Improving measurement-based care implementation in adult ambulatory psychiatry: a virtual focus group interview with multidisciplinary healthcare professionals DOI Creative Commons
Hayoung Ko, Alyssa J. Gatto, Sydney Jones

et al.

BMC Health Services Research, Journal Year: 2023, Volume and Issue: 23(1)

Published: April 26, 2023

Abstract Background Measurement-Based Care (MBC) is an evidence-based practice shown to enhance patient care. Despite being efficacious, MBC not commonly used in practice. While barriers and facilitators of implementation have been described the literature, type clinicians populations studied vary widely, even within same setting. The current study aims improve adult ambulatory psychiatry by conducting focus group interviews while utilizing a novel virtual brainwriting premortem method. Methods Semi-structured were conducted with ( n = 18) staff 7) identify their attitudes, facilitators, healthcare Virtual video-conferencing software was conduct groups, based on transcribed verbatin, emergent barriers/facilitators four themes identified. Mixed methods approach utilized for this study. Specifically, qualitative data aggregated re-coded separately three doctoral-level coders. Quantitative analyses from follow-up questionnaire surveying clinician attitudes satisfaction MBC. Results groups resulted 291 91 unique codes, respectively. identified similar number (40.9%) (44.3%), more (67%) than (24.7%) Four emerged analysis; (1) description status/neutral opinion MBC; (2) positive that include benefits MBC, enablers, or reasons why they practice, (3) negative issues hinder them incorporating into (4) requests suggestions future implementation. Both participant raised highlighting critical challenges themes. regarding showed areas emphasized most least clinical Conclusion provided information shortcomings strengths psychiatry. Our findings underscore settings provide insight both research mental health fields. can inform training increase sustainability better integrate downstream outcomes

Language: Английский

Canadian Network for Mood and Anxiety Treatments (CANMAT) 2023 Update on Clinical Guidelines for Management of Major Depressive Disorder in Adults: Réseau canadien pour les traitements de l'humeur et de l'anxiété (CANMAT) 2023 : Mise à jour des lignes directrices cliniques pour la prise en charge du trouble dépressif majeur chez les adultes DOI Creative Commons
Raymond W. Lam, Sidney H. Kennedy, G. Camelia Adams

et al.

The Canadian Journal of Psychiatry, Journal Year: 2024, Volume and Issue: 69(9), P. 641 - 687

Published: May 6, 2024

Background The Canadian Network for Mood and Anxiety Treatments (CANMAT) last published clinical guidelines the management of major depressive disorder (MDD) in 2016. Owing to advances field, an update was needed incorporate new evidence provide revised recommendations assessment MDD adults. Methods CANMAT convened a editorial group comprised academic clinicians patient partners. A systematic literature review conducted, focusing on reviews meta-analyses since 2016 guidelines. Recommendations were organized by lines treatment, which informed CANMAT-defined levels supplemented support (consisting expert consensus safety, tolerability, feasibility). Drafts based partners, peer review, defined process. Results updated comprise eight primary topics, question-and-answer format, that map care journey from selection evidence-based treatments, prevention recurrence, strategies inadequate response. adopt personalized approach emphasizes shared decision-making reflects values, preferences, treatment history with MDD. Tables psychological, pharmacological, lifestyle, complementary alternative medicine, digital health, neuromodulation treatments. Caveats limitations are highlighted. Conclusions 2023 evidence-informed MDD, clinician-friendly format. These emphasize collaborative, personalized, will help optimize outcomes adults

Language: Английский

Citations

51
To Utility and Beyond! Specifying and Advancing the Utility of Measurement-Based Care for Youth DOI Open Access
Bryce D. McLeod, Amanda Jensen‐Doss, Aaron R. Lyon

et al.

