Top

Administration and Policy in Mental Health and Mental Health Services Research

Published in:

Open Access 01-05-2016 | Original Paper

A Qualitative Exploration of Patient and Clinician Views on Patient Reported Outcome Measures in Child Mental Health and Diabetes Services

Authors: Miranda Wolpert, Katherine Curtis-Tyler, Julian Edbrooke-Childs

Published in: Administration and Policy in Mental Health and Mental Health Services Research | Issue 3/2016

Abstract

Patient Reported Outcome Measures (PROMs) are increasingly being recommended for use in both mental and physical health services. The present study is a qualitative exploration of the views of young people, mothers, and clinicians on PROMs. Semi-structured interviews were conducted with a sample of n = 10 participants (6 young people, 4 clinicians) from mental health services and n = 14 participants (4 young people, 7 mothers, 3 clinicians) from a diabetes service. For different reasons, young people, mothers, and clinicians saw feedback from PROMs as having the potential to alter the scope of clinical discussions.

Available only for authorised users

Badham, B. (2011). Talking about talking therapies: thinking and planning about how to make good and accessible talking therapies available to children and young people. Retrieved August 26, 2014 from http://www.iapt.nhs.uk/silo/files/talking-about-talking-therapies.pdf.

Batty, M. J., Moldavsky, M., Foroushani, P. S., Pass, S., Marriott, M., Sayal, K., et al. (2013). Implementing routine outcome measures in child and adolescent mental health services: From present to future practice. Child and Adolescent Mental Health, 18(2), 82–87. doi:10.1111/j.1475-3588.2012.00658.x.CrossRef

Bickman, L., Kelley, S. D., Breda, C., de Andrade, A. R., & Riemer, M. (2011). Effects of routine feedback to clinicians on mental health outcomes of youths: Results of a randomized trial. Psychiatric Services (Washington, D. C.), 62(12), 1423–1429. doi:10.1176/appi.ps.002052011.CrossRef

Bone, C., O’Reilly, M., Karim, K., & Vostanis, P. (2014). ‘They’re not witches. …’ Young children and their parents’ perceptions and experiences of Child and Adolescent Mental Health Services. Child: Care, Health and Development. doi:10.1111/cch.12161.

BPS. (2010). Code of Human Resarch Ethics. Leicester: The British Psychological Society.

Chorpita, B. F., Moffitt, C. E., & Gray, J. (2005). Psychometric properties of the Revised Child Anxiety and Depression Scale in a clinical sample. Behaviour Research and Therapy, 43(3), 309–322.CrossRefPubMed

de Jong, K. (2014). Deriving effective implementation strategies for outcome monitoring from feedback theory. Administration and Policy in Mental Health, Current issue.

De Wit, M., Delemarre-van de Waal, H. A., Alle Bokma, J., Haasnoot, K., Houdijk, M. C., Gemke, R. J. B. J., et al. (2006). Monitoring and discussing health related quality of life in adolescents with type 1 diabetes improves psychosocial well-being: A randomised controlled trial. Diabetes Care, 31, 8.

Department of Health. (2011). Talking therapies: A four-year plan of action. London: Department of Health.

Department of Health. (2012). IAPT three-year report: The first million patients. London.

Devlin, N., & Appleby, J. (2010). Getting the most out of PROMs: Putting health outcomes as the heart of NHS decision-making. London: The Kings Fund and Office of Health Economics.

Douglas, S., Button, S., & Casey, S. E. (2014). Implementing for sustainability: Promoting use of a Measurement Feedback System for innovation and quality improvement. Administration and Policy in Mental Health, Current issue.

Edbrooke-Childs, J., Bickman, L., & Bickman, C. (2014). Introduction to the special issue on implementing routine outcome monitoring. Administration and Policy in Mental Health, Current issue.

Edbrooke-Childs, J., Wolpert, M., & Deighton, J. (2014). Using Patient Reported Outcome Measures to Improve Service Effectiveness (UPROMISE): A service evaluation of training for clinicians to use outcome measures in child mental health. Administration and Policy in Mental Health, current issue.

Fleming, I., Jones, M., & Bradley, J. (2014). Learning from a learning collaboration: The CORC approach to combining research, evaluation and practice in child mental health. Administration and Policy in Mental Health and Mental Health Services Research, Current issue.

Glaser, B., & Strauss, A. L. (1967). The discovery of grounded theory: Strategies for qualitative research. New York: Aldine de Gruyter.

Greenhalgh, J. (2009). The applications of PROMs in clinical practice: What are they, do they work, and why? Quality of Life Research, 18(1), 115–123. doi:10.1007/s11136-008-9430-6.CrossRefPubMed

Greenhalgh, J., Long, A. F., & Flynn, R. (2005). The use of patient reported outcome measures in routine clinical practice: Lack of impact or lack of theory? Social Science and Medicine, 60(4), 833–843.CrossRefPubMed

Hall, C. L., Moldavsky, M., Baldwin, L., Marriott, M., Newell, K., Taylor, J., et al. (2013). The use of routine outcome measures in two child and adolescent mental health services: A completed audit cycle. BMC Psychiatry, 13, 270. doi:10.1186/1471-244X-13-2701471-244X-13-270.CrossRefPubMedPubMedCentral

Jones, M., Hopkins, K., Kyrke-Smith, R., Davies, R., Vostanis, P., & Wolpert, M. (2013). Current view tool: Completion Guide. London: CAMHS Press at EBPU.

