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. 2020 May 2;17(9):3170.
doi: 10.3390/ijerph17093170.

How Are Information and Communication Technologies Supporting Routine Outcome Monitoring and Measurement-Based Care in Psychotherapy? A Systematic Review

Patricia Gual-Montolio  1 , Verónica Martínez-Borba  1 , Juana María Bretón-López  1 , Jorge Osma  2 , Carlos Suso-Ribera  1
Affiliations

How Are Information and Communication Technologies Supporting Routine Outcome Monitoring and Measurement-Based Care in Psychotherapy? A Systematic Review

Patricia Gual-Montolio et al. Int J Environ Res Public Health. .

Abstract

Psychotherapy has proven to be effective for a wide range of mental health problems. However, not all patients respond to the treatment as expected (not-on-track patients). Routine outcome monitoring (ROM) and measurement-based care (MBC), which consist of monitoring patients between appointments and using this data to guide the intervention, have been shown to be particularly useful for these not-on-track patients. Traditionally, though, ROM and MBC have been challenging, due to the difficulties associated with repeated monitoring of patients and providing real-time feedback to therapists. The use of information and communication technologies (ICTs) might help reduce these challenges. Therefore, we systematically reviewed evidence regarding the use of ICTs for ROM and MBC in face-to-face psychological interventions for mental health problems. The search included published and unpublished studies indexed in the electronic databases PubMed, PsycINFO, and SCOPUS. Main search terms were variations of the terms "psychological treatment", "progress monitoring or measurement-based care", and "technology". Eighteen studies met eligibility criteria. In these, ICTs were frequently handheld technologies, such as smartphone apps, tablets, or laptops, which were involved in the whole process (assessment and feedback). Overall, the use of technology for ROM and MBC during psychological interventions was feasible and acceptable. In addition, the use of ICTs was found to be effective, particularly for not-on-track patients, which is consistent with similar non-ICT research. Given the heterogeneity of reviewed studies, more research and replication is needed to obtain robust findings with different technological solutions and to facilitate the generalization of findings to different mental health populations.

Keywords: information and communication technologies; measurement-based care; mental health; outcome monitoring; therapist feedback.

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Conflict of interest statement

The authors declare no conflict of interest

Figures

Figure 1
Figure 1
Flow diagram of study selection following PRISMA guidelines [26].
See this image and copyright information in PMC

References

    1. Shimokawa K., Lambert M.J., Smart D.W. Enhancing treatment outcome of patients at risk of treatment failure: Meta-analytic and mega-analytic review of a psychotherapy quality assurance system. J. Consult. Clin. Psychol. 2010;78:298–311. doi: 10.1037/a0019247. - DOI - PubMed
    1. Lambert M.J., Hansen N.B., Finch A.E. Patient-focused research: Using patient outcome data to enhance treatment effects. J. Consult. Clin. Psychol. 2001;69:159–172. doi: 10.1037/0022-006X.69.2.159. - DOI - PubMed
    1. Kaplan S.H., Billimek J., Sorkin D.H., Ngo-Metzger Q., Greenfield S. Who can respond to treatment? Med. Care. 2010;48:S9–S16. doi: 10.1097/MLR.0b013e3181d99161. - DOI - PMC - PubMed
    1. McDevitt-Murphy M.E., Luciano M.T., Zakarian R.J. Use of ecological momentary assessment and intervention in treatment with adults. Focus (Madison) 2018;16:370–375. doi: 10.1176/appi.focus.20180017. - DOI - PMC - PubMed
    1. Suso-Ribera C., Mesas Á., Medel J., Server A., Márquez E., Castilla D., Zaragozá I., García-Palacios A., Mesas A., Medel J., et al. Improving pain treatment with a smartphone app: Study protocol for a randomized controlled trial. Trials. 2018;19:145. doi: 10.1186/s13063-018-2539-1. - DOI - PMC - PubMed

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