Using Feedback From Patient-Reported Outcome Measures in Mental Health Services: A Scoping Study and Typology

Abstract

Disclosures and AcknowledgementsThis study was funded by a contestable grant from the Faculty of Health and Environmental Sciences at Auckland University of Technology. Note that various terms are used to describe people receiving mental health services, including patients, clients, consumers, and service users (96). In order to be consistent with the established term PROM, we will occasionally refer to this group as patients, while acknowledging the sensitivity of this term, particularly to those who regard themselves as service users in recovery. Methods: Iterative scoping searches of the literature identified articles reporting on the use of PROM feedback in mental health settings, which were then categorized to develop a typology along a dimension of intensity of PROM feedback, ranging from no feedback to patient and clinician to clinician-patient discussion that followed a formalized structure. Results:Of the 172 studies that were identified, 27 were grouped into five categories, ranging from no PROMs feedback to either clinician or patient to studies in which a formalized structure was available by which PROM feedback could be discussed between clinician and patient. Of the 11 studies in the category with formalized feedback, nine studies reported some significant effects of feedback compared to a control condition, and two reported partial effects. Conclusions:The proposed procedural typology helps explain the diversity of results from studies reporting on the effects of PROM feedback, by highlighting that PROM feedback appears to be more effective when integrated in a formalized and structured manner. Future work is required to isolate these effects from common procedural correlates, such as monitoring of therapeutic alliance.2

Functionality and feedback: a realist synthesis of the collation, interpretation and utilisation of patient-reported outcome measures data to improve patient care

“…There are 16 reviews of the quantitative/randomised controlled trial (RCT) literature on the feedback of individual-level PROMs data 24,[41][42][43][44][45][46][47][48][49][50][51][52][53][54][55][56] and one review currently in progress. 57 There is also one review of qualitative studies 58 and four mixed-method reviews.…”

“…Of these reviews, one focused on screening for mental health problems 51 in primary and secondary care, and four others focused on the use of PROMs feedback in specialist mental health settings. 41,45,47,50 Four reviews focused on use of PROMs in…”

“…This programme theory underlies much of the research examining PROMs feedback within psychotherapy; for example, randomised trials have assessed the effects of providing feedback on patient progress to therapists, with a particular focus on highlighting patients who are not making the expected improvements. 41,50,310 In these trials, therapists use the PROMs as part of their own review of whether or not therapy is working, without necessarily discussing the feedback as part of the patient consultation. Furthermore, standardised outcome measures have also been used by multidisciplinary teams to inform clinical decision-making.…”

“…(n = 66), Greenhalgh et al 62,65 (n = 59 + 41), Boyce et al 58 (n = 71) and Krageloh et al 41 (n = 70). Both the forward citation tracking references (n = 605) and the backward citation references lists (n = 372, without deduplication) were screened by JG and EG according to the following inclusion and exclusion criteria.…”

Routine Outcome Monitoring in Mental Health Care and Particularly in Addiction Treatment: Evidence-Based Clinical and Research Recommendations

“…However, what evidence for these benefits is available so far? In summary, the empirical evidence on the effectiveness of ROM or ROM feedback in mental health treatment of adult psychiatric patients is as follows [1,10,11,39,[50][51][52][53][54][55][56][57][58][59].…”