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Will the Intervention Benefit My Client? Helping Social Workers to Answer the Question Using Indicators of Clinically Meaningful Change

Bergström, Martin LU and Baviskar, Siddhartha (2024) In Clinical Social Work Journal
Abstract

Social workers strive to provide the best support to each client, making it crucial to consider not just group-level effects of interventions but also individual outcomes. While empirical evidence often stems from group-based analyses, these offer limited insights into individual change, which is key for tailoring interventions. The aim of this study is to highlight the importance of individual-level analyses, an underexplored area in social work, using four indicators of “clinically meaningful change” (CMC). We compare these analyses with group-level analyses using a dataset of 146 Swedish families undergoing Functional Family Therapy (FFT), an intervention with strong empirical support. While group-level analyses confirmed FFT’s... (More)

Social workers strive to provide the best support to each client, making it crucial to consider not just group-level effects of interventions but also individual outcomes. While empirical evidence often stems from group-based analyses, these offer limited insights into individual change, which is key for tailoring interventions. The aim of this study is to highlight the importance of individual-level analyses, an underexplored area in social work, using four indicators of “clinically meaningful change” (CMC). We compare these analyses with group-level analyses using a dataset of 146 Swedish families undergoing Functional Family Therapy (FFT), an intervention with strong empirical support. While group-level analyses confirmed FFT’s general effectiveness in reducing adolescent psychosocial symptoms, individual-level analyses revealed a more nuanced picture, showing variations in outcomes—positive, negative, and neutral. The study thus demonstrates the value of CMC indicators for generating individual-level information that social workers can harness to find optimal solutions for their individual clients.

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author
and
organization
publishing date
type
Contribution to journal
publication status
epub
subject
keywords
Clinical process, Functional family therapy, Individual-level analyses, Meaningful change, Treatment effects
in
Clinical Social Work Journal
publisher
Kluwer Academic/Human Sciences Press Inc.
external identifiers
  • scopus:85209125465
ISSN
0091-1674
DOI
10.1007/s10615-024-00970-x
language
English
LU publication?
yes
additional info
Publisher Copyright: © The Author(s) 2024.
id
307a9c00-4bde-4b6d-b280-24c79a2bf2ab
date added to LUP
2025-01-22 15:36:03
date last changed
2025-04-04 14:27:02
@article{307a9c00-4bde-4b6d-b280-24c79a2bf2ab,
  abstract     = {{<p>Social workers strive to provide the best support to each client, making it crucial to consider not just group-level effects of interventions but also individual outcomes. While empirical evidence often stems from group-based analyses, these offer limited insights into individual change, which is key for tailoring interventions. The aim of this study is to highlight the importance of individual-level analyses, an underexplored area in social work, using four indicators of “clinically meaningful change” (CMC). We compare these analyses with group-level analyses using a dataset of 146 Swedish families undergoing Functional Family Therapy (FFT), an intervention with strong empirical support. While group-level analyses confirmed FFT’s general effectiveness in reducing adolescent psychosocial symptoms, individual-level analyses revealed a more nuanced picture, showing variations in outcomes—positive, negative, and neutral. The study thus demonstrates the value of CMC indicators for generating individual-level information that social workers can harness to find optimal solutions for their individual clients.</p>}},
  author       = {{Bergström, Martin and Baviskar, Siddhartha}},
  issn         = {{0091-1674}},
  keywords     = {{Clinical process; Functional family therapy; Individual-level analyses; Meaningful change; Treatment effects}},
  language     = {{eng}},
  publisher    = {{Kluwer Academic/Human Sciences Press Inc.}},
  series       = {{Clinical Social Work Journal}},
  title        = {{Will the Intervention Benefit My Client? Helping Social Workers to Answer the Question Using Indicators of Clinically Meaningful Change}},
  url          = {{http://dx.doi.org/10.1007/s10615-024-00970-x}},
  doi          = {{10.1007/s10615-024-00970-x}},
  year         = {{2024}},
}