Faija, Cintia L 
ORCID: 0000-0002-6497-9196, Bee, Penny, Lovell, Karina, Lidbetter, Nicky, Gellatly, Judith, Ardern, Kerry, Rushton, Kelly, Brooks, Helen, McMillan, Dean, Armitage, Christopher J et al (show 2 more authors)
(2022)
Using routine outcome measures as clinical process tools: Maximising the therapeutic yield in the IAPT programme when working remotely.
PSYCHOLOGY AND PSYCHOTHERAPY-THEORY RESEARCH AND PRACTICE, 95 (3).
pp. 820-837.
Abstract
<h4>Objectives</h4>The 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.<h4>Design</h4>Qualitative research using recordings of telephone-treatment sessions.<h4>Method</h4>Participants (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.<h4>Results</h4>Four 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).<h4>Conclusions</h4>The 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.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | clinical feedback, collaborative conversational approach, depression, IAPT, mental health, psychological practitioner, qualitative study, routine outcome measures, step 2, telephone treatment, wellbeing, wellbeing anxiety |
| Divisions: | Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Population Health |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 14 Jun 2023 08:41 |
| Last Modified: | 21 Jun 2023 07:10 |
| DOI: | 10.1111/papt.12400 |
| Open Access URL: | https://doi.org/10.1111/papt.12400 |
| Related URLs: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3170985 |
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