scholarly journals How patients and clinicians experience the utility of a personalized clinical feedback system in routine practice

2020 ◽  
Author(s):  
Runar Tengel Hovland ◽  
Siri Ytrehus ◽  
John Mellor‐Clark ◽  
Christian Moltu
Keyword(s):  
Feedback System ◽  
Routine Practice ◽  
Clinical Feedback

scholarly journals Making way for a clinical feedback system in the narrow space between sessions: navigating competing demands in complex healthcare settings

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Runar Tengel Hovland ◽  
Christian Moltu
Keyword(s):  
Qualitative Methodology ◽  
Public Mental Health ◽  
Feedback System ◽  
Routine Practice ◽  
Feedback Systems ◽  
Clinical Value ◽  
Healthcare Settings ◽  
Clinical Feedback ◽  
Narrow Space

Abstract Background Although substantial empirical research supports the clinical value of routine outcome measures/clinical feedback systems (ROM/CFS), translation into routine practice poses several challenges. The present case study investigated how stakeholders, clinicians, patients and clinical managers related to the implementation of the Norse Feedback (NF) in ordinary practice. Methods We did an in-depth qualitative case study of the implementation of NF in a public mental-health institution. The settings were two outpatient clinics and two in-patient clinics organized under the same health trust. Data were drawn from three sources: archival sources (n = 16), field notes (n = 23), and 43 in-depth interviews with clinicians (n = 19), clinical managers (n = 5) and patients (n = 12). Ten of the participants were interviewed twice. The data were coded inductively and analyzed using a stringent qualitative methodology. Results We present our findings under three inter-related domains. First, we describe what followed the clinical feedback implementation. Second, we present the context experienced as being complex and high on work-pressure. Third, we describe the situated rules about the priority between competing tasks. Conclusions The preliminary results complement and contextualize understandings of known barriers to implementing ROM/CFS in clinical settings. We apply a socio-material perspective to discuss clinicians’ responses to complexity, implementation, and why some incentivized tasks prevailed over others regardless of therapists’ perceived benefits.

scholarly journals A novel patient-reported outcome monitoring with clinical feedback system in bariatric surgery care: study protocol, design and plan for evaluation

BMJ Open ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. e037685
Author(s):  
Pål André Hegland ◽  
Anny Aasprang ◽  
Ronette L Kolotkin ◽  
Christian Moltu ◽  
Grethe S Tell ◽  
...  
Keyword(s):  
Mental Health ◽  
Bariatric Surgery ◽  
Data Protection ◽  
Healthcare Professionals ◽  
Feedback System ◽  
Patient Reported Outcome ◽  
Outpatient Clinics ◽  
Outcome Monitoring ◽  
Patient Reported ◽  
Clinical Feedback

BackgroundConsultations before and after bariatric surgery should include structured assessments of patients’ health-related quality of life (HRQOL) and mental health. One way to conduct this assessment is to implement patient-reported outcome monitoring with a clinical feedback system (PRO/CFS).AimWe will explore patients’ and healthcare professionals’ experiences when a PRO/CFS is an integrated part of bariatric surgery care.Methods and analysesThis is a design paper in which a PRO/CFS will be implemented in two bariatric outpatient clinics. All patients who have an appointment with a healthcare professional prior to, and 3 and 12 months after surgery, will be asked to complete six digital questionnaires measuring HRQOL, mental health, bowel symptoms and eating self-efficacy prior to each consultation. A digital summary report generated from the patient’s responses will form the basis for the clinical consultation. A team of patient representatives, healthcare professionals and researchers will be involved in all phases of designing the PRO/CFS to ensure its relevance for clinical consultations. The patients’ experiences will be explored with a generic 12-item questionnaire, developed for use in outpatient clinics, prior to and 12 months after bariatric surgery. We will conduct focus-group interviews with patients and healthcare professionals to explore their experiences when PRO/CFS is integrated into the consultations.Ethics and disseminationWritten informed consent will be obtained for all participants in the study. The project is approved by the Norwegian Centre for Research Data, Department of Data Protection Services (ref. no. 282738). The project has also undergone Data Protection Impact Assessments, both at Førde Hospital Trust and at St. Olav Hospital (registration no. 2016/3912). Data from the qualitative and quantitative studies will be kept in de-identified form in a secured research database, and the findings will be published in international peer-reviewed journals and presented at scientific conferences.

scholarly journals Continuous quality improvement in measure development: Lessons from building a novel clinical feedback system

