This is what I need a clinical feedback system to do for me: A qualitative inquiry into therapists’ and patients’ perspectives

Moltu, Christian; Veseth, Marius; Stefansen, Jon; Nøtnes, Jan Christian; Skjølberg, Åse; Binder, Per‐Einar; Castonguay, Louis G.; Nordberg, Samuel S.

doi:10.1080/10503307.2016.1189619

Cited by 65 publications

(69 citation statements)

References 37 publications

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“…Inconsistency can be caused by plausible heterogeneity on how therapists actually use ROM systems, by differences on the type of measures included in the system, or by the algorithms and formats of feedback it provides, the type of therapy, among many other factors. Research is needed that unveils how feedback is used and the mechanisms by which feedback influences outcomes (Amble et al., ; Janse et al., ; Moltu et al., ). Greenhalgh, Long, and Flynn () hypothesized that the lack of consistent impact of outcome feedback into practice may be due to the nomothetic nature of the assessment tools used, which provide too general information, whereas therapeutic processes are individualized.…”

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confidence: 99%

How Routine Patient‐Centered Monitoring Relates to Therapeutic Gains in Family Therapy: A Single‐Case Study

Sales

Ferreira²,

Matos

2018

J Marital Family Therapy

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As routine outcome monitoring systems develop, questions emerge about how therapists incorporate feedback into their practice, and how this relates to therapeutic gains. A case of covert grief was monitored in each session with the Personal Questionnaire and the Helpful Aspects of Therapy instruments. At 4 months follow‐up, the Change Interview was administered. Individualized items facilitated access to the private views and needs of each member, which was useful for case formulation and ongoing personalization of the intervention. Qualitative feedback of treatment experiences helped therapists confirm the impacts of interventions, monitor therapeutic alliance, reformulate clinical hypothesis, and plan sessions. Therapists followed a critical triangulation process to decide the clinical meaning of feedback, according to his/her intervention model, expertise, and case‐specific context.

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mentioning

confidence: 99%

How Routine Patient‐Centered Monitoring Relates to Therapeutic Gains in Family Therapy: A Single‐Case Study

Sales

Ferreira²,

Matos

2018

J Marital Family Therapy

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“…It seems that this type of information is important to patients and facilitates discussions concerning worries that may not be brought up by patients otherwise . Furthermore, a qualitative trial on patients in psychiatric treatment found that open conversation and collaboration were considered important features in a clinical feedback system for patients and therapists alike .…”

Section: Discussionmentioning

confidence: 99%

A review of systematic reviews on the effects of patient‐reported outcome monitoring with clinical feedback systems on health‐related quality of life—implications for a novel technology in obesity treatment

et al. 2018

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Patient-reported outcome monitoring with clinical feedback systems (PRO/CFS) has been employed in many disease states to measure and improve health-related quality of life (HRQOL). Exploring the role of PRO/CFS in treatment for obesity may prove valuable. Systematic reviews were summarized to determine the effectiveness of PRO/CFS on HRQOL in any disease area. Primary studies evaluating the effect of PRO/CFS on HRQOL in treatment for obesity were also considered for inclusion. Systematic searches were performed in The Cochrane Library, PROSPERO, Epistemonikos, HTA, DARE, CINAHL, Medline, Embase, PsycINFO, BMJ Clinical Evidence, PDQ-Evidence and PubPsych. Two reviewers independently screened references until final inclusion and critically appraised included reviews using PRISMA checklist. Five systematic reviews and no primary studies met inclusion criteria. Although results were inconsistent, effectiveness of PRO/CFS on HRQOL was demonstrated in some diseases/treatments (e.g. psychiatric treatment; symptom burden in cancer treatment). No trials using PRO/CFS in treatment for obesity were identified. In some trials, PRO/CFS was not fully integrated into consultations, thereby PRO/CFS was not extensively studied. General effectiveness of PRO/CFS on HRQOL is inconclusive due to heterogeneous and statistically insignificant findings, and lack of stringency in conceptualization and execution of PRO/CFS. There are no data relevant to treatment for obesity. Future studies should use rigorous methodology to examine the effectiveness of PRO/CFS in treatment for obesity.

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“…PM measures are most likely to improve care when clinicians review results promptly and use findings to guide clinical practice (de Jong, van Sluis, Nugter, Heiser, & Spinhoven, ). Further, prior qualitative research evidence suggests that clinicians are more likely to use PM measures that are easy to use and interpret, pose minimal time burden, and measure constructs that they view as essential to patient progress (Bickman et al, ; Moltu et al, ). To optimize implementation and dissemination, a PM measure must not only be valid for assessment of ED symptoms in intensive treatment but must also be viewed as acceptable and useful for informing treatment among stakeholders.…”

Section: Introductionmentioning

confidence: 99%

Development and validation of a progress monitoring tool tailored for use in intensive eating disorder treatment

Espel‐Huynh

Thompson‐Brenner

Boswell

et al. 2020

Euro Eating Disorders Rev

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Objective: Despite calls for routine use of progress and outcome monitoring in private and intensive treatment centres for eating disorders (EDs), existing measures have limited relevance to these supervised treatment settings. This study sought to develop and validate the progress monitoring tool for eating disorders, a multidimensional measure for progress monitoring in the context of intensive ED treatment.Method: Thirty-seven items were generated by a team of content experts, clinicians, and administrative staff from the target treatment setting. Adolescent and adult females (N = 531) seeking residential ED treatment completed the items at admission as part of the clinic's routine assessment battery; 83% were retained for repeat assessment at discharge. Exploratory factor analysis was conducted for preliminary measure development.Results: Results yielded a five-factor, 26-item structure explaining 50% of total variance. Final construct domains included weight and shape concern, ED behaviours and urges, emotion avoidance, adaptive coping, and relational connection. The measure demonstrated adequate internal consistency, sensitivity to change during treatment, and convergence with validated assessment measures. Conclusions: Preliminary data support the progress monitoring tool for eating disorders as a novel and valid multidimensional measure of treatment-relevant constructs. This measure may have utility in measuring treatment progress for patients receiving intensive treatment for EDs. K E Y W O R D Sinpatient, progress monitoring, psychometrics, treatment

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This is what I need a clinical feedback system to do for me: A qualitative inquiry into therapists’ and patients’ perspectives

Abstract: In what should increase our confidence toward core aspects of ROM, we suggest that an integration of relational feedback concepts and stringent clinical dimension tracking into the ROM/CFS can be beneficial.

Cited by 65 publications

References 37 publications

How Routine Patient‐Centered Monitoring Relates to Therapeutic Gains in Family Therapy: A Single‐Case Study

How Routine Patient‐Centered Monitoring Relates to Therapeutic Gains in Family Therapy: A Single‐Case Study

A review of systematic reviews on the effects of patient‐reported outcome monitoring with clinical feedback systems on health‐related quality of life—implications for a novel technology in obesity treatment

Development and validation of a progress monitoring tool tailored for use in intensive eating disorder treatment

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