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Patient Educ Couns. 2016 Jan;99(1):164-8. doi: 10.1016/j.pec.2015.07.016. Epub 2015 Jul 19.

The long-term effect on mental health symptoms and patient activation of using patient feedback scales in mental health out-patient treatment. A randomised controlled trial.

Author information

1
Department of Public Health and General Practice, Norwegian University of Science and Technology, Trondheim, Norway. Electronic address: marit.b.rise@ntnu.no.
2
Nidaros Community Mental Health Centre, St. Olav's University Hospital, Trondheim, Norway; Department of Neuroscience, Norwegian University of Science and Technology, Trondheim, Norway.
3
Department of Public Health and General Practice, Norwegian University of Science and Technology, Trondheim, Norway.

Abstract

OBJECTIVE:

To investigate the long-term effect on mental health symptoms and patient activation, from using the Partners for Change Outcome Management System (PCOMS) feedback scales in out-patient mental health consultations, compared to not using feedback scales.

METHODS:

An open parallel-group randomised controlled trial was conducted in a mental health hospital in Norway. Eight therapists treated the intervention group, using two feedback scales, and seventeen therapists treated the treatment as usual group.

RESULTS:

Seventy-five patients participated. Six and twelve months after starting treatment there were no significant effects on the primary outcomes mental health symptoms or patient activation. Compared to baseline assessment the PCOMS group had significantly improved their patient activation scores after twelve months.

CONCLUSION:

We found no long-term effects from using the PCOMS scales on mental health symptoms or patient activation.

PRACTICE IMPLICATIONS:

This study shows that the use of a feedback system does not increase mental health outcomes or patient activation.

KEYWORDS:

Mental health care; Outcome assessment; Patient participation; Professional–patient relations

PMID:
26227577
DOI:
10.1016/j.pec.2015.07.016
[Indexed for MEDLINE]

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