Lucock, M., Halstead, J., Leach, C. et al. (8 more authors) (2015) A mixed-method investigation of patient monitoring and enhanced feedback in routine practice: Barriers and facilitators. Psychotherapy Research, 25 (6). 633 - 646. ISSN 1050-3307
Abstract
Objective: To investigate the barriers and facilitators of an effective implementation of an outcome monitoring and feedback system in a UK National Health Service psychological therapy service.
Method: An outcome monitoring system was introduced in two services. Enhanced feedback was given to therapists after session 4. Qualitative and quantitative methods were used, including questionnaires for therapists and patients. Thematic analysis was carried out on written and verbal feedback from therapists. Analysis of patient outcomes for 202 episodes of therapy was compared with benchmark data of 136 episodes of therapy for which feedback was not given to therapists.
Results: Themes influencing the feasibility and acceptability of the feedback system were the extent to which therapists integrated the measures and feedback into the therapy, availability of administrative support, information technology, and complexity of the service. There were low levels of therapist actions resulting from the feedback, including discussing the feedback in supervision and with patients.
Conclusions: The findings support the feasibility and acceptability of setting up a routine system in a complex service, but a number of challenges and barriers have to be overcome and therapist differences are apparent. More research on implementation and effectiveness is needed in diverse clinical settings.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2015 Society for Psychotherapy Research. This is an author produced version of a paper subsequently published in Psychotherapy Research. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | psychological therapies; outcomes monitoring; feedback; implementation |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Science (Sheffield) > Department of Psychology (Sheffield) |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 30 Oct 2015 10:08 |
Last Modified: | 03 Nov 2016 16:45 |
Published Version: | http://dx.doi.org/10.1080/10503307.2015.1051163 |
Status: | Published |
Publisher: | Taylor & Francis |
Refereed: | Yes |
Identification Number: | 10.1080/10503307.2015.1051163 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:91336 |