The Expanding Relevance of Routinely Collected Outcome Data for Mental Health Care Decision Making

Boswell, James F.; Constantino, Michael J.; Kraus, David R.; Bugatti, Matteo; Oswald, Jennifer M.

doi:10.1007/s10488-015-0649-6

Cited by 41 publications

(44 citation statements)

References 58 publications

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“…Over recent years, the importance of capturing the client perspective has been acknowledged (5). ROM data is important for treatment planning and quality assurance (6-9) and allows organisations to understand, evaluate and improve service delivery (9,10). From a research perspective, ROM data provides insight into which clients receive the most benefit from services and how variations in care may impact engagement and outcomes (9).…”

Section: Introductionmentioning

confidence: 99%

Developing a mHealth Routine Outcome Monitoring and Feedback App (“SMART Track”) to Support Self-Management of Addictive Behaviours

et al. 2021

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Background: Routine outcome monitoring (ROM) has been implemented across a range of addiction treatment services, settings and organisations. Mutual support groups are a notable exception. Innovative solutions are needed. SMART Track is a purpose built smartphone app designed to capture ROM data and provide tailored feedback to adults attending Australian SMART Recovery groups for addictive behaviour(s).Objective: Details regarding the formative stage of app development is essential, but often neglected. Improved consideration of the end-user is vital for curtailing app attrition and enhancing engagement. This paper provides a pragmatic example of how principles embedded in published frameworks can be operationalised to address these priorities during the design and development of the SMART Track app.Methods: Three published frameworks for creating digital health technologies (“Person-Based Approach,” “BIT” Model and IDEAS framework) were integrated and applied across two stages of research to inform the development, design and content of SMART Track. These frameworks were chosen to ensure that SMART Track was informed by the needs and preferences of the end-user (“Person-Based”); best practise recommendations for mHealth development (“BIT” Model) and a collaborative, iterative development process between the multi-disciplinary research team, app developers and end-users (IDEAS framework).Results: Stage one of the research process generated in-depth knowledge to inform app development, including a comprehensive set of aims (clinical, research/organisation, and usage); clear articulation of the target behaviour (self-monitoring of recovery related behaviours and experiences); relevant theory (self-determination and social control); appropriate behavioural strategies (e.g., behaviour change taxonomy and process motivators) and key factors that may influence engagement (e.g., transparency, relevance and trust). These findings were synthesised into guiding principles that were applied during stage two in an iterative approach to app design, content and development.Conclusions: This paper contributes new knowledge on important person-centred and theoretical considerations that underpin a novel ROM and feedback app for people with addictive behaviour(s). Although person-centred design and best-practise recommendations were employed, further research is needed to determine whether this leads to improved usage outcomes.Clinical Trial Registration: Pilot Trial: http://anzctr.org.au/Trial/Registration/TrialReview.aspx?id=377336.

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Section: Introductionmentioning

confidence: 99%

Developing a mHealth Routine Outcome Monitoring and Feedback App (“SMART Track”) to Support Self-Management of Addictive Behaviours

et al. 2021

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“…Patients have difficulty selecting mental health providers (Boswell, Constantino, Kraus, Bugatti & Oswald, ) and other healthcare providers. With the movement toward measurement‐based care (MBC), the role of routine outcomes monitoring (ROM) data is likely to increase over time in managing care (Boswell & Constantino, ) and it remains to be seen how consumers’ interest and confidence in using such data to select providers will evolve.…”

Section: Board Certification Benefits Consumersmentioning

confidence: 99%

To Be or Not to Be Board Certified? A Question of Quality and Identification for Psychologists

