The therapeutic effects of providing patient progress information to therapists and patients

Hawkins, Eric J.; Lambert, Michael J.; Vermeersch, Dave A.; Slade, Karstin; Tuttle, Kenneth C.

doi:10.1093/ptr/kph027

Cited by 213 publications

(270 citation statements)

References 31 publications

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“…They have achieved higher participation rates than in our study possibly because the OQ-45 was a standard tool for all patients in those studies. However in the Hawkins et al study [12], which has many similarities with our study, the acceptance rate was 44%, which is rather low considering that OQ-45 was a standard tool in their setting.…”

Section: Limitationscontrasting

confidence: 47%

“…The study was performed in a hospital outpatient setting, while the other studies were conducted at a large university counselling centre. The mean intake OQ-45 score was larger in the Hawkins et al [12] sample (83 points versus 70 points with SDs of 22-23 in all other studies).…”

Section: Introductionmentioning

confidence: 55%

“…In these studies therapists directly recruited the patients, which may have increased participation rates. However, other studies have used similar recruitment procedures to our study [9][10][11][12][13][14]. They have achieved higher participation rates than in our study possibly because the OQ-45 was a standard tool for all patients in those studies.…”

Section: Limitationsmentioning

confidence: 76%

“…The Hawkins et al study (2004) [12] differs in several aspects from the other studies. The study was performed in a hospital outpatient setting, while the other studies were conducted at a large university counselling centre.…”

Section: Introductionmentioning

confidence: 83%

“…A recent meta-and mega-analytic review [8] of data from six large studies [9][10][11][12][13][14] reported that different feedback procedures were effective in enhancing treatment outcome, especially for those patients at risk of treatment failure. A total of 6,151 subjects were included and, of these, 1,382 (22%) were at risk of treatment failure.…”

Section: Introductionmentioning

confidence: 99%

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Intervention with feedback using Outcome Questionnaire 45 (OQ-45) in a Swedish psychiatric outpatient population. A randomized controlled trial

Hansson

Rundberg

Österling

et al. 2012

Nordic Journal of Psychiatry

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Intervention with feedback using Outcome Questionnaire 45 (OQ-45) in a Swedish psychiatric outpatient population. A randomized controlled trial.Hansson, Helena; Rundberg, Jenny; Österling, Agneta; Öjehagen, Agneta; Berglund, Mats Hansson, H., Rundberg, J., Österling, A., Öjehagen, A., & Berglund, M. (2013). Intervention with feedback using Outcome Questionnaire 45 (OQ-45) in a Swedish psychiatric outpatient population. A randomized controlled trial. Nordic Journal of Psychiatry, 67(4), 274-281. DOI: 10.3109/08039488.2012.736534 General rights Copyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.• Users may download and print one copy of any publication from the public portal for the purpose of private study or research.• You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal ABSTRACT AimThe objective of the study was to evaluate the efficacy of the Outcome Questionnaire 45 (OQ-45) with feedback in a Swedish psychiatric outpatient population using a randomised controlled design. MethodIn all 1,720 patients made at least one regular visit to the clinics in the period 12 February 2007 to 10 February 2008 and received information about the study. Of these, 374 patients (22%) agreed to participate. After written consent, 188 patients were randomised to the feedback group and 186 patients to the control group .Those constituted the intention to treat, ITT group. 262 patients (70%) completed the OQ-45 questionnaire at least twice, and they were included in the per protocol analysis. Those who improved less than expected and were at risk for treatment failure were called alerted patients. ResultsThere was a tendency that patients who received feedback improved more than the controls in OQ-45 total score. In the ITT analysis the p-value was 0.061 and the effect size g=0.21. In the per protocol analysis the p-value was 0.076 and the effect size g=0.24. In the intervention group, 27% of the patients were alerted because of risk of treatment failure versus 28% in the control group (reaching level of alertness). The OQ-45 differences between the intervention and control groups did not significantly differ for patients who were alerted/reaching level of alertness and for non-alerted patients (g=0.17 and g=0.28, respectively). ConclusionsThe feedback group had a tendency to improve more than the control group, possibly indicating that the method is effective, and the result (basically) supports previous findings.

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Section: Limitationscontrasting

confidence: 47%

Section: Introductionmentioning

confidence: 55%

Section: Limitationsmentioning

confidence: 76%

Section: Introductionmentioning

confidence: 83%

Section: Introductionmentioning

confidence: 99%

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Intervention with feedback using Outcome Questionnaire 45 (OQ-45) in a Swedish psychiatric outpatient population. A randomized controlled trial

Hansson

Rundberg

Österling

et al. 2012

Nordic Journal of Psychiatry

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Implementing Measurement-Based Care in Behavioral Health

et al. 2019

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Routine use of patient reported outcome measures (PROMs) for improving treatment of common mental health disorders in adults

Kendrick

El-Gohary

Stuart

et al. 2016

Cochrane Database of Systematic Reviews

182

164

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We found insufficient evidence to support the use of routine outcome monitoring using PROMs in the treatment of CMHDs, in terms of improving patient outcomes or in improving management. The findings are subject to considerable uncertainty however, due to the high risk of bias in the large majority of trials meeting the inclusion criteria, which means further research is very likely to have an important impact on the estimate of effect and is likely to change the estimate. More research of better quality is therefore required, particularly in primary care where most CMHDs are treated.Future research should address issues of blinding of assessors and attrition, and measure a range of relevant symptom outcomes, as well as possible harmful effects of monitoring, health-related quality of life, social functioning, and costs. Studies should include people treated with drugs as well as psychological therapies, and should follow them up for longer than six months.

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The therapeutic effects of providing patient progress information to therapists and patients

Cited by 213 publications

References 31 publications

Intervention with feedback using Outcome Questionnaire 45 (OQ-45) in a Swedish psychiatric outpatient population. A randomized controlled trial

Intervention with feedback using Outcome Questionnaire 45 (OQ-45) in a Swedish psychiatric outpatient population. A randomized controlled trial

Implementing Measurement-Based Care in Behavioral Health

Routine use of patient reported outcome measures (PROMs) for improving treatment of common mental health disorders in adults

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