scholarly journals Positive Outcomes: Validity, reliability and responsiveness of a novel person‐centred outcome measure for people with HIV

HIV Medicine ◽  
2022 ◽  
Author(s):  
Richard Harding ◽  
Christopher Iain Jones ◽  
Stephen Bremner ◽  
Katherine Bristowe ◽  
Brian West ◽  
...  
Keyword(s):  
Outcome Measure ◽  
Positive Outcomes

scholarly journals A Grounded Theory Analysis of the Experience of Therapy in the Context of Negative Change

SAGE Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 215824402110231
Author(s):  
Christina Hart ◽  
Inga Boellinghaus ◽  
Sue Holttum ◽  
Melanie Shepherd ◽  
Clare O’Brien ◽  
...  
Keyword(s):  
Grounded Theory ◽  
Social Context ◽  
Outcome Measures ◽  
Outcome Measure ◽  
Theory Model ◽  
Positive Outcomes ◽  
Theory Analysis ◽  
Negative Change ◽  
The Individual ◽  
Choice Of Therapy

Negative change occurring during psychotherapy is relatively underresearched and current theories take little account of social context. Eight clients and four therapists were interviewed about their therapy experience when reliable score deterioration on an outcome measure was observed, with the aim of generating a Grounded Theory model of negative change. The emerging model identified three major themes: a context of adversity, the therapeutic experience, and help withdrawn (within the context of positive outcomes). Difficulties included wanting therapy to provide more advice, talking about distressing issues, relationship difficulties, ambivalence, and a wish for support instead of change. Client context merits increased attention. Changes in outcome measures used, more diverse supervision models, training to use outcome measures constructively, and sensitive, routine analysis of negative change are indicated. Increased availability of therapies able to address clients’ interpersonal and social context and a wider choice of therapy type would allow interventions to better fit the individual in context.

scholarly journals Do patients get better? A review of outcomes from a crisis house and home treatment team partnership

2019 ◽  
Vol 43 (3) ◽  
pp. 106-111 ◽  
Author(s):  
Mohsin Faysal Butt ◽  
David Walls ◽  
Rahul Bhattacharya
Keyword(s):  
Outcome Measure ◽  
Patient Reported Outcome ◽  
Home Treatment ◽  
Positive Outcomes ◽  
Treatment Team ◽  
Service Model ◽  
Patient Reported Outcome Measure ◽  
Patient Reported ◽  
Outcome Scores ◽  
Reported Health

Aims and methodThe Tower Hamlets Crisis House (voluntary sector), in partnership with the local home treatment team, offers a brief residential alternative to psychiatric hospital admission. Here, we review clinician-reported (Health of the Nation Outcome Scales; HoNOS) and patient-reported (DIALOG) outcome scores collected from successive admissions between June 2015 and December 2016, to assess the effectiveness of the service model. We identified 153 successive admissions, and of these, 85 (55.6%) and 91 (59.5%) patients completed both admission and discharge DIALOG and HoNOS questionnaires, respectively. We analysed ten out of twelve HoNOS domains and eight patient-reported outcome measure DIALOG domains.ResultsWe found a statistically significant improvement in nine out of ten domains of HoNOS and three out of eight domains of DIALOG.Clinical implicationsA partnership between a home treatment team and crisis house can result in positive outcomes for patients, as determined by both clinicians and patients.Declaration of interestNone.

What do parents think about statutory child and family social work services in the UK?

2020 ◽  
Author(s):  
David Wilkins ◽  
Donald Forrester
Keyword(s):  
Social Work ◽  
User Satisfaction ◽  
Primary Outcome ◽  
Outcome Measure ◽  
Primary Outcome Measure ◽  
Positive Outcomes ◽  
Valid Instrument ◽  
Low Levels ◽  
The Uk ◽  
Levels Of Service

Abstract Higher levels of ‘service user’ satisfaction are associated with more positive outcomes in many service settings. They are also an important measure of service quality in their own right. In this article, we report the results from a survey of 500 parents in relation to statutory child and family social work services in the UK. Our primary outcome measure was the Client Satisfaction Questionnaire, a valid instrument that has been used in a range of settings and types of service. Parents overall had relatively low levels of satisfaction, compared with research in other settings. Levels of dissatisfaction were higher for parents from lower socio-economic groups and parents of adolescents. The small number of parents in our survey who received short-breaks or residential care for their children gave higher satisfaction ratings. An important limitation of these results is that the sample is not representative. Parents from higher socio-economic groups were over-represented compared with the general population and were therefore very overrepresented compared with the population of families who receive a statutory social work service. These findings nevertheless suggest that parents are likely to be dissatisfied with the services they received and suggest a pressing need for more representative data to understand the experiences of parents across the UK.