2021 ◽  
Author(s):  
Samuel S. Nordberg ◽  
Andrew A. McAleavey ◽  
Christian Moltu
Keyword(s):  
Quality Improvement ◽  
Continuous Quality Improvement ◽  
Psychological Treatment ◽  
Feedback System ◽  
Measure Development ◽  
Research Network ◽  
Practice Research ◽  
Feedback Systems ◽  
Continuous Quality ◽  
Clinical Feedback

Abstract Purpose While the use of clinical feedback systems has become commonplace in psychological treatment, many of the most common instruments used for this purpose have not changed in decades. This paper describes the first four cycles of a measure development method designed to embrace continuous quality improvement. Methods Using techniques and philosophies developed in business management and academia—lean continuous quality improvement, action research, and practice research networks—we iterated through multiple cycles of development with the goal of creating an optimal clinical feedback system. These cycles emphasize building capacity to receive and implement feedback from a variety of stakeholders, especially patients and providers of behavioral health services, while also being responsive to quantitative findings from measure development. Results Iterating measure development with stakeholder feedback over the course of 5 years has resulted in a novel measurement system with 19 subscales administered via branching logic, and a supporting practice research network to sustain development. Conclusion In developing a new clinical feedback system, the less-frequently-discussed practical aspects of measure development require close attention. Specifically, being willing to embrace change, planning for iteration, and systematically seeking stakeholder feedback are identified as central methods for improving clinical feedback systems.

This is what I need a clinical feedback system to do for me: A qualitative inquiry into therapists’ and patients’ perspectives

2016 ◽  
Vol 28 (2) ◽  
pp. 250-263 ◽  
Author(s):  
Christian Moltu ◽  
Marius Veseth ◽  
Jon Stefansen ◽  
Jan Christian Nøtnes ◽  
Åse Skjølberg ◽  
...  
Keyword(s):  
Feedback System ◽  
Qualitative Inquiry ◽  
Clinical Feedback

scholarly journals Assessment of clinical feedback given to medical students via an electronic feedback system

2017 ◽  
Vol 218 ◽  
pp. 174-179 ◽  
Author(s):  
Gabrielle Shaughness ◽  
Patrick E. Georgoff ◽  
Gurjit Sandhu ◽  
Lisa Leininger ◽  
Vahagn C. Nikolian ◽  
...  
Keyword(s):  
Medical Students ◽  
Feedback System ◽  
Electronic Feedback ◽  
Clinical Feedback

Differentiating Effortful and Noneffortful Swallowing with a Neck Force Transducer: Implications for the Development of a Clinical Feedback System

Dysphagia ◽  
2008 ◽  
Vol 24 (1) ◽  
pp. 7-12 ◽  
Author(s):  
Véronique L. Coulas ◽  
Rebecca C. Smith ◽  
Syed S. Qadri ◽  
Ruth E. Martin
Keyword(s):  
Feedback System ◽  
Force Transducer ◽  
Clinical Feedback

scholarly journals How therapists and patients need to develop a clinical feedback system after 18 months of use in a practice-research network: a qualitative study

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Christian Moltu ◽  
Andrew A. McAleavey ◽  
Marianne M. Helleseth ◽  
Geir Helge Møller ◽  
Sam S. Nordberg
Keyword(s):  
Qualitative Study ◽  
Research Question ◽  
Continuous Process ◽  
Feedback System ◽  
Research Network ◽  
Practice Research ◽  
Treatment Processes ◽  
Outcome Monitoring ◽  
Item Level ◽  
Clinical Feedback

Abstract Background A personalized computer-adaptive system for clinical feedback and routine outcome monitoring in mental health, Norse Feedback aims to bridge the needs for standardized and idiographic measures in ordinary practice. Methods Item response theory analyses of completed treatment processes (n = 800) informed a qualitative study comprising individual in-depth interviews and focus groups with patients (n = 9) and clinicians (n = 10). The research question was: How do clinicians and patients contribute to developing a clinical feedback system in a continuous process aimed at refining its clinical usefulness? Results We conducted thematic analyses and found five themes: 1. Added clinical needs, 2. Needs for re-organizing the clinician report, 3.Needs for differentiation of clinical content, 4. User-interface needs, and 5. Item level suggestions. Conclusion In this article, we detail resulting needs for continuous adaptation to practice, and discuss implications of the concrete experiences with the Norse action research program for the larger field of ROM/CFS implementation.

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