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Date Available

4-13-2026

Year of Publication

2026

Document Type

Master's Thesis

Degree Name

Master of Science in Family Sciences (MSFS)

College

Agriculture, Food and Environment

Department/School/Program

Family Sciences

Faculty

Nathan D. Wood

Faculty

Alexander T. Vazsonyi

Abstract

Routine outcome monitoring (ROM) is recognized as an evidence-informed practice for supporting psychotherapy outcomes, yet limited research has examined how therapists-in-training experience integrating ROM into their clinical development. This autoethnographic study investigated the role of ROM in shaping therapist identity development within a university-based marriage and family therapy training clinic. Qualitative data included 34 reflective journal entries analyzed using reflexive thematic analysis, and quantitative data included multiple client outcome trajectories across several clinical measures compared descriptively with prototypical change trajectories derived from MFT-PRN datasets. Qualitative findings reflected a developmental progression from initial anxiety and performance concerns toward increased confidence, attunement, and integration of outcome feedback within clinical decision-making. Quantitative findings indicated overall alignment between client outcome trajectories and network averages despite variability associated with a small training caseload. These findings suggest that developmentally structured supervision, reflective practice, and guided instruction in ROM may support more effective integration of outcome monitoring into therapist training.

Digital Object Identifier (DOI)

https://doi.org/10.13023/etd.2026.32

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