“I want to know what it is used for”: Clients’ perspectives on completing a routine outcome measure (ROM) while undergoing psychotherapy

Börjesson, Sara; Boström, Petra

doi:10.1080/10503307.2019.1630780

Cited by 22 publications

(21 citation statements)

References 26 publications

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“…The decision to switch from one intervention to another is entirely the participant's choice. This approach strengthens the commitment of participants toward the therapy (60), by reducing feelings of failure or inadequacy which may be raised by psychometric and neurocognitive testing (61). Furthermore, we consider this approach will reduce a potential delayed selection bias.…”

Section: Discussionmentioning

confidence: 80%

Feasibility and Efficacy of a Psychological Therapy for Patients With a Schizophrenic Psychosis in an Inpatient Setting: Study Protocol of a Randomized Switch Controlled Trial

Bossy

Mueller

Seifritz

et al. 2020

Front. Public Health

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Background: Schizophrenic psychoses are severe mental disorders. Despite advances in treatment, outcomes are still unsatisfactory. Pharmacological treatments are still limited, in particular regarding improvements in psychosocial functioning and neuro-cognitive impairment. In recent years new psychological therapies have been developed, demonstrating promising results. However, most of these interventions have been designed for and studied in outpatients; their efficacy and feasibility for patients requiring hospitalization is still unknown. Therefore, we have designed a clinical trial to compare a neuro-cognitive (Integrated Neuro-cognitive Treatment INT); a cognitive-behavioral (Integrated Psychological Therapy IPT); and a control (Cogpack CGP) intervention for patients with a schizophrenic psychosis hospitalized for treatment. Methods: In a three-parallel-arm, single-blind, randomized, controlled study, we compare INT, IPT, and CGP. Participants will take part in two weekly sessions of one intervention for at least 16 sessions. If due to randomization, participants are allocated to a treatment arm not suitable for them, they are allowed to switch intervention after four sessions. Based on a sample size calculation, recruitment will continue until 30 participants have completed the intervention for each treatment arm. Outcome Measurement: Primary outcomes are: change in symptom as measured by the Positive and Negative Syndrome Scale (PANSS), change in psychosocial functioning as assessed by the mini ICF-APP and neuro-cognitive performance, assessed by the Matrics Cognitive Consensus Battery (MCCB). Other outcomes of interest are the Brief Symptom Inventory (BSI) and the Health of the Nation Outcome Scales (HoNOS); together with prescribed medication, treatment retention and completion rates. Outcomes will be measured at baseline, 2 weeks into treatment (prior to a potential switch of intervention arm), post-treatment and at 6 and 12-month post-treatment follow-ups. Expected Outcomes: We expect an overall improvement; however, with differences in specific domains for each treatment arm, with those completing INT showing Redlich Bossy et al. Psychological Interventions for Schizophrenia better outcomes than IPT and CGP, respectively. We anticipate that lower functioning participants will drift to CGP and higher functioning participants to INT. Conclusion: Due to the complexity of treatment for patients with a schizophrenic psychosis, we consider it crucial to compare different treatment options for those more severely affected, therefore, requiring inpatient treatment.

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Section: Discussionmentioning

confidence: 80%

Feasibility and Efficacy of a Psychological Therapy for Patients With a Schizophrenic Psychosis in an Inpatient Setting: Study Protocol of a Randomized Switch Controlled Trial

Bossy

Mueller

Seifritz

et al. 2020

Front. Public Health

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“…All these findings underline that completion of outcome measures is always, even if done alone, psychologically embedded in a relational context (Börjesson & Boström, 2019), and one in which the person offered the measure has ideas and feelings about the process and its possible implications.…”

mentioning

confidence: 83%

“…A number of such studies have focused on the widely used CORE‐OM measure (Evans et al, ; Evans et al, ) and include work in inpatient (Alves, Sales, & Ashworth, ; Guerra et al, ; Perry, Barkham, & Evans, ) and outpatient settings (Börjesson & Boström, ; Kelly, Holttum, Evans, & Shepherd, ), with methods including semi‐structured interviews and focus groups, and with different epistemological and theoretical approaches. Themes that appeared in these studies concerned understanding the measures, their purpose and consequences for treatment, and the characteristics of the staff member who offered the measure [CORE‐OM] to the patient.…”

Section: Introductionmentioning

confidence: 99%

Clients with different problems are different and questionnaires are not blood tests: A template analysis of psychiatric and psychotherapy clients' experiences of the CORE‐OM

