Ferkauf Graduate School of Psychology, Yeshiva University, New York, New York, USA.
Institute of Psychology, Leiden University, Leiden, the Netherlands.
J Clin Psychol. 2022 Oct;78(10):2054-2065. doi: 10.1002/jclp.23438. Epub 2022 Aug 30.
Routine outcome monitoring (ROM) involves the use of patient-reported standardized outcome measures to monitor progress throughout the course of treatment, followed by feedback of the patient's scores to the therapist. The potential benefits of ROM have been established, however, from our own experiences, we know that the implementation in clinical practice can be challenging. We therefore wanted to explore in more detail exactly how we might be able to apply ROM in difficult clinical contexts. The inspiring case illustrations in this issue of Journal of Clinical Psychology: In Session highlight the heterogeneity in ROM systems, and the way in which ROM can be used in treatment. Just as there are many ways of interpreting a survey data-point, there are also many ways in which ROM may be used to complement the treatment and supervision. Whether or not ROM is implemented may partly be determined by clinic policies and routines, but there remain a multitude of clinical decisions that require careful consideration by the individual therapist. To complement the evidence supporting the benefits of using ROM, further empirical support and clinical guidance is needed on how exactly therapists are to use ROM in their work and how ROM may be used in evidence-based practice. We make suggestions for additional uses of ROM for deliberate practice, and teletherapy practice, and look toward novel ways of assessing progress in the near future.
常规结果监测（ROM）涉及使用患者报告的标准化结果测量来监测治疗过程中的进展，然后将患者的分数反馈给治疗师。已经确定了 ROM 的潜在好处，但是根据我们自己的经验，我们知道在临床实践中的实施可能具有挑战性。因此，我们想更详细地探讨如何在困难的临床环境中应用 ROM。本期《临床心理学杂志：会话》中的启发性案例说明突出了 ROM 系统的异质性，以及 ROM 可以在治疗中使用的方式。就像有许多种解释调查数据点的方法一样，也有许多种方法可以用来补充治疗和监督。是否实施 ROM 可能部分取决于诊所的政策和常规，但仍有许多临床决策需要治疗师仔细考虑。为了补充使用 ROM 的益处的证据，需要进一步的实证支持和临床指导，说明治疗师应如何在工作中使用 ROM，以及 ROM 如何用于基于证据的实践。我们对 ROM 在刻意练习和远程治疗实践中的额外用途提出了建议，并展望了未来评估进展的新方法。
