Using feedback from patient-reported outcome measures in mental health services: a scoping study and typology.
OBJECTIVE
Routine evaluation of mental health services has become widespread, and the use of patient-reported outcome 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 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 use 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 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 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 the therapeutic alliance.
The authors are with the Auckland University of Technology, Auckland, New Zealand. Dr. Krägeloh, Prof. Billington, and Prof. Siegert are with the Department of Psychology and the Centre for Person Centred Research, and Mr. Czuba and Prof. Kersten are with the Centre for Person Centred Research (e-mail: chris.krageloh@aut.ac.nz ).
Christian U
CU
Krägeloh
Karol J
KJ
Czuba
D Rex
DR
Billington
Paula
P
Kersten
Richard J
RJ
Siegert
D003695:Delivery of Health Care / Q000592:standards; D006801:Humans; D001523:Mental Disorders / Q000628:therapy*; D008605:Mental Health Services / Q000592:standards*; D063868:Patient Outcome Assessment; D017060:Patient Satisfaction