scholarly journals Patient reported outcome measures in child and adolescent mental health services: associations between clinician demographic characteristics, attitudes and efficacy

2016 ◽  
Vol 22 (1) ◽  
pp. 36-41 ◽  
Author(s):  
Julian Edbrooke-Childs ◽  
David Barry ◽  
Irene Mateos Rodriguez ◽  
Danae Papageorgiou ◽  
Miranda Wolpert ◽  
...  
2020 ◽  

Patient-reported outcome measures (PROMs) are routinely used to inform clinicians and policymakers on clinical need and treatment efficacy. Yet despite their great value and utility, it seems that there is a low rate of outcome monitoring in Child and Adolescent Mental Health Services (CAMHS).


2015 ◽  
Vol 66 (3) ◽  
pp. 224-241 ◽  
Author(s):  
Christian U. Krägeloh ◽  
Karol J. Czuba ◽  
D. Rex Billington ◽  
Paula Kersten ◽  
Richard J. Siegert

2021 ◽  
pp. 135910452199970
Author(s):  
Naomi Gibbons ◽  
Emma Harrison ◽  
Paul Stallard

Background: There is increased emphasis on the national reporting of Routine Outcome Measures (ROMS) as a way of improving Child and Adolescent Mental Health Services (CAMHS). This data needs to be viewed in context so that reasons for outcome completion rates are understood and monitored over time. Method: We undertook an in-depth prospective audit of consecutive referrals accepted into the Bath and North East Somerset, Swindon and Wiltshire (BSW) CAMHS service from November 2017 to January 2018 ( n = 1074) and April to September 2019 ( n = 1172). Results: Across both audits 90% of those offered an appointment were seen with three quarters completing baseline ROMS. One in three were not seen again with around 30% still being open to the service at the end of each audit. Of those closed to the service, paired ROMS were obtained for 46% to 60% of cases. There were few changes in referral problems or complexity factors over time. Conclusion: Understanding the referral journey and the reasons for attrition will help to put nationally collected data in context and can inform and monitor service transformation over time.


2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Charlotte L Hall ◽  
Maria Moldavsky ◽  
Laurence Baldwin ◽  
Michael Marriott ◽  
Karen Newell ◽  
...  

2021 ◽  
Author(s):  
Anna Charlotte Morris ◽  
Zina Ibrahim ◽  
Omer S Moghraby ◽  
Argyris Stringaris ◽  
Ian M Grant ◽  
...  

This paper reports our experience of developing, implementing, and evaluating myHealthE (MHE); a digital innovation for Child and Adolescents Mental Health Services (CAMHS) which automates the remote collection and reporting of Patient Reported Outcome Measures (PROMs) into National Health Services (NHS) electronic health care records. We describe the logistical and governance issues encountered in developing the MHE interface with patient identifiable information, and the steps taken to overcome these development barriers. We describe the applications architecture and hosting environment to enable it to be operable within the NHS, as well the as the capabilities needed within the technical team to bridge the gap between academic developers and NHS operational teams. We present evidence on the feasibility and acceptability for this system within clinical services and describe the process of iterative development, highlighting additional functions which were incorporated to increase system utility. This article provides a framework with which to plan, develop and implement automated PROM collection from remote devices back to NHS infrastructure. The challenges and solutions described in this paper will be pertinent to other digital health innovation researchers aspiring to deploy interoperable systems within NHS clinical systems.


2021 ◽  
Author(s):  
Anna Charlotte Morris ◽  
Zina Ibrahim ◽  
Margaret Heslin ◽  
Omer S Moghraby ◽  
Argyris Stringaris ◽  
...  

Background: Interest in internet-based patient reported outcome measure (PROM) collection is increasing. The NHS myHealthE (MHE) web-based monitoring system was developed to address the limitations of paper-based PROM completion. MHE provides a simple and secure way for families accessing Child and Adolescent Mental Health Services to report clinical information and track their childs progress. This study aimed to assess whether MHE improves the completion of the Strengths and Difficulties Questionnaire (SDQ) compared with paper collection. Secondary objectives were to explore caregiver satisfaction and application acceptability. Methods: A twelve-week single-blinded randomised controlled feasibility pilot trial of MHE was conducted with 196 families accessing neurodevelopmental services in south London to examine whether electronic questionnaires are completed more readily than paper-based questionnaires over a 3-month period. Follow up process evaluation phone calls with a subset (n=8) of caregivers explored system satisfaction and usability. Results: MHE group assignment was significantly associated with an increased probability of completing an SDQ-P in the study period (adjusted hazard ratio, (HR) 12.1, 95% CI 4.7-31.0; p= <0.001). Of those caregivers who received the MHE invitation (n=68) 69.1% completed an SDQ using the platform compared to 8.8% in the control group (n=68). The system was well received by caregivers, who cited numerous benefits of using MHE, for example, real time feedback and ease of completion. Conclusions: MHE holds promise for improving PROM completion rates. Research is needed to refine MHE, evaluate large scale MHE implementation, cost effectiveness and explore factors associated with differences in electronic questionnaire uptake.


Sign in / Sign up

Export Citation Format

Share Document