How patients and clinicians experience the utility of a personalized clinical feedback system in routine practice

Hovland, Runar Tengel and Ytrehus, Siri and Mellor-Clark, John and Moltu, Christian (2020) How patients and clinicians experience the utility of a personalized clinical feedback system in routine practice. Journal of Clinical Psychology. ISSN 1097-4679

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Abstract

The objective was to explore how a person-adaptive clinical feedback system (CFS) effects its users, and how meaning and relevance are negotiated. We conducted a 10-month case-study of the implementation and practice of Norse Feedback, a personalized CFS. The data material consisted of 12 patient interviews, 22 clinician interviews, 23 field notes, and 16 archival documents. We identified four main categories or themes: (i) patients' use of clinical feedback for enhanced awareness and insight; (ii) patients work to make clinical feedback a communication mode; (iii) patients and clinicians negotiate clinical feedback as a way to influence treatment; and (iv) clinical feedback requires an interactive sense-making effort. Patients and therapists produced the meaning and relevance of the CFS by interpreting the CFS measures to reflect the unique patient experience of the patient-therapist relationship. Patients regarded CFS as a tool to inform therapy with important issues. Patients became more self-aware and prepared for therapy. [Abstract copyright: © 2020 The Authors. Journal of Clinical Psychology published by Wiley Periodicals LLC.]

Item Type: Article
Additional Information: ** From PubMed via Jisc Publications Router ** History: received 08-05-2019; revised 15-01-2020; accepted 20-05-2020.
Identification Number: https://doi.org/10.1002/jclp.22992
Date: 19 June 2020
Uncontrolled Keywords: clinical feedback, implementation, psychotherapy, routine outcome monitoring
Subjects: C800 Psychology
Divisions: Faculty of Business, Law and Social Sciences > School of Social Sciences > Dept. Psychology
SWORD Depositor: JISC PubRouter
Depositing User: JISC PubRouter
Date Deposited: 03 Jul 2020 12:03
Last Modified: 03 Jul 2020 12:03
URI: http://www.open-access.bcu.ac.uk/id/eprint/9417

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