Journal of Clinical Child & Adolescent Psychology, Journal Year: 2022, Volume and Issue: 51(4), P. 375 - 388

Published: March 9, 2022

Mental health organizations that serve youth are under pressure to adopt measurement-based care (MBC), defined as the continuous collection of client-report data used support clinical decision-making part standard care. However, few frameworks exist help leadership ascertain how select an MBC approach for a setting. This paper seeks define can display utility provide such framework. Broadly, we evidence assists stakeholders in fulfilling goals related quality (i.e., improve client-clinician alliance and outcomes) at client caregiver), clinician, supervisor, administrator levels. More specifically, our definition is divided into two categories relevant usability usefulness specific setting: (a) implementability indicating ease use setting) (b) aiding activities potential communication make easier or more effective). These valuable information about easy benefits will confer. To detail arrived this definition, review prior definitions utility, discuss previous inform MBC, examples concept be applied MBC. We finish with discussion future research directions.

Language: Английский

Citations

49
A Meta-Analysis on Differences and Associations between Alliance Ratings in Child and Adolescent Psychotherapy DOI Open Access
Jesse Roest, Marianne J. Welmers-van de Poll, Peer van der Helm

et al.

Journal of Clinical Child & Adolescent Psychology, Journal Year: 2022, Volume and Issue: 52(1), P. 55 - 73

Published: July 21, 2022

Objective The alliance in child and adolescent psychotherapy is widely recognized as an important factor therapy. Studies on the have increasingly focused assessment of a dyadic construct, measuring both client therapist ratings. However, cross-informant reports not yet been subjected to meta-analysis. Therefore, present meta-analysis aims increase knowledge degree convergence divergence between child, parent, therapist, observer ratings psychotherapy.Methods A series three-level meta-analyses 78 studies was conducted investigate differences associations psychotherapy.Results Findings indicated that children parents general rated more positively than their therapists (d = 0.35, d 0.72, respectively), child-therapist parent-therapist were moderately correlated (r .32, r .23, respectively). Associations moderate large .43, .53, respectively).Conclusions It can be concluded generally report compared therapists, which consistent with research adult populations. small indicate individuals some extent shared perspective alliance, various perspectives should acknowledged when dealing Implications for future are discussed.

Language: Английский

Citations

45
Advancing healthcare equity through dissemination and implementation science DOI Creative Commons
Ana A. Baumann, Rachel C. Shelton, Shiriki Kumanyika

et al.

Health Services Research, Journal Year: 2023, Volume and Issue: 58(S3), P. 327 - 344

Published: May 23, 2023

To provide guiding principles and recommendations for how approaches from the field of dissemination implementation (D&I) science can advance healthcare equity.

Language: Английский

Citations

37
Using Progress Feedback to Enhance Treatment Outcomes: A Narrative Review DOI Creative Commons
Kim de Jong, Susan Douglas, Miranda Wolpert

et al.

Administration and Policy in Mental Health and Mental Health Services Research, Journal Year: 2024, Volume and Issue: 52(1), P. 210 - 222

Published: May 11, 2024

Abstract We face increasing demand for greater access to effective routine mental health services, including telehealth. However, treatment outcomes in clinical practice are only about half the size of those reported controlled trials. Progress feedback, defined as ongoing monitoring patients’ response with standardized measures, is an evidence-based that continues be under-utilized care. The aim current review provide a summary evidence base use progress its mechanisms action and considerations successful implementation. reviewed ten available meta-analyses, which report small medium overall effect sizes. results suggest adding feedback wide range psychological psychiatric interventions (ranging from primary care hospitalization crisis care) tends enhance effectiveness these interventions. strongest patients common problems compared very severe disorders. Effect sizes not-on-track cases, subgroup cases not progressing well, found somewhat stronger, especially when support tools added feedback. Systematic reviews recent studies potential include focusing clinician’s attention, altering clinician expectations, providing new information, enhancing patient-centered communication. Promising approaches strengthen advanced systems signaling technology, problem-solving tools, broader spectrum outcome measures. An overview methodological implementation challenges provided, well suggestions addressing issues future studies. conclude while has modest effects, it affordable intervention can potentially improve Further research into strategies needed.

Language: Английский

Citations

8
Transforming global approaches to chronic disease prevention and management across the lifespan: integrating genomics, behavior change, and digital health solutions DOI Creative Commons
Shane Thomas, Colette Browning, Fadi J. Charchar

et al.

