Open Access
IMPACT of nurses' solution-focused communication on the fluid adherence of adult patients on haemodialysis
(Wiley, 2018) Beyebach, Mark; Neipp López, María del Carmen; García Moreno, Maite; González Sánchez, Inés; Ciencias de la Salud; Osasun Zientziak
Aim: to test the hypothesis that fluid adherence in patients on haemodialysis can be improved through nurses′ solution‐focused communication with patients on issues of adherence. Background: adherence to fluid‐intake restrictions is low in patients on haemodialysis, creating serious health risks. Psychosocial interventions to increase adherence have typically focused on patients and ignored patient/staff interactions. Design: this is a single‐group, pre‐post pilot study registered in ClinicalTrials.gov (identifier: NCT03432988). Method: a 1‐month baseline of interdialytic weight gain was taken in April 2016 for a group of 36 adult patients in a hospital haemodialysis unit. Then, the nurses of the unit received a 4 hr training in solution‐focused communication on issues of fluid adherence and applied it with the patients of the sample. Interdialytic weight gains were measured during another month. One month after the training, in October 2016, interdialytic weight gains were measured for another month. Results: after introducing solution‐focused communication on fluid adherence, patients′ average interdialytic weight gains decreased significantly, below the level considered indicative of problematic adherence. These results were maintained at follow‐up. Conclusions: our results suggest that a novel approach to adherence, nurses′ solution‐focused communication with patients on haemodialysis, may improve patients′ adherence to fluid restriction. More rigorous, controlled studies are required to confirm long‐term benefits and to understand the causal mechanisms that may underlie the effectiveness of this intervention.
Open Access
Evaluación de un protocolo de intervención en terapia sistémica breve para personas expuestas a un evento estresante reciente
(Editorial Bonaventuriana, 2021) García, Felipe E.; Beyebach, Mark; Cova, Félix; Concha Ponce, Pablo; Mardones, Rodrigo; Ciencias de la Salud; Osasun Zientziak
Los eventos altamente estresantes son sucesos que potencialmente generan consecuencias negativas en las personas afectadas, como síntomas postraumáticos y depresivos. El presente estudio evalúa un protocolo de intervención preventiva, orientado a personas que han vivido un evento altamente estresante reciente, basado en la Terapia Sistémica Breve. Cuatro terapeutas aplicaron el protocolo a cuatro usuarias. Se entrevistó a estas ocho personas acerca de su experiencia en la aplicación y recepción del protocolo. Mediante escalas de fiabilidad y validez contrastada se evaluaron los cambios pre-post en sintomatología postraumática, sintomatología depresiva, crecimiento postraumático y satisfacción con la vida; también se midió la relación terapéutica. Los resultados muestran apreciaciones positivas en terapeutas y usuarias, el desarrollo de una relación terapéutica adecuada y avances en tres de los cuatro indicadores cuantitativos de cambio. Se concluye que el protocolo está en condiciones de utilizarse en estudios controlados.
Open Access
Spanish adaptation of the Solution-Focused Inventory (SFI)
(Sociedad Chilena de Psicología Clínica, 2017) Neipp López, María del Carmen; Tirado, Sonia; Beyebach, Mark; Martínez González, María del Carmen; Psicología y Pedagogía; Psikologia eta Pedagogia
El objetivo de este estudio fue analizar las propiedades psicométricas del Cuestionario Centrado en Solucio-nes (ccs) en una muestra española, replicando el estudio original de Grant et al. (2012). El CCS está diseñado para evaluar los pensamientos centrados en las soluciones, compuesta de tres subescalas: distanciamiento del problema, orientación a la meta y activación de recursos. Fue traducido y adaptado al castellano, posteriormente se realizaron dos estudios para examinar sus propiedades psicométricas. El primer estudio confirmó la estructura del instrumento y obtuvo una buena consistencia interna. El segundo estudio confirmó su validez convergente; el CCS correlacionó positivamente con el bienestar, resiliencia, satisfacción con la vida y toma de perspectiva, y negativamente con una medida de psicopatología. El segundo estudio confirmó la estabilidad, a lo largo del tiempo. Estos dos estudios confirman que el CCS es una medida que evalúa pensamientos centrados en las soluciones y puede ser utilizado para población española. The aim of this study was to examine the psychometric properties of the solution-Focused inventory (sFi) in a spanish population, replicating the original validation study of grant et al. (2012). the SFi, designed to evaluate solution-focused thinking, is a 12-item scale with three subscales: problem disengagement, goal orientation and resource activation. The instrument was adapted and translated into spanish, then two studies were carried out to examine its psychometric properties. The first study confirmed the instrument ́s structure, and its good internal consistency. The second study confirmed its convergent validity; SFI was positively correlated with measures of well-being, resilience, satisfaction with life and perspective taking, and negatively correlated with psychopathology. This second study confirmed the stability of the SFI scores across time. in sum, these two studies provide additional support for the reliability and validity of the sFi as a measure of solution-focused thinking, and open its use to spanish-speaking populations.