Paz

Adana‐Díaz

Evans

2020

Couns and Psychother Res

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Aim To explore the constructions users of mental health services have of outcome and change measures, contrasting those of hospital psychiatric patients with psychotic experiences versus psychotherapy clients in private practice who have not had psychotic experiences. Method Twenty‐four participants, 12 from each setting, were interviewed about their experiences when answering the Clinical Outcomes in Routine Evaluation‐Outcome Measure. Template analysis was used to analyse transcripts from a pragmatic and contextualist position. Findings Participants from both settings understood all the items of the CORE‐OM and generally saw it as useful to assess the psychological distress and to appreciate the progress within the treatment. However, experience of emotions such as sadness and hopelessness, a focus on functioning and an emphasis on impartiality of the person who offers the questionnaire were themes that emerged only for the hospital participants. This is the first study explicitly comparing the experiences of two types of users of mental health care services when answering the CORE‐OM; with the increasing routine use of change measures, reactions of these groups to such measures need to be explored in more detail qualitatively as well as quantitatively. Clinicians in all settings should think carefully about the explanations for the use of change measures, being sure that they address the primary concerns of participants. Scores are not like blood test results, and they arise in the relational context, a construction that includes both local organisational and cultural location.

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“…33 34 Patients have also emphasised the importance of feedback and discussion about their responses. 7 Through this conversation the healthcare professional can address the topics and highlight whether the patient's responses have changed surprisingly in one way or another.…”

Section: Pro/cfs Methodologymentioning

confidence: 99%

“…6 The flexibility of PRO/CFS and its adaptation to the patient's needs and resources was found to be important in a qualitative study in mental health treatment, as patients experienced feedback as being part of treatment if their responses were discussed in the consultation. 7 New approaches to PRO/CFS aim to contain both nomothetic and idiographic strategies through computer-adaptive testing.…”

Section: Open Accessmentioning

confidence: 99%

A novel patient-reported outcome monitoring with clinical feedback system in bariatric surgery care: study protocol, design and plan for evaluation

et al. 2020

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BackgroundConsultations before and after bariatric surgery should include structured assessments of patients’ health-related quality of life (HRQOL) and mental health. One way to conduct this assessment is to implement patient-reported outcome monitoring with a clinical feedback system (PRO/CFS).AimWe will explore patients’ and healthcare professionals’ experiences when a PRO/CFS is an integrated part of bariatric surgery care.Methods and analysesThis is a design paper in which a PRO/CFS will be implemented in two bariatric outpatient clinics. All patients who have an appointment with a healthcare professional prior to, and 3 and 12 months after surgery, will be asked to complete six digital questionnaires measuring HRQOL, mental health, bowel symptoms and eating self-efficacy prior to each consultation. A digital summary report generated from the patient’s responses will form the basis for the clinical consultation. A team of patient representatives, healthcare professionals and researchers will be involved in all phases of designing the PRO/CFS to ensure its relevance for clinical consultations. The patients’ experiences will be explored with a generic 12-item questionnaire, developed for use in outpatient clinics, prior to and 12 months after bariatric surgery. We will conduct focus-group interviews with patients and healthcare professionals to explore their experiences when PRO/CFS is integrated into the consultations.Ethics and disseminationWritten informed consent will be obtained for all participants in the study. The project is approved by the Norwegian Centre for Research Data, Department of Data Protection Services (ref. no. 282738). The project has also undergone Data Protection Impact Assessments, both at Førde Hospital Trust and at St. Olav Hospital (registration no. 2016/3912). Data from the qualitative and quantitative studies will be kept in de-identified form in a secured research database, and the findings will be published in international peer-reviewed journals and presented at scientific conferences.

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“I want to know what it is used for”: Clients’ perspectives on completing a routine outcome measure (ROM) while undergoing psychotherapy

Cited by 22 publications

References 26 publications

Feasibility and Efficacy of a Psychological Therapy for Patients With a Schizophrenic Psychosis in an Inpatient Setting: Study Protocol of a Randomized Switch Controlled Trial

Feasibility and Efficacy of a Psychological Therapy for Patients With a Schizophrenic Psychosis in an Inpatient Setting: Study Protocol of a Randomized Switch Controlled Trial

Clients with different problems are different and questionnaires are not blood tests: A template analysis of psychiatric and psychotherapy clients' experiences of the CORE‐OM

A novel patient-reported outcome monitoring with clinical feedback system in bariatric surgery care: study protocol, design and plan for evaluation

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