Implementing routine outcome monitoring in the treatment of a patient with obsessive‐compulsive disorder

Gómez, Beatriz; Fernández‐Álvarez, Javier; García, Fernando

doi:10.1002/jclp.23418

Cited by 8 publications

(10 citation statements)

References 29 publications

(31 reference statements)

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“…This is where clinical judgement and patient preferences become relevant. As was highlighted by Ogles et al (2022) and to some extent also by Gomez et al (2022), a signal from ROM that a treatment is not-on-track, does not always mean that the treatment selected is not effective for the patient. There might be several reasons why patients report higher levels of symptoms in treatment over time.…”

Section: Rom and Ebpmentioning

confidence: 99%

“…Gomez et al (2022) also used the OQ system but used a briefer version of the OQ measure (OQ‐30). They reported on a Cognitive Integrative therapy for Sandra, a patient who suffered from obsessive compulsive disorder.…”

Section: Introductionmentioning

confidence: 99%

“…All in all, these case illustrations highlight the potential therapeutic benefits of using different types of ROM. All case studies mentioned that the therapist explicitly shared the ROM results with the patients, however, none of the studies explained exactly how this was done (e.g., “discussed the lack of progress with the patient” in [Gomez et al, 2022]; “the therapist showed the profile” in Gomez et al, 2022). Although Terje et al (2022) mention that their therapists were trained and supervised in how to implement ROM, the other studies did not refer to therapist training in the use of ROM.…”

Section: Introductionmentioning

confidence: 99%

“…For example, a deterioration on the symptom measures might not suggest a treatment failure (Ogles et al, 2022). Gomez et al (2022) highlight the discrepancy between the patient's verbally reported progress during the sessions and the results of the self-reported outcome measures and wonder how well standardized measures can correctly reflect a patient's experiences and progress. A particular outcome measure might not provide the most useful feedback, because it might not capture information that would help the psychologists understand the reasons for treatment.…”

mentioning

confidence: 99%

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How to make the most of routine outcome monitoring (ROM): A multitude of clinical decisions and nuances to consider

Doorn

Jong

2022

J Clin Psychol

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Routine outcome monitoring (ROM) involves the use of patient-reported standardized outcome measures to monitor progress throughout the course of treatment, followed by feedback of the patient's scores to the therapist. The How to cite this article: Aafjes-van Doorn, K., & de Jong, K. (2022). How to make the most of routine outcome monitoring (ROM): A multitude of clinical decisions and nuances to consider.

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Section: Rom and Ebpmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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How to make the most of routine outcome monitoring (ROM): A multitude of clinical decisions and nuances to consider

Doorn

Jong

2022

J Clin Psychol

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“…Ogles et al (2022) also work in a university counseling setting in the United States, but show a different ROM system (OQ System). Similarly, Gómez et al (2022) demonstrate the use of ROM with a combination of an outcome measure and a measure for emotion regulation in a patient with obsessive‐compulsive disorder in a private care setting in Argentina. Tilden & Whittaker (2022) show how ROM can assist in looking at the different perspectives of two partners in couples counseling.…”

Section: In This Issuementioning

confidence: 99%

Routine outcome monitoring: The need for case examples

Jong

Doorn

2022

J Clin Psychol

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Routine outcome monitoring (ROM) involves measuring an outcome variable (e.g., symptoms and alliance) at a regular interval over time (e.g., before each session), using a standardized patient self-report measure. Several computerized ROM system exists that also provide the therapist with benchmarks for these measures based on expected treatment responses (ETRs) for a patient, and clinical support tools (CSTs) to help the therapists in making clinician decisions in the treatment. When implementing ROM into clinical practice, a therapist needs to decide what patient-self report measure to use as well as what ROM system might be most clinically helpful and cost-effective. Although the use of ROM has shown to be effective, especially in reducing dropout and reducing deterioration of patients, the implementation of ROM can be challenging. The use of ROM always requires the active involvement of the therapist, but the implementation in treatment may look different for each patient. It is thus helpful to see case illustration of exactly how ROM might be useful or not so useful in clinical practice.

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Routine Outcome Monitoring from Psychotherapists’ Perspectives: A Framework Analysis Study of Expected Benefits and Difficulties

Valdiviezo-Oña,

Unda-López,

Montesano

et al. 2024

Adm Policy Ment Health

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Psychotherapists’ attitudes and expectations towards routine outcome monitoring can impact the likelihood of its fruitful implementation. While existing studies have predominantly focused on Europe and North America, research in Latin America remains limited. The aim of this study is to explore therapists’ expected benefits and difficulties prior to implementing a routine outcome monitoring system in a university psychotherapy service in Ecuador. An exploratory and descriptive cross-sectional qualitative study was carried out with 20 participants aged 21 to 47. Semi-structured interviews were conducted to explore participants’ knowledge about routine outcome monitoring, their expectations of the difficulties, benefits, usability and risks of using a monitoring system, as well as their expectations about their role in the process. The data analysis adhered to the framework analysis methodology, leading to the identification of six overarching themes, 36 specific themes and 82 subthemes. The interviews highlighted a spectrum of positive and negative expectations at several levels: institutional/general, therapeutic process, therapists, and clients. Perceived benefits encompassed various aspects, including the availability of supplementary information, continuous adaptation of the therapeutic process, facilitation of organization and treatment planning, opportunities for professional development, and fostering patient trust and empowerment. On the other hand, anticipated difficulties comprised concerns such as discomfort among therapists and clients, increased workload, system usage and technical difficulties, and the risk of excessive quantification. Overall, participants expressed more anticipated benefits than difficulties. We present recommendations that can support and optimize the current local implementation efforts of routine outcome monitoring, both within this service and in other settings. These recommendations consider ways to meet positive expectations and address or mitigate negative ones.

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Implementing routine outcome monitoring in the treatment of a patient with obsessive‐compulsive disorder

Cited by 8 publications

References 29 publications

How to make the most of routine outcome monitoring (ROM): A multitude of clinical decisions and nuances to consider

How to make the most of routine outcome monitoring (ROM): A multitude of clinical decisions and nuances to consider

Routine outcome monitoring: The need for case examples

Routine Outcome Monitoring from Psychotherapists’ Perspectives: A Framework Analysis Study of Expected Benefits and Difficulties

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