Evidence map›Paper›PMID 41394311›Full record

ArticleFrontiers in health services2025

The impact of measurement based care at scale: examining the effects of implementation on patient outcomes and provider behaviors.

Nicholas R Forand, Jasmine Nettiksimmons, Amanda Brownell, Margaret T Anton, Raven Truxson, Brandn Green, Colleen Marshall

Abstract read
In one paragraph

Article in Frontiers in health services, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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

7 authors.

Nicholas R ForandTwo Chairs, San Francisco, CA, United States.
Jasmine NettiksimmonsTwo Chairs, San Francisco, CA, United States.
Amanda BrownellTwo Chairs, San Francisco, CA, United States.
Margaret T AntonTwo Chairs, San Francisco, CA, United States.
Raven TruxsonJG Research and Evaluation, Boseman, MT, United States.
Brandn GreenJG Research and Evaluation, Boseman, MT, United States.
Colleen MarshallTwo Chairs, San Francisco, CA, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Measurement-based care (MBC) is an evidence-based practice; however there are challenges associated with implementing and sustaining this practice in care. This study examined the outcomes of an organization-wide implementation of MBC in a technology-supported psychotherapy practice. Outcomes were patient symptom change, clinician behaviors, and clinician performance. Methods: A total of Results: Patient outcomes improved significantly from pre- to post-implementation by approximately 5 percentage points for all outcomes. This represents a relative improvement of 23.5% on a combined PHQ-9 and GAD-7 measure. Clinicians demonstrated significant increases in MBC-related documentation behaviors. Among clinicians with sufficient data, 95% showed evidence of improved performance. Notably, clinicians whose baseline performance was superior showed greater improvements in performance. Discussion: Overall, this study suggests that structured MBC implementation was associated with improved patient outcomes, clinician behavior change, and clinician performance, although causal attributions are not possible given the retrospective non-randomized design. These results have implications for scalable implementation approaches in regular practice settings.

Indexed as

anxietydepressionimplementationmeasurement-based carepsychotherapy outcomesquality improvementsustainmenttraining

Identifiers

PMID41394311
PMCPMC12698511

What OpenQuestion holds

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Registered trials

None linked

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.