Law, D. (2011). Goals and Goal Based Outcomes (GBOs): Some useful information: CAMHS Outcome Research Consortium and Hertfordshire Partnership NHS Foundation Trust.

Law, D. (2012). A Practical Guide to Using Service User Feedback & Outcome Tools to Inform Clinical Practice in Child & Adolescent Mental Health Some initial guidance from the Children and Young Peoples’ Improving Access to Psychological Therapies Outcomes-Oriented Practice (CO-OP) Group. Retrieved August 26, 2014 from http://www.iapt.nhs.uk/silo/files/a-practical-guide-to-using-service-user-feedback–outcome-tools-.pdf.

Marshall, S., Haywood, K., & Fitzpatrick, R. (2006). Impact of patient-reported outcome measures on routine practice: A structured review. Journal of Evaluation in Clinical Practice, 12(5), 559–568.PubMed

Martin, A. M., Fishman, R., Baxter, L., & Ford, T. (2011). Practitioners’ attitudes towards the use of standardized diagnostic assessment in routine practice: A qualitative study in two child and adolescent mental health services. Clinical Child Psychology and Psychiatry, 16(3), 407–420.CrossRefPubMed

Mellor-Clark, J., Cross, S., Macdonald, J., & Skjulsvik, T. (2014). Leading horses to water: Lessons from a decade of helping psychological therapy service use routine outcome measurement to improve practice. Administration and Policy in Mental Health, Current issue.

Moran, P., Kelesidi, K., Guglani, S., Davidson, S., & Ford, T. (2012). What do parents and carers think about routine outcome measures and their use? A focus group study of CAMHS attenders. Clinical Child Psychology and Psychiatry, 17(1), 65–79. doi:10.1177/13591045103918591359104510391859.CrossRefPubMed

Murphy, J. M., Masek, B., Babcock, R., Jellinek, M., Gold, J., Sklar, K., et al. (2011). Measuring outcomes in outpatient child psychiatry: The contribution of electronic technologies and parent report. Clinical Child Psychology and Psychiatry, 16(1), 146–160.CrossRefPubMed

Norman, S., Dean, S., Hansford, L., & Ford, T. (2013). Clinical practitioner’s attitudes towards the use of Routine Outcome Monitoring within Child and Adolescent Mental Health Services: A qualitative study of two Child and Adolescent Mental Health Services. Clinical Child Psychology and Psychiatry. doi:10.1177/1359104513492348.PubMed

Ritchie, J., Spencer, L., & O’Connor, W. (2003). Carrying out qualitative analysis. Qualitative research practice: A guide for social science students and researchers. London: Sage.

Royal College of Paediatrics and Child Health. (2012). National Paediatric Diabetes Audit call for applications for members and chairs of working groups. London: Royal College of Paediatrics and Child Health.

Skevington, S. M., & McCrate, F. M. (2012). Expecting a good quality of life in health: Assessing people with diverse diseases and conditions using the WHOQOL-BREF. Health Expectations, 15(1), 49–62. doi:10.1111/j.1369-7625.2010.00650.x.CrossRefPubMed

Stasiak, K., Parkin, A., Seymour, F., Lambie, I., Crengle, S., Pasene-Mizziebo, E., et al. (2013). Measuring outcome in child and adolescent mental health services: consumers’ views of measures. Clinical Child Psychology and Psychiatry, 18(4), 519–535. doi:10.1177/13591045124608601359104512460860.CrossRefPubMed

Varni, J. W., Seid, M., & Rode, C. A. (1999). The PedsQl™: Measurement model for the Pediatric Quality of Life Inventory. Medical Care, 37(2), 126–139.CrossRefPubMed

Wolpert, M. (2013). Do patient reported outcome measures do more harm than good? BMJ, 346, f2669. doi:10.1136/bmj.f2669.CrossRefPubMed

Wolpert, M., Ford, T., Trustam, E., Law, D., Deighton, J., Flannery, H., et al. (2012). Patient-reported outcomes in child and adolescent mental health services (CAMHS): Use of idiographic and standardized measures. Journal of Mental Health, 21(2), 165–173. doi:10.3109/09638237.2012.664304.CrossRefPubMed

Title: A Qualitative Exploration of Patient and Clinician Views on Patient Reported Outcome Measures in Child Mental Health and Diabetes Services
Authors: Miranda Wolpert
Katherine Curtis-Tyler
Julian Edbrooke-Childs
Publication date: 01-05-2016
Publisher: Springer US
Published in: Administration and Policy in Mental Health and Mental Health Services Research / Issue 3/2016
Print ISSN: 0894-587X
Electronic ISSN: 1573-3289
DOI: https://doi.org/10.1007/s10488-014-0586-9

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

A Qualitative Exploration of Patient and Clinician Views on Patient Reported Outcome Measures in Child Mental Health and Diabetes Services

Abstract

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 3/2016

Implementing a Measurement Feedback System: A Tale of Two Sites

Achieving Precision Mental Health through Effective Assessment, Monitoring, and Feedback Processes

Progress Monitoring in an Integrated Health Care System: Tracking Behavioral Health Vital Signs

Implementing for Sustainability: Promoting Use of a Measurement Feedback System for Innovation and Quality Improvement

Designing Health Information Technologies for Uptake: Development and Implementation of Measurement Feedback Systems in Mental Health Service Delivery

Implementing a Measurement Feedback System in Community Mental Health Clinics: A Case Study of Multilevel Barriers and Facilitators