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[ROM measurements in mental health care: users need to be aware of the problems and pitfalls]
Background:
The weaknesses inherent in rom-data in mental health care are largely ignored in Dutch discussions about the pros and cons of rom.
Aim:
To promote awareness among users and potential users of rom with regard to the limitations of rom data in mental health care.
Method:
We present a discussion of three types of measurement problems connected with the use of rom data in mental health care: (a) arbitrary calculation rules for identifying changes that are reliable and of clinical significance, (b) arbitrary metrics and constructs and (c) forced objectivation of subjective information.
Results:
rom measurements are unreliable for use in mental health care because they lack a stable basis. The problems with these measurements are both psychometric and substantive.
Conclusion:
Anyone using or planning to use rom measurements in mental health care should be aware of fundamental measurement problems associated with rom.
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