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Digitally Enhanced Routine Outcome Monitoring in Italian Psychotherapy: Protocol for a Longitudinal Implementation

Mattia Vincenzo Olive1, Antonino La Tona2, Vivian Ostwald3

  • 1Department of Management, Economics and Industrial Engineering, Politecnico di Milano, Via Raffaele Lambruschini 4b, Milan, 20156, Italy, 39 3488676027.

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|March 3, 2026
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Summary
This summary is machine-generated.

This study examines the implementation of digital routine outcome monitoring (ROM) in Italian psychotherapy. Findings will inform integrating data-informed practices into fragmented healthcare systems.

Keywords:
CFIRConsolidated Framework for Implementation ResearchItalyROMimplementationprotocolpsychotherapyroutine outcome monitoring

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Area of Science:

  • Psychotherapy research
  • Digital health implementation science
  • Health services research

Background:

  • Routine outcome monitoring (ROM) is an evidence-based practice in psychotherapy, yet its integration into clinical settings faces challenges.
  • Barriers to ROM adoption in Italy include service fragmentation, limited digital infrastructure, and professional cultural resistance.
  • Systematic collection of patient-reported outcomes supports clinical decision-making but is underutilized.

Purpose of the Study:

  • To investigate the implementation of a digital platform for ROM in Italian psychotherapy.
  • To identify individual, organizational, and contextual factors influencing the adoption and integration of digital ROM.
  • To understand how to embed data-informed practices in complex healthcare systems.

Main Methods:

  • Longitudinal mixed-methods implementation study within the OutProFeed project (Italy's first ROM RCT).
  • Utilizes the Consolidated Framework for Implementation Research and expert consensus for construct selection.
  • Includes ~30 psychotherapists across diverse settings, collecting qualitative (interviews) and quantitative (EBPAS-36) data at three time points (T0, T1, T2).

Main Results:

  • Ethical approval obtained April 2024; platform setup and engagement May-Nov 2025.
  • Baseline data collection (T0) December 2025-March 2026; mid-implementation (T1) June-Oct 2026; final follow-up (T2) Dec 2026-April 2027.
  • Data analysis post-T2; initial findings expected for publication in 2027.

Conclusions:

  • The study employs a theory-informed, context-sensitive approach to digital ROM implementation.
  • Combines qualitative and quantitative data longitudinally to analyze implementation trajectories.
  • Aims to provide insights for integrating digital outcome monitoring in fragmented, autonomous healthcare systems.