Open Access
Solution-focused versus problem-focused questions: differential effects of miracles, exceptions and scales
(Wiley, 2021) Neipp López, María del Carmen; Beyebach, Mark; Sánchez Prada, Andrés; Delgado Álvarez, María del Carmen; Ciencias de la Salud; Osasun Zientziak
The differential impact of solution-focused brief therapy questions was tested. A total of 246 subjects described a personal problem they wanted to solve and were randomly assigned to one of four interventions that involved answering problem-focused versus solution-focused questions: a problem-focused condition, a miracle condition, a scaling condition or an exception condition. Before and after answering the questions, participants completed measures of positive and negative affect, self-efficacy, goal attainment, action steps and solution-focused thinking. The miracle and exception conditions were more effective than the problem-focused condition in reducing negative affect. The scaling condition generated more action steps than the miracle question or the exception question. These findings support solution-focused ideas on the different effects of solution-focused questions, but also suggest that solution-focused and problem-focused questions might be more similar than different in their immediate impact on clients. Practitioner points: Solution-focused and problem-focused questions are more similar than different in their immediate impact on clients. Among solution-focused questions, the miracle question and the exception question are more effective in reducing negative affect, and scaling questions in generating specific action steps. Integrative therapists could use solution-focused questions not only with clients who seem more optimistic but also with less solution-minded ones.
Open Access
Terapia sistémica breve en personas expuestas a un evento altamente estresante reciente: Un ensayo controlado aleatorizado
(Sociedad Chilena de Psicología Clínica, 2022) Concha Ponce, Pablo; García, Felipe E.; Beyebach, Mark; Aravena, Valentina; Ciencias de la Salud; Osasun Zientziak
Antecedentes: Los eventos altamente estresantes pueden tener efectos nocivos en el bienestar y salud mental en las personas. Objetivo: Evaluar la eficacia de un protocolo de intervención preventiva basado en la Terapia Sistémica Breve orientado a personas que vivenciaron de manera reciente un evento altamente estresante. Método: Participaron 75 personas, 39 conformaron el grupo experimental y 36 el grupo control. Para el análisis de los datos se siguió un diseño cuantitativo con dos grupos (experimental y control) y con dos puntos temporales (pre y post-intervención). Al grupo experimental se añadió un seguimiento a los seis meses. El protocolo estuvo estructurado en cuatro sesiones y apuntaba a incidir sobre los síntomas postraumáticos, el crecimiento postraumático, la respuesta rumiativa y las estrategias de afrontamiento. Resultados: Se observó un aumento del crecimiento postraumático, de la rumiación deliberada, del afrontamiento centrado en el problema y de la reinterpretación positiva en el grupo experimental. En cambio, solo hubo una tendencia no significativa en la reducción de la sintomatología postraumática y en la búsqueda de apoyo social. Conclusiones: Estos resultados contribuyen al desarrollo de la Terapia Sistémica Breve y apoyan su utilidad en la intervención preventiva con personas expuestas a un evento altamente estresante.