Frontiers in Public Health, Journal Year: 2023, Volume and Issue: 11

Published: Oct. 13, 2023

Chronic illnesses are a major threat to global population health through the lifespan into older age. Despite world-wide public goals, there has been steady increase in chronic and non-communicable diseases (e.g., cancer, cardiovascular metabolic disorders) strong growth mental disorders. In 2010, 67% of deaths worldwide were due this increased 74% 2019, with accelerated COVID-19 era its aftermath. Aging wellbeing across positively impacted by presence effective prevention management illness that can enhance health. This paper provides short overview journey current situation followed discussion how we may better address what World Health Organization termed "tsunami diseases." advocate for development, validation, subsequent deployment integrated: 1. Polygenic multifactorial risk prediction tools screen those at future disease undiagnosed disease. 2. Advanced preventive, behavior change maximize wellbeing. 3. Digital systems support greater efficiencies population-scale intervention programs. It is argued each these actions individually an emerging evidence base. However, limited research date concerning combined population-level effects their integration. We outline conceptual framework within which planning currently conducting studies investigate

Language: Английский

Citations

20
Implementing Measurement-Based Care for Depression: Practical Solutions for Psychiatrists and Primary Care Physicians DOI Creative Commons

Ran Ha Hong,

Jill Murphy, Erin E. Michalak

et al.

Neuropsychiatric Disease and Treatment, Journal Year: 2021, Volume and Issue: Volume 17, P. 79 - 90

Published: Jan. 1, 2021

Abstract: Measurement-based care (MBC) can be defined as the clinical practice in which providers collect patient data through validated outcome scales and use results to guide their decision-making processes. Despite growing evidence supporting effectiveness of MBC for depression other mental health conditions, many physicians clinicians have yet adopt practice. In part, this is due individual organizational barriers implementing busy settings. paper, we briefly review efficacy focusing on pharmacological management provide example scenarios illustrate its potential utility psychiatric We discuss challenges adoption then address these by suggesting simple solutions implement care, including recommended scales, monitoring tools, technology such cloud-based services mobile apps mood tracking. The availability ranging from paper-pencil questionnaires technology, allow psychiatrists all types settings easily incorporate into practices improve outcomes patients with depression. Keywords: measurement-based major depressive disorder, depression, outcomes, patient-reported measures, implementation, measurement

Language: Английский

Citations

40
Implementation Science and Practice-Oriented Research: Convergence and Complementarity DOI
Soo Jeong Youn, James F. Boswell, Susan Douglas

et al.

Administration and Policy in Mental Health and Mental Health Services Research, Journal Year: 2023, Volume and Issue: 51(3), P. 336 - 347

Published: Aug. 30, 2023

Language: Английский

Citations

14
Data-Informed Communication: How Measurement-Based Care Can Optimize Child Psychotherapy DOI
Elizabeth H. Connors, Amber W. Childs, Susan Douglas

et al.

Administration and Policy in Mental Health and Mental Health Services Research, Journal Year: 2024, Volume and Issue: 52(1), P. 179 - 193

Published: April 25, 2024

Language: Английский

Citations

5
Perceptions of mental health providers of the barriers and facilitators of using and engaging youth in digital mental-health-enabled measurement based care DOI Creative Commons
Emilie M. Bassi, Katherine Bright,

L. Norman

et al.

Digital Health, Journal Year: 2024, Volume and Issue: 10

Published: Jan. 1, 2024

Increased rates of mental health disorders and substance use among youth young adults have increased globally, furthering the strain on an already burdened system. Digital solutions been proposed as a potential option for provision timely services youth, with little research exploring professional views about using such innovative tools. In Alberta, Canada, we are evaluating implementation integration digital (dMH) platform into existing service pathways. Within this paper seek to explore professionals' perceptions barriers facilitators that may influence their utilization MH-enabled measurement-based care (MBC) who access services.

Language: Английский

Citations

5