Feedback in Couple and Family Therapy: A Randomized Clinical Trial

Terje Tilden*, Bruce E. Wampold, Pål Ulvenes, Rune Zahl-Olsen, Asle Hoffart, Bente Barstad, Iris A. Olsen, Tore Gude, William M Pinsof, Richard E Zinbarg, Harald H. Nilssen, Åshild T. Håland

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Routine Outcome Monitoring (ROM) is recommended as a psychotherapy procedure to serve as clinical feedback in order to improve client treatment outcomes. ROM can work as a warning signal to the therapist if the client shows signs of no change or deterioration. This study has investigated whether any difference in outcome could be detected between those clients in couple and family therapy who used the Systemic Therapy Inventory of Change (STIC) feedback system (ROM condition) versus those who were offered treatment without the use of STIC (“treatment as usual” or TAU condition). A sample of 328 adults seeking couple and family therapy in Norway was randomly assigned to ROM versus TAU conditions. Outcome measures were The Outcome Questionnaire–45 and The Revised Dyadic Adjustment Scale. The results demonstrated no significant differences in outcomes between the ROM and TAU. Possible explanations of this result related to design and implementation issues are discussed.

Original languageEnglish (US)
Pages (from-to)36-51
Number of pages16
JournalFamily process
Issue number1
StatePublished - Mar 1 2020


  • Couple and Family Therapy
  • Feedback
  • Randomized Clinical Trial

ASJC Scopus subject areas

  • Social Psychology
  • Clinical Psychology
  • Social Sciences (miscellaneous)


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