Open Access
Bibliometric differences between WEIRD and non-WEIRD countries in the outcome research on Solution-Focused Brief Therapy
(Frontiers Media, 2021) Beyebach, Mark; Neipp López, María del Carmen; Solanes-Puchol, Ángel; Martín-del-Río, Beatriz; Ciencias de la Salud; Osasun Zientziak
Solution Focused Brief Therapy (SFBT) developed in parallel to Positive Psychology, as a type of intervention that also emphasizes the strengths and resources of clients. The aim of this study was to examine the development of outcome research on SFBT and to determine whether it is predominantly carried out in Western, Educated, Industrialized, Rich and Democratic (WEIRD) countries. A literature review was conducted using a bibliometric methodology, identifying: (a) authors and countries, (b) time trends, (c) language of publications; (d) and journals; (e) samples on which they were tested; (f) characteristics of interventions; and (g) main study designs. A total of 365 original outcome research articles published in scientific journals on solution-focused interventions were extracted. The results show that outcome research on SFBT has grown steadily over the last three decades. Although it started in WEIRD countries, the number of outcome research publications generated in non-WEIRD countries is now higher. There is little international collaboration and, although English is the main language of publication in WEIRD countries, English, Chinese and Parsi predominate in non-WEIRD countries. Productivity is low and most authors have only published one paper. The journals that have published the most papers have a very diverse visibility. The tested interventions are conducted both in clinical and non-clinical samples; mostly in individual and group format; face-to-face; and not only in the form of psychotherapy, but also as coaching and school interventions. Almost half of the publications are randomized controlled trials. The results confirm the wide applicability of SFBT as a single or main component of psychosocial interventions. They support the claim that solution-focused interventions are not a WEIRD practice, but a global practice.
Open Access
The global outcomes of solution-focused brief therapy: a revision
(Taylor & Francis, 2022) Neipp López, María del Carmen; Beyebach, Mark; Ciencias de la Salud; Osasun Zientziak; Universidad Pública de Navarra / Nafarroako Unibertsitate Publikoa
Solution-focused Brief Therapy (SFBT) has generated outcome research worldwide and in a variety of intervention contexts. A systematic literature search yielded 251 published outcome studies on SFBT. SFBT was found superior to control groups or at post-test in almost nine out of every ten studies. Taking only 91 randomized controlled trials (RCTs) into account, SFBT was still found superior in seven out of every ten. Results varied slightly according to intervention type and format, manualization, and components of SFBT. They also varied more according to type of comparator and use of diagnostic criteria. These results widen the evidence base for SFBT.
Open Access
Effectiveness and cost-effectiveness of a solution-focused intervention in child protection services
(Elsevier, 2022) Medina Machín, Antonio; Beyebach, Mark; García, Felipe E.; ; Ciencias de la Salud; Osasun Zientziak; Universidad Pública de Navarra
The purpose of this research was to evaluate the impact on child welfare of introducing solution-focused principles and intervention techniques in the local child protection service of the island of Tenerife, Spain. 152 workers from 34 local child protection teams participated in the study. Goal achievement, parent's and children’s self-reported well-being, and statutory child welfare measures were recorded during one year. Then the child protection teams were randomly assigned to a control or an experimental condition. 73 workers in the experimental condition, serving 271 families, received 30 h of training and 30 h of supervision in solution-focused brief therapy (SFBT). 79 workers in the control condition, serving 206 families, continued to intervene as usual. The dependent variables were evaluated again in the experimental and in the control group one year after the supervision in SFBT had finished. Results indicate that the experimental and the control group had equivalent outcomes at pre-test. At post-test, the experimental group achieved better outcomes than the control group: workers’ and parents’ goal achievement ratings as well as parents’ and children well-being ratings were higher, fewer cases had been referred to risk teams, fewer children had been removed from their homes and recidivism was lower. The effects were small for goal achievement, medium for recidivism, and large for well-being and child removal. The teams that used SFBT reached these outcomes with fewer sessions and allocating fewer additional resources than the control group.