Journal of Consulting and Clinical Psychology Vol. 86, Iss. 2,  (Feb 2018): 125-139. Objective: Our objective was to assess low-cost and feasible feedback alternatives and compare them to Lambert’s OQ feedback system. We also studied patient, therapist, and process characteristics that could moderate the effect of feedback on outcome, session attendance, and alliance.. To read the full article, log in using your NHS OpenAthens details.