C. (1996). Administration and scoring manual for the OQ-45.2. Wilmington, DE: American Professional Credentialing Services.
Lilienfeld, S. O., Ritschel, L. A., Lynn, S. J., Cautin, R. L., & Latzman, R. D. (2013). Why many clinical psychologists are resistant to evidence-based practice: Root causes and constructive remedies. Clinical psychology review, 33(7), 883-900.
Lucock, M., Barkham, M., Donohoe, G., Kellett, S., McMillan, D., Mullaney, S., … Delgadillo, J. (2017). The Role of Practice Research Networks (PRN) in the Development and Implementation of Evidence: The Northern Improving Access to Psychological Therapies PRN Case Study. Administration and Policy in Mental Health and Mental Health Services Research, 44(6), 919–931. https://doi.org/10.1007/s10488-017-0810-5
Londoño, N. H., Agudelo, D. M., Martínez, E., Anguila, D., Aguirre, D. C., & Mogollón, C. (2017). Cuestionario de efectividad de la psicoterapia Outcome Questionnaire. Validación en muestra clínica colombiana. Psychologia. Avances de la disciplina, 11(1), 97-108.
Margison, F., Barkham, M., Evans, C., McGrath, G., Mellor-Clark, J., Audin, K., & Connell, J. (2000). Measurement and psychotherapy: evidence-based practice and practice-based evidence. British Journal of Psychiatry, 177, 123–130.
Martínez-Taboas, A. (2014). Prácticas psicológicas basadas en la evidencia: beneficios y retos para Latinoamérica. Revista Costarricense de Psicología, 33(2), 63-78.
McMorrow, E., & Carr, A. (2003). How do we find out what works for whom? Evaluating the efficacy and effectiveness of psychotherapy. Eisteacht, 2(26), 24-31.
Nathan, P. E. (2007). Efficacy, effectiveness, and the clinical utility of psychotherapy research. The art and science of psychotherapy, 69-83.
Nathan, P.E., Stuart, S.P., and Dolan, S.L. (2000). Research on psychotherapy efficacy and effectiveness: Between Scylla and Charybdis? Psychological Bulletin, 126(6), 964-981.
National Advisory Mental Health Council [NAMHC]. (1999). Bridging science and service: A report by the National Advisory Mental Health Council’s Clinical treatment and Services Research Workshop (NIH Publication No. 99-4353). Washington DC.
O'Donohue, W., & Ferguson, K. E. (2006). Evidence-based practice in psychology and behavior analysis. The Behavior Analyst Today, 7(3), 335-350. https://doi.org/10.1037/h0100155
Panamerican Health Organization, & World Health Organization. (1990). The Caracas Declaration. Conference on Restructuring Psychiatric Care in Latin America within the Local Health Systems. Recuperado de http://www.globalhealthrights.org/wp-content/uploads/2013/10/Caracas-Declaration.pdf%0Ahttp://www2.paho.org/hq/dmdocuments/2008/DECLARATIONOFCARACAS.pdf
Parry, G., Castonguay, L. G., Borkovec, T. D., & Wolf, A. W. (2010). Practice Research Networks and Psychological Services Research in the UK and USA. En M. Barkham, G. E. Hardy, & J. Mellor-Clark (Eds.), Developing and Delivering Practice-Based Evidence: A guide for the psychological therapies (pp. 311–325). Londres, Inglaterra: John Wiley & Sons Ltd.
Paz, C. (2019) Findings of the use of Routine Outcome Measures in Latin America. Panel presentado en la 50th Annual International Meeting de la Society for Psychotherapy Research, Buenos Aires, Argentina.
Paz, C., Mascialino, G., & Evans, C. (2020). Exploration of the psychometric properties of the Clinical Outcomes in Routine Evaluation-Outcome Measure in Ecuador. BMC Psychology, 8(1), 94. https://doi.org/10.1186/s40359-020-00443-z
Paz, C., Mascialino, G., Proaño, K., & Evans, C. (2020). Psychological intervention change measurement in Latin America: Where from? Where to?. Psychotherapy Research, 1-10. https://doi.org/10.1080/10503307.2020.1750728
Preciado, J. (2012). Culture in Ibero-America: A neglected issue in behavioral and cognitive randomized control trial interventions. International Journal of Clinical and Health Psychology, 12(3), 489-501.
Resnicow, K., Soler, R., Braithwaite, R. L., Ahluwalia, J. S. & Butler, J. (2000). Cultural sensitivity in substance use prevention. Journal of Community Psychology, 28(3), 271-290.
Sanchez-Sosa, J. J. (2007). Psychotherapy in Mexico: Practice, training, and regulation. Journal of Clinical Psychology, 63(8), 765–771. https://doi.org/10.1002/jclp.20391
Shadish, W. R., Matt, G. E., Navarro, A. M., Siegle, G., Crits-Christoph, P., Hazelrigg, M. D., … Weiss, B. (1997). Evidence that therapy works in clincally representative conditions. Journal of Consulting and Clinical Psychology, 65(3), 355–365. https://doi.org/10.1037/0022-006X.65.3.355
Spring, B. (2007). Evidence‐based practice in clinical psychology: What it is, why it matters; what you need to know. Journal of Clinical Psychology, 63(7), 611-631. https://doi.org/10.1002/jclp.20373
Trujillo, A., Feixas, G., Bados, A., Garcia-Grau, E., Salla, M., Medina, J. C., … Evans, C. (2016). Psychometric properties of the spanish version of the clinical Outcomes in routine evaluation–Outcome Measure. Neuropsychiatric Disease and Treatment, 12, 1457. https://doi.org/10.2147/NDT.S103079
White, J. W., Koss, M. P., & Kazdin, A. E. (Eds.). (2011). Violence against women and children (Vols. 1–2). Washington, DC: American Psychological Association.
Zane, N., Hall, G. C. N., Sue, S., Young, K., & Núñez, J. (2004). Research on psychotherapy with culturally diverse populations. En M. J. Lambert (Ed.), Bergin and Garfield’s Handbook of Psychotherapy and Behavior Change (pp. 767-804). New York, US: Wiley
Zarin, D. A., Pincus, H. A., West, J. C., & Mcintyre, J. S. (1997). Practice-Based Research in Psychiatry. American Journal of Psychiatry, 154(9), 1199–1208.
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