title: [ROM measurements in mental health care: users need to be aware of the problems and pitfalls].
abstract: BACKGROUND
  The weaknesses inherent in rom-data in mental health care are largely ignored in Dutch discussions about the pros and cons of rom.
  
  
  OBJECTIVE
  To promote awareness among users and potential users of rom with regard to the limitations of rom data in mental health care.
  
  
  METHODS
  We present a discussion of three types of measurement problems connected with the use of rom data in mental health care: (a) arbitrary calculation rules for identifying changes that are reliable and of clinical significance, (b) arbitrary metrics and constructs and (c) forced objectivation of subjective information.
  
  
  RESULTS
  rom measurements are unreliable for use in mental health care because they lack a stable basis. The problems with these measurements are both psychometric and substantive.
  
  
  CONCLUSIONS
  Anyone using or planning to use rom measurements in mental health care should be aware of fundamental measurement problems associated with rom.
authors.forename: A
authors.initials: A
authors.lastname: Hafkenscheid
authors.forename: J
authors.initials: J
authors.lastname: van Os
mesh_terms: D019985:Benchmarking; D006801:Humans; D001523:Mental Disorders / Q000628:therapy; D008605:Mental Health Services / Q000592:standards*; D009426:Netherlands; D017063:Outcome Assessment, Health Care; D011570:Psychiatry / Q000592:standards*; D011787:Quality of Health Care