Robiner

Fossum

2017

J Appl Biobehavioral Res

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Achieving board certification in psychology is an important step in a psychologist's professional development. Board certification serves as a quality indicator for consumers, employers, and other stakeholders while providing enhanced opportunities for psychologists who complete the peer-review process that leads to it. This commentary provides an update on trends in board certification in psychology and explores the roles and benefits of board certification as well as barriers to pursuing board certification. Board certification is an important issue to consider because more mental and physical healthcare clinicians and researchers are now embracing the biopsychosocial model. Board certification could well help with maximizing reimbursement or clinical opportunities, as well as produce a greater understanding of the biobehavioral underpinnings of comorbid mental and physical disorders. Specialist data from the American Board of Professional Psychology and membership data from the American Psychological Association were reviewed across specialty areas. The work was archival and involved no human subjects, and therefore, this study was exempt from review by the Institutional Review Board of the University of Minnesota. There are currently 4,198 board certifications across the 15 boards of the American Board of Professional Psychology. These represent a relatively small proportion (less than 4%) of U.S. licensed psychologists. The numbers correlate positively with membership levels in corresponding APA divisions. Between 2011 and 2015, there was a 25.8% increase in the number of board-certified psychologists. Board certification appears to be undergoing a period of rapid growth among psychologists. This trend appears to reflect multiple factors, including an increased number of boards representing expanding areas of specialization in the field, a growing interest in board certification as part of increasing quality emphasis within healthcare, and psychologists' desire to distinguish themselves in a competitive marketplace. Board certification in diverse areas, including clinical health psychology, affords various professionally and personally rewarding linkages and opportunities.To be or not to be board certified is a question psychologists wrestle with as they ponder whether (or not) to pursue advanced specialty board certification.

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“…A wide body of research has demonstrated that when ROM is used consistently, frequently enough, in a digestible way, and in a timely fashion with psychometrically sound standardized measurement tools, it has potential to improve many facets of patient care, including communication between providers and patients, provider diagnostic ability, treatment planning, progress monitoring, symptom reduction, outcome effect size, detection of deterioration, patient engagement, and patient retention 2‐26 . Moreover, on a clinic level, ROM can be used to evaluate treatment effectiveness, identify patterns among providers and patients, develop innovative population‐based treatments, and inform decision making on allocation of resources 27 . Since 2018, these findings have led the Joint Commission on Accreditation of Healthcare Organizations ( JCAHO ) to mandate that behavioural health organizations gather feedback derived through standardized instruments to inform individual‐level patient treatment and organizational performance improvement efforts 28…”

Section: Introductionmentioning

confidence: 99%

Provider perceived barriers and facilitators to integrating routine outcome monitoring into practice in an urban community psychiatry clinic: A mixed‐methods quality improvement project

Wert

Malik

Memel

et al. 2020

Evaluation Clinical Practice

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Background and Aims Although mental health clinics are under increasing pressure to demonstrate value and routine outcome monitoring (ROM) has become a mandated component of care, providers have been slow to adopt ROM into practice, with some estimating that less than 20% of mental health clinicians use it consistently in the United States. This article explores perceived barriers and facilitators to integrating ROM into practice among clinicians and administrators in a large urban US community psychiatry clinic. Method One hundred and thirty‐eight clinical and administrative staff were administered an anonymous web‐based survey to elicit attitudes towards ROM. Responses were summarized descriptively and qualitatively synthesized into a conceptual model using inductive thematic analysis. Results Common barriers to integration included insufficient time to collect and/or use measures, not knowing what measures to use, measures being difficult to access, and insufficient training. Facilitators included increased access/ease of use, training and support, measure relevance/validity, and accountability. Conclusions In order for psychiatry clinics to successfully implement ROM into practice, they must diagnose organization‐side barriers and translate this knowledge into actionable quality improvement initiatives ranging from the infrastructural to the cultural.

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The Expanding Relevance of Routinely Collected Outcome Data for Mental Health Care Decision Making

Cited by 41 publications

References 58 publications

Developing a mHealth Routine Outcome Monitoring and Feedback App (“SMART Track”) to Support Self-Management of Addictive Behaviours

Developing a mHealth Routine Outcome Monitoring and Feedback App (“SMART Track”) to Support Self-Management of Addictive Behaviours

To Be or Not to Be Board Certified? A Question of Quality and Identification for Psychologists

Provider perceived barriers and facilitators to integrating routine outcome monitoring into practice in an urban community psychiatry clinic: A mixed‐methods quality improvement project

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