Chong Min K, Hickie Ian B, Ekambareshwar Mahalakshmi, Poulsen Adam, McKenna Sarah, Hutcheon Alexis, Hockey Samuel J, Scott Elizabeth M, Iorfino Frank
Brain and Mind Centre, The University of Sydney, 94 Mallett Street, Camperdown, Sydney, NSW, Australia.
St Vincent's and Mater Clinical School, The University of Notre Dame, Sydney, NSW, Australia.
BMC Health Serv Res. 2025 May 26;25(1):752. doi: 10.1186/s12913-025-12889-1.
Measurement-based care (MBC) enables personalised and proactive mental healthcare through regular symptom monitoring and review, allowing clinicians to make timely adjustments to clients' interventions for improved outcomes. Yet, its uptake in youth mental health services remains minimal. This study aims to explore perceived barriers and facilitators for sustained use of MBC and potential of digital technologies to enhance its engagement in young adults.
A mixed-methods study, comprising focus groups and surveys, was conducted with young adults who had previously accessed mental health services. Template analysis was used to analyze qualitative data, and descriptive analyses were performed with quantitative data.
Eighteen young adults (mean age = 21.7 years; SD = 3.4) participated in this study. Survey results showed that young adults agreed with the value of MBC in their care (15/18) and reported low rates of discomfort with progress evaluation (11/18). Focus groups revealed collaborative data review with clinicians as a key facilitator in MBC uptake, driving repeated engagement with data input and review. Participants expressed that generalized interpretation of data that does not consider individual context, and the use of standard measures that were perceived to be irrelevant to their personal treatment goals discouraged their future engagement with MBC. Digital features that improve accessibility and data interpretation were expected to enhance consistent engagement with MBC.
The findings indicate that the motivation and sustained engagement in MBC stem from young adults' comprehension of how collected data fosters shared decision-making and personalize treatment. Therefore, regular, collaborative data reviews would be crucial in cultivating a sense of autonomy and purpose within MBC for young adults. This study highlights the importance of data review in enhancing the uptake of MBC, a factor that is often overlooked. By demonstrating this, the study provides a deeper understanding of motivators in MBC and valuable insights for mental health services to explore strategies that could support clinicians to integrate data review as part of routine care. To this end, one effective approach could be developing technologies that facilitate client-clinician communication and empower young adults to advocate for personalized care.
基于测量的护理（MBC）通过定期症状监测和评估实现个性化和主动式精神卫生保健，使临床医生能够及时调整对患者的干预措施以改善治疗效果。然而，它在青少年精神卫生服务中的应用仍然很少。本研究旨在探讨持续使用MBC的感知障碍和促进因素，以及数字技术在提高其在年轻人中的参与度方面的潜力。
对曾接受过精神卫生服务的年轻人进行了一项混合方法研究，包括焦点小组和调查。采用模板分析法分析定性数据，对定量数据进行描述性分析。
18名年轻人（平均年龄=21.7岁；标准差=3.4）参与了本研究。调查结果显示，年轻人认可MBC在其护理中的价值（15/18），且报告称对进展评估的不适感较低（11/18）。焦点小组揭示，与临床医生进行协作式数据审查是采用MBC的关键促进因素，推动了对数据输入和审查的反复参与。参与者表示，不考虑个体情况的数据笼统解读，以及使用被认为与个人治疗目标无关的标准测量方法，阻碍了他们未来对MBC的参与。有望改善可及性和数据解读的数字功能将增强对MBC的持续参与。
研究结果表明，对MBC的积极性和持续参与源于年轻人对所收集数据如何促进共同决策和使治疗个性化的理解。因此，定期的协作式数据审查对于在MBC中培养年轻人的自主感和目标感至关重要。本研究强调了数据审查在提高MBC采用率方面的重要性，而这一因素常常被忽视。通过证明这一点，该研究更深入地理解了MBC中的激励因素，并为精神卫生服务提供了宝贵的见解，以探索能够支持临床医生将数据审查纳入常规护理的策略。为此，一种有效的方法可能是开发促进医患沟通并使年轻人能够倡导个性化护理的技术。
