Frissen L N, Janse P D, Roskam R V, Hendriks G J
Pro Persona Research, Gelderland, Netherlands.
Behavioural Science Institute, Radboud University, Nijmegen, Netherlands.
Adm Policy Ment Health. 2025 Jan;52(1):252-260. doi: 10.1007/s10488-024-01402-1. Epub 2024 Aug 17.
Monitoring treatment progress through progress feedback is recognized for its efficacy and demonstrated value. However, its integration and utilization within treatments still need to be improved. Insufficient understanding exists regarding the factors within geriatric mental healthcare influencing the adoption of progress feedback. This study aimed to explore the determinants impacting the utilization of progress feedback within outpatient geriatric mental healthcare, specifically focusing on age-related perspectives and patient group characteristics. This qualitative investigation employed semi-structured interviews involving clinicians (N = 14) selected from four outpatient geriatric teams. The findings revealed both inhibiting and facilitating perspectives concerning progress feedback. Clinicians preferred user-friendly, specific, and tailored measures. Challenges included organizational support, integration in work processes, training, and the digital progress feedback system. Age-related perspectives such as older adults' diverse issues, limited digital skills, and cognitive problems hindered implementation, particularly in the oldest generation of older patients. In outpatient geriatric mental healthcare, many factors and attitudes influencing progress feedback align with those observed in adult psychiatry literature. Moreover, this study highlights specific age-related factors that impede the adoption and implementation of progress feedback, shedding light on the specific barriers within this context.
通过进展反馈来监测治疗进展，其有效性和已证明的价值已得到认可。然而，它在治疗中的整合和利用仍有待改进。对于老年精神卫生保健中影响进展反馈采用的因素，人们的认识还不足。本研究旨在探讨影响门诊老年精神卫生保健中进展反馈利用的决定因素，特别关注与年龄相关的观点和患者群体特征。这项定性研究采用了半结构化访谈，涉及从四个门诊老年团队中挑选的临床医生（N = 14）。研究结果揭示了关于进展反馈的抑制性和促进性观点。临床医生更喜欢用户友好、具体且量身定制的措施。挑战包括组织支持、在工作流程中的整合、培训以及数字进展反馈系统。与年龄相关的观点，如老年人的各种问题、有限的数字技能和认知问题，阻碍了实施，尤其是在最年长的老年患者群体中。在门诊老年精神卫生保健中，许多影响进展反馈的因素和态度与成人精神病学文献中观察到的一致。此外，本研究突出了阻碍进展反馈采用和实施的特定年龄相关因素，揭示了这一背景下的具体障碍。
