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Document Type

DNP - University Access Only

Award Date


Degree Name

Doctor of Nursing Practice (DNP)


Graduate Nursing

First Advisor

Kay Foland


practice-based evidence, feedback-informed treatment, patient outcomes


Feedback-informed treatment (FIT) is practice-based evidence (PBE), a form of evidence-based practice (EBP) that is the gold standard in behavioral healthcare. FIT, developed by Scott D. Miller and his colleagues, is a formalized PBE method. Therapists can easily implement this feedback method by administering the Outcome Rating Scale (ORS) and the Session Rating Scale (SRS) within a two minute period at the beginning and end of each session. These instruments have moderate validity and high reliability. This feedback process has consistently demonstrated improved therapy outcomes and reduced dropout rates, while alerting therapists to real time changes required, for improved outcomes. This practice innovation project (PIP) was an initial FIT training and installation involving eight therapists in an urban Midwestern outpatient mental health agency. Results supported current FIT evidence, demonstrated strategies for implementing EBP and emphasized the need for creating a culture of feedback.

Library of Congress Subject Headings

Psychotherapy -- Outcome assessment
Psychotherapist and patient
Feedback (Psychology)


Includes bibliographical references (page 66-79)



Number of Pages



South Dakota State University


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