The meagre outcomes of HoNOS

2019 ◽  
Vol 28 (2) ◽  
pp. 206-209
Author(s):  
Keith G Bender
Keyword(s):  
Mentally Ill ◽  
Literature Search ◽  
Outcome Measure ◽  
Outcome Measurement ◽  
Evidence Based ◽  
Positive Outcomes ◽  
Routine Outcome Measurement ◽  
The Cost ◽  
Evidence Based Care ◽  
Routine Outcome Measure

Objective: To ask the Leginski question of an outcome measurement process. Method: Articles elicited by a literature search of ‘HoNOS’ are analysed for evidence of its value or cost effectiveness to consumers, clinicians or administrators. Results: None of the 260 studies elicited by the search attempted to assess the cost of the use of Health of the Nation Outcome Scale (HoNOS). One study investigated the effect of routine outcome measurement, finding that it failed to result in the provision of evidence-based care. One study reported positive outcomes. Conclusions: The ability of HoNOS to improve the health and social functioning of mentally ill people has not been demonstrated. The widespread use of HoNOS as a routine outcome measure is not justified by the evidence.

The Aphasia Communication Outcome Measure

2012 ◽  
Vol 1 (1) ◽  
pp. 1 ◽  
Author(s):  
Patrick Doyle ◽  
William Hula
Keyword(s):  
Outcome Measure ◽  
Communication Outcome

The Use of Neuroplastic Principles Affects the Swallow Motor Plan of a Patient in Severe Cognitive Decline: A Case Study

2016 ◽  
Vol 1 (15) ◽  
pp. 79-83
Author(s):  
Ed Bice ◽  
Kristine E. Galek
Keyword(s):  
Central Nervous System ◽  
Cognitive Decline ◽  
Full Range ◽  
Movement Speed ◽  
Positive Outcomes ◽  
Verbal Cues ◽  
Motor Plan ◽  
Bolus Size ◽  
The Central Nervous System

Dysphagia is common in patients with dementia. Dysphagia occurs as a result of changes in the sensory and motor function of the swallow (Easterling, 2007). It is known that the central nervous system can undergo experience-dependent plasticity, even in those individuals with dementia (Park & Bischof, 2013). The purpose of this study was to explore whether or not the use of neuroplastic principles would improve the swallow motor plan and produce positive outcomes of a patient in severe cognitive decline. The disordered swallow motor plan was manipulated by focusing on a neuroplastic principles of frequency (repetition), velocity of movement (speed of presentation), reversibility (Use it or Lose it), specificity and adaptation, intensity (bolus size), and salience (Crary & Carnaby-Mann, 2008). After five therapeutic sessions, the patient progressed from holding solids in her mouth with decreased swallow initiation to independently consuming a regular diet with full range of liquids with no oral retention and no verbal cues.

Development of a voice assessment and outcome measure, the Dysphonia Symptom Inventory

1998 ◽  
Vol 23 (3) ◽  
pp. 276-277
Author(s):  
Millar ◽  
Mackenzie ◽  
Robinson ◽  
Deary ◽  
Wilson
Keyword(s):  
Outcome Measure ◽  
Voice Assessment ◽  
Symptom Inventory

A Systematic Review of User Expectations and Outcomes of Crisis Support Services

Crisis ◽  
2020 ◽  
pp. 1-9
Author(s):  
Kelly Mazzer ◽  
Megan O'Riordan ◽  
Alan Woodward ◽  
Debra Rickwood
Keyword(s):  
Systematic Review ◽  
Support Services ◽  
Text Message ◽  
Positive Outcomes ◽  
Online Chat ◽  
Online Databases ◽  
Personal Crisis ◽  
Crisis Support ◽  
User Expectations ◽  
Behavioural Sciences

Abstract. Background: Crisis support services play an important role in providing free, immediate access to support people in the community experiencing a personal crisis. Recently, services have expanded from telephone to digital modalities including online chat and text message services. This raises the question of what outcomes are being achieved for increasingly diverse service users across different modalities. Aims: This systematic review aimed to determine the expectations and outcomes of users of crisis support services across three modalities (telephone, online chat, and text message/SMS). Method: Online databases (CINAHL, MEDLINE, PsycARTICLES, PsycINFO, Psychological and Behavioural Sciences Collection) and gray literature were searched for studies measuring expectations and outcomes of crisis support services. Results: A total of 31 studies were included in the review, the majority of which were telephone-based. Similar expectations were found for telephone and online chat modalities, as well as consistently positive outcomes, measured by changes in emotional state, satisfaction, and referral plans. Limitations/Conclusion: There is a paucity of consistent outcome measures across and within modalities and limited research about users of text message/SMS services.

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