Routine Outcome Monitoring (ROM) and Feedback: Research Review and Recommendations

To provide a research review of the components and outcomes of routine outcome monitoring (ROM) and recommendations for research and therapeutic practice. A narrative review of the three phases of ROM - data collection, feeding back data, and adapting therapy - and an overview of patient outcomes fr...

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Bibliographic Details
Published in:Psychotherapy research Vol. 33; no. 7; pp. 841 - 855
Main Authors: Barkham, Michael, De Jong, Kim, Delgadillo, Jaime, Lutz, Wolfgang
Format: Journal Article
Language:English
Published: England Routledge 03.10.2023
Taylor & Francis Ltd
Subjects:
Clinical outcomes
clinical support tools
Data collection
deterioration
Feedback
Graphs
measurement-based care
Medical treatment
outcome measures
Patients
psychotherapy outcome
ROM
routine outcome monitoring
Therapy
Treatment methods
feedback
ROM
measurement-based care
clinical support tools
deterioration
outcome measures
psychotherapy outcome
routine outcome monitoring
ISSN:1050-3307, 1468-4381, 1468-4381
Online Access:Get full text
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Summary:To provide a research review of the components and outcomes of routine outcome monitoring (ROM) and recommendations for research and therapeutic practice. A narrative review of the three phases of ROM - data collection, feeding back data, and adapting therapy - and an overview of patient outcomes from 11 meta-analytic studies. Patients support ROM when its purpose is clear and integrated within therapy. Greater frequency of data collection is more important for shorter-term therapies, and use of graphs, greater specificity of feedback, and alerts are helpful. Overall effects on patient outcomes are statistically significant (g ≈ 0.15) and increase when clinical support tools (CSTs) are used for not-on-track cases (g ≈ 0.36-0.53). Effects are additive to standard effects of psychological therapies. Organizational, personnel, and resource issues remain the greatest obstacles to the successful adoption of ROM. ROM offers a low-cost method for enhancing patient outcomes, on average resulting in an ≈ 8% advantage (success rate difference; SRD) over standard care. CSTs are particularly effective for not-on-track patients (SRD between ≈ 20% and 29%), but ROM does not work for all patients and successful implementation is a major challenge, along with securing appropriate cultural adaptations.
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ISSN:1050-3307
1468-4381
1468-4381
DOI:10.1080/10503307.2023.2181114