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Evaluation of an Online System for Routine Outcome Monitoring: Cross-sectional Survey Study
Deanna E Wiebe1, Shannon Remers2, Pria Nippak1
1Department of Health Services Management, Ryerson University, Toronto, ON, Canada.
JMIR Mental Health
|December 2, 2021
Summary
Moving routine outcome monitoring (ROM) online significantly boosted client completion rates for self-reported measures. While clinicians found the online system more efficient, its value in identifying at-risk clients or strengthening therapeutic alliances showed mixed results.
Area of Science:
- Mental Health Treatment
- Psychotherapy Research
- Digital Health Interventions
Background:
- Routine outcome monitoring (ROM) aims to improve psychotherapy outcomes but faces low clinician adoption.
- Online ROM is proposed to increase the utilization of outcome monitoring tools.
Purpose of the Study:
- To assess the impact of transitioning ROM to an online platform on client completion rates.
- To identify barriers and facilitators to online ROM implementation from clinicians' perspectives.
Main Methods:
- A comparative analysis of client self-reported outcome measure completion rates before and after online ROM implementation.
- A survey of 324 mental health providers on their perceptions of the online ROM system compared to paper-based methods.
Main Results:
- Client completion rates for self-reported measures increased from 15.62% to 53.98% after moving online.
- 57% of providers found the online system less time-consuming, and 64% felt it aided client monitoring.
- Only 23% believed it helped identify at-risk clients, and 18% found it strengthened the therapeutic alliance.
Conclusions:
- Online ROM significantly improves client engagement with outcome measures.
- Clinician perceptions of online ROM are mixed, highlighting areas for system improvement.
- Actionable insights were gained regarding barriers and challenges for future online ROM development.
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