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Using Progress Feedback to Enhance Treatment Outcomes: A Narrative Review
Kim de Jong1, Susan Douglas2, Miranda Wolpert3
1Clinical Psychology Unit, Institute of Psychology, Leiden University, Wassenaarseweg 52, Leiden, 2333 AK, The Netherlands. KJong@fsw.leidenuniv.nl.
Administration and Policy in Mental Health
|May 11, 2024
Summary
Progress feedback, monitoring patient response with standardized measures, modestly improves mental health services. This evidence-based practice enhances interventions across various care settings, especially for common mental health issues.
Area of Science:
- Clinical Psychology
- Psychiatry
- Health Services Research
Background:
- Routine mental health services face increasing demand, yet clinical outcomes lag behind controlled trials.
- Progress feedback, an evidence-based practice, is under-utilized in routine mental health care.
- Effective mental health services, including telehealth, require optimized treatment outcomes.
Purpose of the Study:
- To review the evidence base for progress feedback in mental health services.
- To explore the mechanisms of action and implementation strategies for progress feedback.
- To summarize the effectiveness of progress feedback in routine clinical practice.
Main Methods:
- Systematic review of ten meta-analyses on progress feedback.
- Analysis of effect sizes across different patient groups and care settings.
- Synthesis of evidence on mechanisms of action and implementation challenges.
Main Results:
- Progress feedback demonstrates small to medium effect sizes, enhancing psychological and psychiatric interventions.
- Strongest evidence supports its use in common mental health problems and for patients not progressing well.
- Mechanisms include improved clinician attention, expectations, information, and patient-centered communication.
Conclusions:
- Progress feedback is a small, affordable intervention with the potential to improve psychological intervention outcomes.
- Further research is needed on mechanisms of action and effective implementation strategies.
- Integrating advanced systems and broader outcome measures can strengthen progress feedback interventions.
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