Attitudes of Mental Health Professionals Towards the Use of Routine Outcome Monitoring in Psychotherapeutic Inpatient Settings: A Thematic Analysis.

IF 2 3区 医学 Q3 HEALTH POLICY & SERVICES
Julia Barbara Krakowczyk, Martin Teufel, Eva-Maria Skoda, Christoph Jansen, Tania Lalgi, Lennart Martens, Ulrike Dinger, Wolfgang Lutz, Alexander Bäuerle
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Abstract

Routine outcome monitoring (ROM) involves the systematic recording of patient-reported outcome measures to monitor treatment progress and outcomes within psychotherapy. It represents an evidence-based approach to enhance psychotherapeutic treatment outcomes. However, it remains a rather controversial topic among mental health care professionals (MHP), resulting in its limited use in clinical practice, especially in inpatient settings. This qualitative interview study aimed to gain a comprehensive understanding of MHP attitudes towards ROM and its implementation within psychotherapeutic inpatient settings in Germany. In this study, semi-structured interviews were conducted with MHP working in the psychotherapeutic inpatient setting in the German healthcare system. Three independent researchers inductively coded the data, and thematic codebook analysis was used to evaluate the data iteratively. In total, 20 participants (14 medical doctors, and 6 clinical psychologists) with varying levels of working experience participated in the present study. The general attitude towards ROM and its implementation was predominantly positive, with ROM being perceived as a helpful feature to support psychotherapeutic inpatient treatment. However, possible pitfalls requiring careful consideration were highlighted, such as the risk of potential misuse and additional workload. The insights of the present study contribute to the ongoing discourse of ROM in mental health care. The study highlights the importance of proper implementation strategies and transparent communication regarding the relevance, aims, and use of ROM. Moreover, it highlights potential risks and perceived disadvantages associated with ROM, which may be related to implementation barriers and possible negative attitudes among MHP.

精神卫生专业人员对在精神治疗住院设置中使用常规结果监测的态度:专题分析。
常规结果监测(ROM)包括系统记录患者报告的结果措施,以监测心理治疗的治疗进展和结果。它代表了一种以证据为基础的方法来提高心理治疗的效果。然而,在精神卫生保健专业人员(MHP)中,它仍然是一个相当有争议的话题,导致其在临床实践中的使用有限,特别是在住院环境中。本定性访谈研究旨在全面了解MHP对ROM的态度及其在德国心理治疗住院患者环境中的实施情况。在这项研究中,半结构化访谈与在德国医疗保健系统的精神治疗住院设置工作的MHP进行。三位独立研究者对数据进行归纳编码,并采用主题码本分析法对数据进行迭代评价。共有20名具有不同工作经验的参与者(14名医生和6名临床心理学家)参加了本研究。对ROM及其实施的普遍态度主要是积极的,ROM被认为是支持心理治疗住院治疗的有益特征。但是,强调了需要仔细考虑的可能的缺陷,例如潜在的滥用风险和额外的工作量。本研究的见解有助于ROM在精神卫生保健中的持续论述。该研究强调了适当的实施策略和透明沟通的重要性,包括ROM的相关性、目标和使用。此外,它还强调了与ROM相关的潜在风险和可感知的缺点,这可能与MHP的实施障碍和可能的消极态度有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
5.20
自引率
7.70%
发文量
50
期刊介绍: The aim of Administration and Policy in Mental Health and Mental Health Services is to improve mental health services through research. This journal primarily publishes peer-reviewed, original empirical research articles.  The journal also welcomes systematic reviews. Please contact the editor if you have suggestions for special issues or sections focusing on important contemporary issues.  The journal usually does not publish articles on drug or alcohol addiction unless it focuses on persons who are dually diagnosed. Manuscripts on children and adults are equally welcome. Topics for articles may include, but need not be limited to, effectiveness of services, measure development, economics of mental health services, managed mental health care, implementation of services, staffing, leadership, organizational relations and policy, and the like.  Please review previously published articles for fit with our journal before submitting your manuscript.
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