Читать книгу Practitioner's Guide to Using Research for Evidence-Informed Practice - Allen Rubin - Страница 47

Before you begin to provide the chosen intervention, you and the client should identify some measurable treatment goals that can be monitored to see if the intervention is really helping the client. This phase is important for several reasons. One reason, as noted previously, is even our most effective interventions don't help everybody. Your client may be one of the folks who doesn't benefit from it. Another reason is that even if your client could benefit from the intervention, perhaps there is something about the way you are providing it – or something about your practice context – that is making it less effective than it was in the research studies. When interventions are implemented in usual practice, they may not be implemented with fidelity. In other words, interventions are often changed by practitioners in response to the particulars of their practice context, client characteristics, or their own preferences. Unfortunately, these changes can compromise the effectiveness of the intervention. We discuss more about issues related to intervention fidelity in Chapter 12.

By monitoring client progress, you'll also be better equipped to determine whether you need to continue or alter the intervention in light of goal attainment or lack thereof. Monitoring client progress additionally might enable you to share with clients on an ongoing basis charted graphs or dashboards displaying their treatment progress. This sharing might further enhance client commitment to treatment. It also provides more chances for clients to inform you of things that they might have experienced at certain points outside of treatment that coincide with blips up or down on the graphs. Learning these things might enhance your ability to help the client. Chapters 7 and 12 of this book pertain to this phase of the EIP process.