title: Solving problems with randomized clinical trials is not enough to improve psychotherapy outcome: comments on Krause.
abstract: The problems noted by Krause (see record 2011-19228-002) with regards to interpreting evidence from randomized clinical trials are discussed. It is suggested that some of these problems have already been addressed and improvements made by some researchers, mainly examining the changes made by every patient in the treatment groups through the use of clinically significant change. It is suggested that regardless of the evidence-behind treatments, maximal patient outcome can best be obtained through formally monitoring patient treatment response in real time, session-by-session.
authors.affiliation: Department of Psychology, Brigham Young University, Provo,UT 84602, USA. michael_lambert@byu.edu
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Lambert
mesh_terms: D006801:Humans; D017063:Outcome Assessment, Health Care / Q000379:methods*; D011613:Psychotherapy / Q000379:methods*; D016032:Randomized Controlled Trials as Topic / Q000706:statistics & numerical data*; D012107:Research Design / Q000706:statistics & numerical data*