Experiences of outcome monitoring in service users with psychosis: Findings from an Improving Access to Psychological Therapies for people with Severe Mental Illness (IAPT‐SMI) demonstration site
<strong>Objectives</strong> Psychological therapy services are increasingly required to instate routine outcome monitoring (ROM), to demonstrate the clinical and economic impact of interventions. Professionals’ views of ROM are an acknowledged barrier to implementation. Service user pers...
| Main Authors: | , , , , , , , , |
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| Format: | Journal article |
| Language: | English |
| Published: |
Wiley
2017
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| _version_ | 1797101855276269568 |
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| author | Fornells-Ambrojo, M Johns, L Onwumere, J Garety, P Milosh, C Iredale, C Peters, E Webster, A Jolley, S |
| author_facet | Fornells-Ambrojo, M Johns, L Onwumere, J Garety, P Milosh, C Iredale, C Peters, E Webster, A Jolley, S |
| author_sort | Fornells-Ambrojo, M |
| collection | OXFORD |
| description | <strong>Objectives</strong> Psychological therapy services are increasingly required to instate routine outcome monitoring (ROM), to demonstrate the clinical and economic impact of interventions. Professionals’ views of ROM are an acknowledged barrier to implementation. Service user perspectives have rarely been examined, but acceptability and perceptions of ROM are critical to successful implementation. We investigated service users’ experiences of ROM in an Improving Access to Psychological Therapies for people with Severe Mental Illness psychosis demonstration site. <strong>Design</strong> ROM comprised a periodic assessment battery completed at baseline, mid‐therapy, and end‐of‐therapy and a single measure completed session‐by‐session. Qualitative and quantitative feedback were sought at each periodic ROM administration, and, for sessional ROM, at mid‐therapy and end‐of‐therapy. Demographic and clinical correlates of satisfaction were examined cross‐sectionally at baseline. Consistency of satisfaction over time and associations of satisfaction with engagement were examined longitudinally. <strong>Methods</strong> Service users rated baseline (n = 281/289), mid‐therapy (n = 114/121), end‐of‐therapy (n = 124/154), and session‐by‐session (mid‐therapy n = 63/87 and end‐of‐therapy n = 90/123) ROM from 0 (‘extremely unhelpful’) to 10 (‘extremely helpful’) and gave qualitative feedback. <strong>Results</strong> Service users predominantly found ROM helpful (score 6–10; 64–72%) or neutral (score 5; 19–29%). Finding ROM less helpful was associated with younger age and poorer general outcomes, but not with psychotic symptoms or therapy dropout. Emerging qualitative themes included feeling understood, valuing opportunities to reflect, expressing feelings, and tracking progress towards goals. Shorter batteries would be preferable, particularly for younger respondents, and those with poorer outcomes. <strong>Conclusions</strong> ROM is acceptable for people with psychosis. Tailoring assessments to specific subgroups should be considered. |
| first_indexed | 2024-03-07T05:57:50Z |
| format | Journal article |
| id | oxford-uuid:eb2179ad-8046-476c-8199-d25abc238ee3 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T05:57:50Z |
| publishDate | 2017 |
| publisher | Wiley |
| record_format | dspace |
| spelling | oxford-uuid:eb2179ad-8046-476c-8199-d25abc238ee32022-03-27T11:07:31ZExperiences of outcome monitoring in service users with psychosis: Findings from an Improving Access to Psychological Therapies for people with Severe Mental Illness (IAPT‐SMI) demonstration siteJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:eb2179ad-8046-476c-8199-d25abc238ee3EnglishSymplectic Elements at OxfordWiley2017Fornells-Ambrojo, MJohns, LOnwumere, JGarety, PMilosh, CIredale, CPeters, EWebster, AJolley, S<strong>Objectives</strong> Psychological therapy services are increasingly required to instate routine outcome monitoring (ROM), to demonstrate the clinical and economic impact of interventions. Professionals’ views of ROM are an acknowledged barrier to implementation. Service user perspectives have rarely been examined, but acceptability and perceptions of ROM are critical to successful implementation. We investigated service users’ experiences of ROM in an Improving Access to Psychological Therapies for people with Severe Mental Illness psychosis demonstration site. <strong>Design</strong> ROM comprised a periodic assessment battery completed at baseline, mid‐therapy, and end‐of‐therapy and a single measure completed session‐by‐session. Qualitative and quantitative feedback were sought at each periodic ROM administration, and, for sessional ROM, at mid‐therapy and end‐of‐therapy. Demographic and clinical correlates of satisfaction were examined cross‐sectionally at baseline. Consistency of satisfaction over time and associations of satisfaction with engagement were examined longitudinally. <strong>Methods</strong> Service users rated baseline (n = 281/289), mid‐therapy (n = 114/121), end‐of‐therapy (n = 124/154), and session‐by‐session (mid‐therapy n = 63/87 and end‐of‐therapy n = 90/123) ROM from 0 (‘extremely unhelpful’) to 10 (‘extremely helpful’) and gave qualitative feedback. <strong>Results</strong> Service users predominantly found ROM helpful (score 6–10; 64–72%) or neutral (score 5; 19–29%). Finding ROM less helpful was associated with younger age and poorer general outcomes, but not with psychotic symptoms or therapy dropout. Emerging qualitative themes included feeling understood, valuing opportunities to reflect, expressing feelings, and tracking progress towards goals. Shorter batteries would be preferable, particularly for younger respondents, and those with poorer outcomes. <strong>Conclusions</strong> ROM is acceptable for people with psychosis. Tailoring assessments to specific subgroups should be considered. |
| spellingShingle | Fornells-Ambrojo, M Johns, L Onwumere, J Garety, P Milosh, C Iredale, C Peters, E Webster, A Jolley, S Experiences of outcome monitoring in service users with psychosis: Findings from an Improving Access to Psychological Therapies for people with Severe Mental Illness (IAPT‐SMI) demonstration site |
| title | Experiences of outcome monitoring in service users with psychosis: Findings from an Improving Access to Psychological Therapies for people with Severe Mental Illness (IAPT‐SMI) demonstration site |
| title_full | Experiences of outcome monitoring in service users with psychosis: Findings from an Improving Access to Psychological Therapies for people with Severe Mental Illness (IAPT‐SMI) demonstration site |
| title_fullStr | Experiences of outcome monitoring in service users with psychosis: Findings from an Improving Access to Psychological Therapies for people with Severe Mental Illness (IAPT‐SMI) demonstration site |
| title_full_unstemmed | Experiences of outcome monitoring in service users with psychosis: Findings from an Improving Access to Psychological Therapies for people with Severe Mental Illness (IAPT‐SMI) demonstration site |
| title_short | Experiences of outcome monitoring in service users with psychosis: Findings from an Improving Access to Psychological Therapies for people with Severe Mental Illness (IAPT‐SMI) demonstration site |
| title_sort | experiences of outcome monitoring in service users with psychosis findings from an improving access to psychological therapies for people with severe mental illness iapt smi demonstration site |
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