Evidence map›Paper›PMID 35570708›Full record

ArticlePsychology and psychotherapy2022

Using routine outcome measures as clinical process tools: Maximising the therapeutic yield in the IAPT programme when working remotely.

Cintia L Faija, Penny Bee, Karina Lovell, Nicky Lidbetter, Judith Gellatly, Kerry Ardern, Kelly Rushton, Helen Brooks, Dean McMillan, Christopher J Armitage and 2 more

Abstract read
In one paragraph

Article in Psychology and psychotherapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Cintia L FaijaSchool of Health Sciences, Division of Nursing, Midwifery and Social Work, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK.ORCID 0000-0002-6497-9196
Penny BeeSchool of Health Sciences, Division of Nursing, Midwifery and Social Work, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK.
Karina LovellSchool of Health Sciences, Division of Nursing, Midwifery and Social Work, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK.
Nicky LidbetterAnxiety UK, Manchester, UK.
Judith GellatlySchool of Health Sciences, Division of Nursing, Midwifery and Social Work, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK.
Kerry ArdernClinical and Applied Psychology Unit, Department of Psychology, University of Sheffield, Sheffield, UK.
Kelly RushtonSchool of Health Sciences, Division of Nursing, Midwifery and Social Work, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK.
Helen BrooksSchool of Health Sciences, Division of Nursing, Midwifery and Social Work, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK.
Dean McMillanHull York Medical School and Department of Health Sciences, University of York, York, UK.
Christopher J ArmitageManchester University NHS Foundation Trust, Manchester Academic Health Science, Manchester, UK.
Rebecca WoodhouseHull York Medical School and Department of Health Sciences, University of York, York, UK.
Michael BarkhamClinical and Applied Psychology Unit, Department of Psychology, University of Sheffield, Sheffield, UK.

Funding

Department of Health RP-PG-1016-20010
6 · The paper itself

Abstract

objectivesThe objective of the study was to investigate the administration and use of routine outcome monitoring session by session in the context of improving guided-self-help interventions when delivered remotely at Step 2 care in the English Improving Access to Psychological Therapies (IAPT) services.

designQualitative research using recordings of telephone-treatment sessions.

methodParticipants (11 patients and 11 practitioners) were recruited from four nationally funded IAPT services and one-third sector organisation commissioned to deliver Step 2 IAPT services, in England. Data collection took place prior to the COVID-19 pandemic. Transcripts of telephone-treatment sessions were analysed using thematic analysis.

resultsFour themes were identified: (1) lack of consistency in the administration of outcome measures (e.g. inconsistent wording); (2) outcome measures administered as a stand-alone inflexible task (e.g. mechanical administration); (3) outcome measures as impersonal numbers (e.g. summarising, categorising and comparing total scores); and (4) missed opportunities to use outcome measures therapeutically (e.g. lack of therapeutic use of item and total scores).

conclusionsThe administration of outcome measures needs to ensure validity and reliability. Therapeutic yield from session-by-session outcome measures could be enhanced by focusing on three main areas: (1) adopting a collaborative conversational approach, (2) maximising the use of total and items scores and (3) integrating outcome measures with in-session treatment decisions. Shifting the perception of outcome measures as impersonal numbers to being process clinical tools ensures a personalised delivery of psychological interventions and has the potential to enhance engagement from practitioners and patients what may reduce drop-out rates and improve clinical outcomes.

Indexed as

COVID-19PandemicsHealth Services AccessibilityHumansOutcome Assessment, Health CareReproducibility of ResultsTreatment Outcomeclinical feedbackcollaborative conversational approachdepressionIAPTmental healthpsychological practitionerqualitative studyroutine outcome measuresstep 2telephone treatmentwellbeingwellbeing anxiety

Identifiers

PMID35570708
PMCPMC9540188

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.