A mixed-method investigation of patient monitoring and enhanced feedback in routine practice: Barriers and facilitators

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 ther...

Full description

Bibliographic Details
Main Authors:	Lucock, Mike, Halstead, Jeremy, Leach, Chris, Barkham, Michael, Tucker, Samantha, Randal, Chloe, Middleton, Joanne, Khan, Wajid, Catlow, Hannah, Waters, Emma, Saxon, David
Format:	Online
Language:	English
Published:	Routledge 2015
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4867876/

id	pubmed-4867876
recordtype	oai_dc
spelling	pubmed-48678762016-05-23 A mixed-method investigation of patient monitoring and enhanced feedback in routine practice: Barriers and facilitators Lucock, Mike Halstead, Jeremy Leach, Chris Barkham, Michael Tucker, Samantha Randal, Chloe Middleton, Joanne Khan, Wajid Catlow, Hannah Waters, Emma Saxon, David Original Articles 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. Routledge 2015-11-02 2015-10-05 /pmc/articles/PMC4867876/ /pubmed/26436605 http://dx.doi.org/10.1080/10503307.2015.1051163 Text en © 2015 The Author(s). Published by Taylor & Francis. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Lucock, Mike Halstead, Jeremy Leach, Chris Barkham, Michael Tucker, Samantha Randal, Chloe Middleton, Joanne Khan, Wajid Catlow, Hannah Waters, Emma Saxon, David
spellingShingle	Lucock, Mike Halstead, Jeremy Leach, Chris Barkham, Michael Tucker, Samantha Randal, Chloe Middleton, Joanne Khan, Wajid Catlow, Hannah Waters, Emma Saxon, David A mixed-method investigation of patient monitoring and enhanced feedback in routine practice: Barriers and facilitators
author_facet	Lucock, Mike Halstead, Jeremy Leach, Chris Barkham, Michael Tucker, Samantha Randal, Chloe Middleton, Joanne Khan, Wajid Catlow, Hannah Waters, Emma Saxon, David
author_sort	Lucock, Mike
title	A mixed-method investigation of patient monitoring and enhanced feedback in routine practice: Barriers and facilitators
title_short	A mixed-method investigation of patient monitoring and enhanced feedback in routine practice: Barriers and facilitators
title_full	A mixed-method investigation of patient monitoring and enhanced feedback in routine practice: Barriers and facilitators
title_fullStr	A mixed-method investigation of patient monitoring and enhanced feedback in routine practice: Barriers and facilitators
title_full_unstemmed	A mixed-method investigation of patient monitoring and enhanced feedback in routine practice: Barriers and facilitators
title_sort	mixed-method investigation of patient monitoring and enhanced feedback in routine practice: barriers and facilitators
description	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.
publisher	Routledge
publishDate	2015
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4867876/
_version_	1613579629931528192

A mixed-method investigation of patient monitoring and enhanced feedback in routine practice: Barriers and facilitators

Similar Items