A qualitative process evaluation of electronic session-by-session outcome measurement in child and adolescent mental health services

BACKGROUND: Regular monitoring of patient progress is important to assess the clinical effectiveness of an intervention. Recently, initiatives within UK child and adolescent mental health services (CAMHS) have advocated the use of session-by-session monitoring to continually evaluate the patient’s o...

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Autores principales: Hall, Charlotte L, Taylor, John, Moldavsky, Maria, Marriott, Michael, Pass, Sarah, Newell, Karen, Goodman, Robert, Sayal, Kapil, Hollis, Chris
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4021403/
https://www.ncbi.nlm.nih.gov/pubmed/24731701
http://dx.doi.org/10.1186/1471-244X-14-113
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author Hall, Charlotte L
Taylor, John
Moldavsky, Maria
Marriott, Michael
Pass, Sarah
Newell, Karen
Goodman, Robert
Sayal, Kapil
Hollis, Chris
author_facet Hall, Charlotte L
Taylor, John
Moldavsky, Maria
Marriott, Michael
Pass, Sarah
Newell, Karen
Goodman, Robert
Sayal, Kapil
Hollis, Chris
author_sort Hall, Charlotte L
collection PubMed
description BACKGROUND: Regular monitoring of patient progress is important to assess the clinical effectiveness of an intervention. Recently, initiatives within UK child and adolescent mental health services (CAMHS) have advocated the use of session-by-session monitoring to continually evaluate the patient’s outcome throughout the course of the intervention. However, the feasibility and acceptability of such regular monitoring is unknown. METHOD: Semi-structured qualitative interviews were conducted with clinicians (n = 10), administrative staff (n = 8) and families (n = 15) who participated in a feasibility study of an electronic session-by-session outcome monitoring tool, (SxS), which is based on the Strengths and Difficulties Questionnaire (SDQ). This study took place in three CAMHS clinics in Nottinghamshire. The interview transcripts were thematically analysed. RESULTS: We found clinicians accepted the need to complete outcome measures, particularly valuing those completed by the patient. However, there were some difficulties with engaging clinicians in this practice and in the training offered. Generally, patients were supportive of completing SxS in the waiting room prior to the clinic session and assistance with the process from administrative staff was seen to be a key factor. Clinicians and families found the feedback reports created from SxS to be helpful for tracking progress, facilitating communication and engagement, and as a point of reflection. The use of technology was considered positively, although some technological difficulties hindered the completion of SxS. Clinicians and families appreciated the brevity of SxS, but some were concerned that a short questionnaire could not adequately encapsulate the complexity of the patient’s issues. CONCLUSIONS: The findings show the need for appropriate infrastructure, mandatory training, and support to enable an effective system of session-by-session monitoring. Our findings indicate that clinicians, administrative staff and young people and their parents/carers would support regular monitoring if the system is easy to implement, with a standard ‘clinic-wide’ adoption of the procedure, and the resulting data are clinically useful.
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spelling pubmed-40214032014-05-16 A qualitative process evaluation of electronic session-by-session outcome measurement in child and adolescent mental health services Hall, Charlotte L Taylor, John Moldavsky, Maria Marriott, Michael Pass, Sarah Newell, Karen Goodman, Robert Sayal, Kapil Hollis, Chris BMC Psychiatry Research Article BACKGROUND: Regular monitoring of patient progress is important to assess the clinical effectiveness of an intervention. Recently, initiatives within UK child and adolescent mental health services (CAMHS) have advocated the use of session-by-session monitoring to continually evaluate the patient’s outcome throughout the course of the intervention. However, the feasibility and acceptability of such regular monitoring is unknown. METHOD: Semi-structured qualitative interviews were conducted with clinicians (n = 10), administrative staff (n = 8) and families (n = 15) who participated in a feasibility study of an electronic session-by-session outcome monitoring tool, (SxS), which is based on the Strengths and Difficulties Questionnaire (SDQ). This study took place in three CAMHS clinics in Nottinghamshire. The interview transcripts were thematically analysed. RESULTS: We found clinicians accepted the need to complete outcome measures, particularly valuing those completed by the patient. However, there were some difficulties with engaging clinicians in this practice and in the training offered. Generally, patients were supportive of completing SxS in the waiting room prior to the clinic session and assistance with the process from administrative staff was seen to be a key factor. Clinicians and families found the feedback reports created from SxS to be helpful for tracking progress, facilitating communication and engagement, and as a point of reflection. The use of technology was considered positively, although some technological difficulties hindered the completion of SxS. Clinicians and families appreciated the brevity of SxS, but some were concerned that a short questionnaire could not adequately encapsulate the complexity of the patient’s issues. CONCLUSIONS: The findings show the need for appropriate infrastructure, mandatory training, and support to enable an effective system of session-by-session monitoring. Our findings indicate that clinicians, administrative staff and young people and their parents/carers would support regular monitoring if the system is easy to implement, with a standard ‘clinic-wide’ adoption of the procedure, and the resulting data are clinically useful. BioMed Central 2014-04-15 /pmc/articles/PMC4021403/ /pubmed/24731701 http://dx.doi.org/10.1186/1471-244X-14-113 Text en Copyright © 2014 Hall et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Hall, Charlotte L
Taylor, John
Moldavsky, Maria
Marriott, Michael
Pass, Sarah
Newell, Karen
Goodman, Robert
Sayal, Kapil
Hollis, Chris
A qualitative process evaluation of electronic session-by-session outcome measurement in child and adolescent mental health services
title A qualitative process evaluation of electronic session-by-session outcome measurement in child and adolescent mental health services
title_full A qualitative process evaluation of electronic session-by-session outcome measurement in child and adolescent mental health services
title_fullStr A qualitative process evaluation of electronic session-by-session outcome measurement in child and adolescent mental health services
title_full_unstemmed A qualitative process evaluation of electronic session-by-session outcome measurement in child and adolescent mental health services
title_short A qualitative process evaluation of electronic session-by-session outcome measurement in child and adolescent mental health services
title_sort qualitative process evaluation of electronic session-by-session outcome measurement in child and adolescent mental health services
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4021403/
https://www.ncbi.nlm.nih.gov/pubmed/24731701
http://dx.doi.org/10.1186/1471-244X-14-113
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