Challenges in Investigating the Effective Components of Feedback from Routine Outcome Monitoring (ROM) in Youth Mental H
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Challenges in Investigating the Effective Components of Feedback from Routine Outcome Monitoring (ROM) in Youth Mental Health Care Maartje A. M. S. van Sonsbeek1,2 · Giel J. M. Hutschemaekers1,3,4 · Jan W. Veerman4 · Ad Vermulst5 · Marloes Kleinjan6,7 · Bea G. Tiemens1,3,4 Accepted: 31 August 2020 © The Author(s) 2020
Abstract BackGround Studies on feedback in youth mental health care are scarce and implementation of feedback into clinical practice is problematic. Objective To investigate potentially effective components of feedback from Routine Outcome Monitoring (ROM) in youth mental health care in the Netherlands through a threearm, parallel-group, randomized controlled trial in which a literature-based, multi-faceted implementation strategy was used. Method Participants were randomly allocated to three conditions (basic feedback about symptoms and quality of life; basic feedback supplemented with clinical support tools; discussion of the feedback of the second condition with a colleague while following a standardized format for case consultation) using a block randomization procedure, stratified by location and participants’ age. The youth sample consisted of 225 participants (mean age = 15.08 years; 61.8% female) and the parent sample of 234 mothers and 54 fathers (mean age of children = 12.50 years; 47.2% female). Primary outcome was symptom severity. Secondary outcomes were quality of life and end-of-treatment variables. Additionally, we evaluated whether being Not On Track (NOT) moderated the association between condition and changes in symptom severity. Results No significant differences between conditions and no moderating effect of being NOT were found. This outcome can probably be attributed to limited power and implementation difficulties, such as infrequent ROM, unknown levels of viewing and sharing of feedback, and clinicians’ poor adherence to feedback conditions. Conclusions The study contributes to our limited knowledge about feedback from ROM and underscores the complexity of research on and implementation of ROM within youth mental health care. Trial registration Dutch Trial Register NTR4234 . Keywords Routine outcome monitoring · Feedback · Youth mental health care · Randomized controlled trial · Implementation
* Maartje A. M. S. van Sonsbeek [email protected] Extended author information available on the last page of the article
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Vol.:(0123456789)
Child & Youth Care Forum
Background Worldwide 10–20% of children and adolescents experience mental disorders (World Health Organization 2018). Mental disorders are the leading cause of disability in young people, and they severely limit young people’s development, educational attainments, and opportunities to lead fulfilling and productive lives as adults. Therefore, providing successful treatments for mental disorders and prevention of treatment failures are the main goals of clinical practice. However, many children, adolescents, and adults drop out of therapy prematurely (Swift and Greenberg 2012; Warnick et al. 2012)
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