Title |
Pitfalls in the Assessment, Analysis, and Interpretation of Routine Outcome Monitoring (ROM) Data: Results from an Outpatient Clinic for Integrative Mental Health
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Published in |
Administration and Policy in Mental Health and Mental Health Services Research, July 2013
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DOI | 10.1007/s10488-013-0511-7 |
Pubmed ID | |
Authors |
Rogier H. J. Hoenders, Elisabeth H. Bos, Agna A. Bartels-Velthuis, Nina K. Vollbehr, Karen van der Ploeg, Peter de Jonge, Joop T. V. M. de Jong |
Abstract |
There is considerable debate about routine outcome monitoring (ROM) for scientific or benchmarking purposes. We discuss pitfalls associated with the assessment, analysis, and interpretation of ROM data, using data of 376 patients. 206 patients (55 %) completed one or more follow-up measurements. Mixed-model analysis showed significant improvement in symptomatology, quality of life, and autonomy, and differential improvement for different subgroups. Effect sizes were small to large, depending on the outcome measure and subgroup. Subtle variations in analytic strategies influenced effect sizes substantially. We illustrate how problems inherent to design and analysis of ROM data prevent drawing conclusions about (comparative) treatment effectiveness. |
X Demographics
Geographical breakdown
Country | Count | As % |
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South Africa | 1 | 50% |
Unknown | 1 | 50% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 2 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 59 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Researcher | 13 | 22% |
Student > Master | 9 | 15% |
Student > Ph. D. Student | 8 | 14% |
Professor | 3 | 5% |
Student > Bachelor | 3 | 5% |
Other | 11 | 19% |
Unknown | 12 | 20% |
Readers by discipline | Count | As % |
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Psychology | 25 | 42% |
Medicine and Dentistry | 10 | 17% |
Social Sciences | 4 | 7% |
Mathematics | 1 | 2% |
Earth and Planetary Sciences | 1 | 2% |
Other | 3 | 5% |
Unknown | 15 | 25% |