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患者对常规结果监测和临床反馈系统的体验:定性实证文献的系统回顾和综合。

Patients' experiences with routine outcome monitoring and clinical feedback systems: A systematic review and synthesis of qualitative empirical literature.

机构信息

a Department of Psychiatry , District General Hospital of Førde , Førde , Norway.

b Department of Psychology , Pennsylvania State University , University Park , PA , USA.

出版信息

Psychother Res. 2019 Feb;29(2):157-170. doi: 10.1080/10503307.2017.1326645. Epub 2017 May 19.

Abstract

UNLABELLED

Routine outcome monitoring (ROM) and clinical feedback (CF) systems have become important tools for psychological therapies, but there are challenges for their successful implementation.

OBJECTIVE

To overcome these challenges, a greater understanding is needed about how patients experience the use of ROM/CF.

METHOD

We conducted a systematic literature search of qualitative studies on patient experiences with the use of ROM/CF in mental health services.

RESULTS

The findings from 16 studies were synthesized, resulting in four meta-themes: (1) Suspicion towards service providers, (2) Flexibility and support to capture complexity, (3) Empowering patients, and (4) Developing collaborative practice.

CONCLUSIONS

We discuss the implications of these meta-themes for further development and implementation of ROM/CF into clinical practice, acknowledging the limitations of our review and suggesting avenues for further research. Clinical or methodological significance of this article: This article provides useful and actionable knowledge about the patient perspective on ROM/CF, an important discussion on the current state of research in this area, and useful and concrete suggestions for further avenues of research.

摘要

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常规结果监测(ROM)和临床反馈(CF)系统已成为心理治疗的重要工具,但在成功实施这些系统方面仍存在挑战。

目的

为了克服这些挑战,我们需要更深入地了解患者在使用 ROM/CF 时的体验。

方法

我们对关于患者在心理健康服务中使用 ROM/CF 的体验的定性研究进行了系统的文献检索。

结果

对 16 项研究的结果进行了综合分析,得出了四个元主题:(1)对服务提供者的怀疑;(2)灵活性和支持以捕捉复杂性;(3)赋予患者权力;(4)发展协作实践。

结论

我们讨论了这些元主题对将 ROM/CF 进一步发展和实施到临床实践中的意义,同时承认我们的综述存在局限性,并提出了进一步研究的途径。

本文对 ROM/CF 的患者视角提供了有用且可操作的知识,对该领域当前研究状况进行了重要讨论,并对进一步研究途径提出了有用且具体的建议。

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