Cited by 87Psychotherapy Techniques and ApplicationsPsychiatric care and mental health servicesMental Health Treatment and Access

Effective components of feedback from Routine Outcome Monitoring (ROM) in youth mental health care: study protocol of a three-arm parallel-group randomized controlled trial

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van Sonsbeek, Maartje AMS, Hutschemaekers, Giel GJM, Veerman, Jan Willem, Tiemens, Bea BG·2014·BMC Psychiatry

Abstract

BACKGROUND: Routine Outcome Monitoring refers to regular measurements of clients' progress in clinical practice, aiming to evaluate and, if necessary, adapt treatment. Clients fill out questionnaires and clinicians receive feedback about the results. Studies concerning feedback in youth mental health care are rare. The effects of feedback, the importance of specific aspects of feedback, and the mechanisms underlying the effects of feedback are unknown. In the present study, several potentially effective components of feedback from Routine Outcome Monitoring in youth mental health care in the Netherlands are investigated. METHODS/DESIGN: We will examine three different forms of feedback through a three-arm parallel-group randomized controlled trial. 432 children and adolescents (aged 4 to 17 years) and their parents, who have been referred to mental health care institution Pro Persona, will be randomly assigned to one of three feedback conditions (144 participants per condition). Randomization will be stratified by age of the child or adolescent and by department. All participants fill out questionnaires at the start of treatment, one and a half months after the start of treatment, every three months during treatment, and at the end of treatment. Participants in the second and third feedback conditions fill out an additional questionnaire. In condition 1, clinicians receive basic feedback regarding clients' symptoms and quality of life. In condition 2, the feedback of condition 1 is extended with feedback regarding possible obstacles to a good outcome and with practical suggestions. In condition 3, the feedback of condition 2 is discussed with a colleague while following a standardized format for case consultation. The primary outcome measure is symptom severity and secondary outcome measures are quality of life, satisfaction with treatment, number of sessions, length of treatment, and rates of dropout. We will also examine the role of being not on track (not responding to treatment). DISCUSSION: This study contributes to the identification of effective components of feedback and a better understanding of how feedback functions in real-world clinical practice. If the different feedback components prove to be effective, this can help to support and improve the care for youth. TRIAL REGISTRATION: Dutch Trial Register NTR4234.

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Authors
van Sonsbeek, M. A., Hutschemaekers, G. G., Veerman, J. W., & Tiemens, B. B.
Affiliations
Radboud University Nijmegen (NL)
Venue
BMC Psychiatry
Published
2014-01-06
Volume
14
Issue
1
Pages
3-3
ISSN
1471-244X (ISSN-L)
OpenAlex
W1999393136
Cited by
86
References
61
Citations by year
2026: 4 · 2025: 12 · 2024: 6 · 2023: 10 · 2022: 10 · 2021: 9 · 2020: 7 · 2019: 3 · 2018: 10 · 2017: 5 · 2016: 4 · 2015: 5 · 2014: 1
FWCI
5.90
Type
journal article
Language
en
Open access
Locations
  • BMC Psychiatry (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Radboud Repository (Radboud University) (submittedVersion)
  • Radboud Repository (Radboud University) (submittedVersion, other-oa)
Funders
ZonMw (157031002, 80-82470-98-006, 159010001)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Keywords
routine outcome monitoring, clinician feedback, youth mental health care, children and adolescents, symptom severity, quality of life, treatment discontinuation, treatment response, case consultation, treatment satisfaction
MeSH terms
Adolescent, Child, Feedback, Female, Humans, Male, Mental Health, Netherlands, Parents, Quality of Life, Surveys and Questionnaires, Randomized Controlled Trials as Topic

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