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Updated: Nov 6, 2025
Movement Retraining using Real-time Feedback of Performance
Published on: January 17, 2013
How therapists and patients need to develop a clinical feedback system after 18 months of use in a practice-research
Christian Moltu1,2, Andrew A McAleavey3,4, Marianne M Helleseth3
1Department of Psychiatry, District General Hospital of Førde, Førde, Norway. christian.moltu@helse-forde.no.
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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