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Assessing the Implementation of a Novel Digital Measurement-Based Care Training in Behavioral Health Using the PRISM

Alyssa J Gatto1,2, Hayoung Ko3, Virginia C O'Brien4

  • 1Department of Psychiatry, University of Colorado Anschutz School of Medicine, Aurora, CO, USA.

Implementation Research and Practice
|June 19, 2026
PubMed
Summary

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Digital training improved the feasibility and acceptability of Measurement-Based Care (MBC) in psychiatric clinics. While clinician attitudes didn't change, the program offers a sustainable model for implementing this evidence-based practice.

Area of Science:

  • Behavioral Health
  • Clinical Implementation Science
  • Digital Health Training

Background:

  • Measurement-Based Care (MBC) integration faces challenges in clinical settings.
  • The PRISM framework guided the examination of MBC implementation in an adult psychiatric clinic.
  • 33 strategies were used to enhance MBC uptake before developing a digital training program.

Purpose of the Study:

  • To evaluate the reach, implementation, and contextual factors of the METRIC digital training program.
  • To assess the feasibility, acceptability, and appropriateness of METRIC for standardizing MBC training.
  • To explore METRIC's potential for sustaining MBC utilization in mental health settings.

Main Methods:

  • The METRIC digital training was distributed to 56 clinicians via an institutional learning hub.
Keywords:
MBCMeasurement-based carebehavioral healthpatient-reported outcome measurestraining

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  • Clinician attitudes and implementation data were collected pre-training, and at 1 and 3 months post-training.
  • Patient attitudes were assessed before and after the implementation period.

    • Main Results:

    • 83.9% of clinicians completed the METRIC training, showing promising acceptability, appropriateness, and feasibility.
    • Clinicians rated METRIC positively and answered 84% of module questions correctly.
    • No significant changes were observed in clinician or patient attitudes towards MBC post-training.

    Conclusions:

    • METRIC was well-received and feasible for standardizing MBC training in an ambulatory mental health clinic.
    • The digital training offers a sustainable model for MBC implementation, reducing reliance on champions and partnerships.
    • Further research should explore MBC training benefits, optimal frequency, and specialized training needs.