ArticleJMIR mental health2022
The Implementation of Measurement-Based Care in the Context of Telemedicine: Qualitative Study.
Article in JMIR mental health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Quantifying care, qualifying experiences: a systematic review of measurement-based care in psychiatry from patient and provider perspectives.BMJ mental health · 2025Pooled it
- Implementing measurement-based care in virtual mental health services for rural veterans: provider insights from a pre-implementation evaluation.BMC health services research · 2026Article
- Pre-implementation patient, provider, and administrator perspectives of remote measurement-based care in a safety net outpatient psychiatry department.Learning health systems · 2025Article
- Clinical benefits and risks of remote patient monitoring: an overview and assessment of methodological rigour of systematic reviews for selected patient groups.BMC health services research · 2025Review
- Using Progress Feedback to Enhance Treatment Outcomes: A Narrative Review.Administration and policy in mental health · 2025Review
- Determinants of remote measurement-based care uptake in a safety net outpatient psychiatry department as part of learning health system transition.Learning health systems · 2024Article
- Assessing the Implementation of a Novel Digital Measurement-Based Care Training in Behavioral Health Using the PRISM Framework.Implementation research and practiceArticle
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Measurement Based Care in Mental Health Initiative launched by the Department of Veterans Affairs in 2016 is an example of an evidence-based practice that uses patient-reported outcome measures (PROMs) to improve patient outcomes. The acceptance of measurement-based care (MBC) among Veterans Affairs providers is relatively high. However, there are barriers to MBC for telehealth providers. Health information technologies might afford opportunities to address some of the barriers related to the uptake of MBC.
objectiveThis paper reports on an implementation effort to integrate MBC into mental health care telehealth practice using eHealth solutions.
methodsQualitative data were generated from 22 semistructured interviews with psychiatrists (n=4), psychologists (n=3), social workers (n=3), nurses (n=6), a pharmacist (n=1), and administrative staff (n=5) who provide telemental health care through a community-based outpatient clinic in the rural Midwestern United States. The interviews were conducted during the pilot phase of an implementation initiative to increase the adoption of MBC by revising clinic workflows to integrate the use of eHealth technologies. Data were analyzed using thematic analysis.
resultsTime burden and workflow issues were the most common barrier to provider adoption of MBC; sharing and reviewing pencil-and-paper measures and results in the same room was no longer possible in novel telehealth workflows necessitated by the COVID-19 pandemic. Providers voiced concerns about how long it would take to collect, adequately score, interpret, share, and document the PROMs during the telehealth visit. Concerns about time might also correspond to a gap in providers' familiarity with these assessments, greater comfort in assessing symptoms through clinical interviews, and being accustomed to using the assessments as screening tools more so than longitudinal outcome measures. Capacities associated with eHealth technologies may address workflow concerns and promote providers' understanding and use of the measures as tracking tools.
conclusionsThe need to use limited appointment time well was a top priority for telemental health providers. eHealth technologies provided operative supports that protect time in appointments by shifting when and how PROMs are collected. Bolstering providers' familiarity with how to use PROMs in the course of treatment may impact providers' buy-in by encouraging them to reconsider how sharing and acting on PROMs could be time well spent.
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