Domain | Category | Total Frequency | Exemplar Core Idea |
Initial Motivation | Fit with therapist | Typical (n = 19) | Participant’s clinical orientation and training are CBT, and the instruments that participant used are consistent with CBT theory and practice. |
Effectiveness and therapist development | Typical (n = 13) | Participant was initially motivated to use the measure because the measures facilitate skill development without needing to rely on supervision. | |
Enhancing the role of the client | Variant (n = 11) | Participant was drawn to measures because they allow clients to direct their own therapy. | |
Gaining objectivity or additional data | Variant (n = 8) | Participant believes it is a strength to be able to also understand client’s experience into a number, something more objective. | |
Accountability | Variant (n = 7) | Participant was motivated to use the measures to demonstrate effectiveness with concrete outcome data due to the demands of the field. | |
Selecting Measures | Convenience | Variant (n = 11) | Participant preferred the PCOMS because it does not require a lot of time or energy and was quick and efficient. |
Psychometrics | Variant (n = 8) | Participant thought the PCOMS had good face validity. | |
Usefulness | Variant (n = 8) | Participant found that the SRS scores were useful because they prompted new conversation with patients. | |
Maintaining Use | Engaging clients | Typical (n = 18) | Participant continues to use the measure with clients because they have found that clients provide open and direct feedback, providing a rich discussion. |
Enhancing the role of the client | Typical (n = 18) | The measures provide a voice to clients, showing them that therapy is about them; it is feedback system, not just a measure. | |
Improving effectiveness | Typical (n = 15) | Participant has continued to use measure because of an improvement in clinical practice in terms of better understanding and listening to clients. | |
Convenience | Typical (n = 15) | Participant found that the measures are not costly in terms of time. | |
Helps identify issues in therapy | Variant (n = 12) | Participant likes being able to find failures and clinical ruptures before the clients leave the office. | |
Helps in guiding treatment | Variant (n = 11) | Participant used PM to set goals, develop treatment plans, and specify the focus for therapy collaboratively. | |
Providing information to a third party | Variant (n = 8) | Participant continues to use the measure because funders and government agencies require proof that they are providing effective treatment. | |
Helps engage the therapist | Variant (n = 6) | Participant maintains use of the PM because it is a clinical tool that makes the participant focus on being present in the session and keeps them from taking it easy due to fatigue or mood. |