University of Twente Student Theses


Project „Routine Outcome Measurement“: Eerste reacties van behandelaren en een inventarisatie van behandeleffecten

Semlianoi, B. (2013) Project „Routine Outcome Measurement“: Eerste reacties van behandelaren en een inventarisatie van behandeleffecten.

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Abstract:In 2011, the project “Routine Outcome Measurement“ has been introduced into a mental health institution in the Netherlands. Routine administration of questionnaires provides practitioners with valueable feedback about their patients‘ progress which can help them in treatment evaluation and planning. ROM can also be used to make treatment effects visible to insurance companies. Furthermore, institutions and different departments within an institution can learn from each other and due to the vast amount of data getting accessible, it can also be used for research purposes. Since there is not much known about practitioners‘ reactions to this project, the first part of this research contains a qualitative study about attitudes and use by practitioners, and their suggestions about further implementation of ROM. For this part seven practitioners were interviewed. The second part of this research is a quantitative study about (1) change in scores of total psychological functioning and symptomatic distress of the patients over a year as measured by the Outcome Questionnaire 45, (2) the correlation between these scores and patient characteristics gender and age and (3) a comparison of the scores between two locations of the same institution. Change in total psychological functioning is measured with both group statistics and on an individual basis with the Reliability Change Index (RCI). Analysis of the interviews led to the conclusion that ROM is only used sporadically by practitioners. There is also some evidence of resistance among practitioners to ROM. Based on the practitioners‘ overall attitude and intention to use ROM in the nearby future, they could be categorized into 3 types: the critic, the hindered supporter and the ambivalent. Based on quantitative analyses we found a significant improvement in both, the total psychological functioning and symptomatic distress. Outcomes based on the reliability change index were slighly less positive. We found no difference between the two locations. Furthermore, we did not find any correlation between patient characteristics and change in scores of psychological functioning and symptomatic distress.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology MSc (66604)
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