Practice-based evidence for psychotherapy across multiple clinics in Ecuador
Practice-Based Evidence in Ecuador: Routine Monitoring of Outcomes and Change in Psychotherapy for Common Mental Health Problems
This project will see how routine check-ins track changes in psychological distress for adolescents and adults receiving psychotherapy at participating clinics in Ecuador.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 340 (estimated) |
| Ages | 11 Years and up |
| Sex | All |
| Sponsor | Universidad de las Americas - Quito Academic / other |
| Locations | 11 sites (Quito, (P)Pichincha and 10 other locations) |
| Trial ID | NCT07257848 on ClinicalTrials.gov |
What this trial studies
This longitudinal, naturalistic study implements a Routine Outcome Monitoring system across several psychological care centers in Ecuador to systematically track client progress during usual psychotherapy. Clients aged 11 and older will complete brief well-being and distress questionnaires before sessions throughout treatment, while therapists complete intake and end-of-treatment questionnaires and centers provide service-level data. Data will be analyzed to describe typical change trajectories in distress and to identify client-, therapist-, and service-level factors associated with outcomes. The study is conducted within existing clinical settings so findings reflect real-world practice without altering standard care.
Who should consider this trial
Good fit: Adolescents (11+) and adults who can communicate in Spanish and are starting psychotherapy at one of the participating Ecuadorian clinics are ideal candidates.
Not a fit: Patients with substantial cognitive deficits that prevent completing the questionnaires or those not receiving treatment at participating centers are unlikely to benefit from this project.
Why it matters
Potential benefit: If successful, this could help clinicians identify clients who are not improving and adjust care sooner, potentially improving outcomes across participating mental health services.
How similar studies have performed: Routine outcome monitoring and practice-based evidence programs in other countries have shown promise for tracking progress and sometimes improving outcomes, though effects depend on local implementation.
Eligibility criteria
Show full inclusion / exclusion criteria
Clients Inclusion Criteria: * Be 11 years of age or older. * Have sufficient ability to communicate in Spanish. * Undergo psychological treatment at one of the mental health services included in the project. Exclusion Criteria: * Present substantial cognitive deficits that do not allow the development of the evaluation. Therapists Inclusion Criteria: * Therapist providing psychological treatment at one of the mental health services included in the project. Supervisors Inclusion Criteria: * Provide clinical supervision to therapists delivering treatment at any of the project's affiliated mental health services.
Where this trial is running
Quito, (P)Pichincha and 10 other locations
- Centro de Psicología Aplicada, Universidad de Las Américas, Ecuador — Quito, (P)Pichincha, Ecuador (Recruiting)
- Jorge López Consultorios — Manta, Manabí, Ecuador (Recruiting)
- PsicoNeuro Manta — Manta, Manabí, Ecuador (Recruiting)
- Historie — Quito, Pichincha, Ecuador (Recruiting)
- Kumpana — Quito, Pichincha, Ecuador (Recruiting)
- Mentis Psicología — Quito, Pichincha, Ecuador (Recruiting)
- Equimente — Quito, Pichincha, Ecuador (Not_yet_recruiting)
- Sentir Psicología Integral — Quito, Pichincha, Ecuador (Recruiting)
- Solo Psique — Quito, Pichincha, Ecuador (Recruiting)
- Renova - Mentis Habitus Positive — Quito, Pichincha, Ecuador (Recruiting)
- Psico Estratégico — Quito, Pichincha, Ecuador (Recruiting)
Study contacts
- Study coordinator: Clara Paz, Ph.D.
- Email: clara.paz@udla.edu.ec
- Phone: +593960154522
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.