Krageloh 2015

Krageloh, C., Czuba, K., Billington, R., Siegert, R. J., Kersten, P. (2015). Using feedback from patient-reported outcome measures in mental health services: A scoping study and typology. Psychiatric Services, 66(3), 224-241

Contact corresponding author: Chris Krageloh 015


Objective: Routine evaluation of mental health services has become widespread, and the use of patient-reported out- come measures (PROMs) as clinical aids or discussion tools has been receiving increasing attention. The purpose of this scoping study was to provide a typology of the diverse ways in which studies reporting on PROM use in mental health services have utilized PROMs.
Methods: Iterative scoping searches of the literature iden- tified 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 use of PROM feedback, ranging from no feedback to patient and clinician to clinician-patient discussion that followed a for- malized structure.
Results: Of the 172 studies that were identified, 27 were grouped into five categories, ranging from studies in which
there was no PROM feedback to 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 reported some significant effects of feedback compared with a control condition, and two reported partial significant effects.
Conclusions: The proposed procedural typology helps ex- plain the diversity of results from studies reporting on the effects of PROM feedback, by highlighting that PROM feed- back appears to be more effective when integrated in a for- malized and structured manner. Future work is required to isolate these effects from common procedural correlates, such as monitoring of the therapeutic alliance.

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