Monitoring as a Learning and Motivational Tool

Feedback from Outcome Measures and Treatment Effectiveness, Treatment Efficiency, and Collaborative Practice: A Systematic Review

“…This finding dovetails with previous studies (Lambert et al 2003 ) and theories explaining feedback mechanisms, such as the Feedback Intervention Theory (Kluger and De Nisi 1996 ) and self-regulation theory (Scheier and Carver 2003 ), which highlight the role of discrepancy between treatment goals and actual progress as the main drive for behaviour change. Feedback is theorised to not only trigger dissonance due to discrepancy between experienced and expected treatment progress—and consequently, corrective behaviour change—but it also improves patients’ insight into difficulties, whilst providing reassurance that treatment goals are achievable (Michie et al 2008 ).…”

“…Feedback, when openly shared, may also improve collaborative practice, as it facilitates discussion between patients and clinicians about current progress, treatment goals, and therapeutic approaches (Rothwell et al 1997 ; Michie et al 2008 ). Patients receiving feedback regarding their treatment may have a better understanding of their condition as well as the care they receive, which may trigger more active involvement in decision making (Michie et al 2008 ).…”

“…Feedback, when openly shared, may also improve collaborative practice, as it facilitates discussion between patients and clinicians about current progress, treatment goals, and therapeutic approaches (Rothwell et al 1997 ; Michie et al 2008 ). Patients receiving feedback regarding their treatment may have a better understanding of their condition as well as the care they receive, which may trigger more active involvement in decision making (Michie et al 2008 ). It opens space for a greater involvement of patients and their families in treatment (Jones and Delany 2014 ), improving patient-clinician communication both in mental health and physical health settings (Rothwell et al 1997 ), patient satisfaction, and patient experience across a range of health settings (Elwyn et al 2012 ).…”

“…Feedback has also been found to increase patient autonomy, self-confidence (Joosten et al 2011 ; Thomson et al 2007 ), and adherence to treatment recommendations (Desroches et al 2011 ; Wilson et al 2010 ). Feedback also benefits clinicians, as it helps them engage in thinking about patients and it provides them with a greater sense of professional identity (Michie et al 2008 ). Importantly, the impact of feedback on collaborative practice has not been examined in a systematic review.…”

Patient experiences with self-monitoring renal function after renal transplantation: results from a single-center prospective pilot study

“…Patients have to trust the accuracy and reliability of the monitoring device(s) 18 , 19 and their own self-monitoring skills, 20 , 21 and they have to experience support and trust from their clinician as well. 22 , 23 Further, previous studies showed that self-monitoring increased patients’ feelings of security, reassurance, and control over their own medical condition, 13 , 14 , 16 , 24 , 25 suggesting that worrisome patients have more to gain from self-monitoring than those worrying less. On the contrary, self-monitoring bodily symptoms can also rouse intrusive feelings of fear and doubt, especially when frequent self-monitoring picks up even small fluctuations.…”