The use of Routine Outcome Monitoring in child semi-residential psychiatry

Predicting parents’ completion rates

A. Lamers, Ch. van Nieuwenhuizen, B. Siebelink, T. Blaauw, R. Vermeiren

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Abstract

Background
Parents’ perspectives on their children’s treatment process and outcomes are valuable to treatment development and improvement. Participants’ engagement in Routine Outcome Monitoring (ROM) has, however, been difficult and may particularly be so in specialized settings, such as semi-residential psychiatry. In this paper, the use of a web-based ROM system implemented in a child semi-residential psychiatric setting is described and predictors associated with low completion rates of questionnaires by parents are identified.
Methods
Parents and the multidisciplinary team of 46 children admitted to semi-residential psychiatric treatment participated in this study and completed a battery of questionnaires in three month intervals.
Results
The overall completion rate of both parents during ROM assessment was 77 % compared to 83 % of all clinicians involved. Completion of questionnaires by parents was higher around first assessments and declined after a year treatment. For eight clients at least one of the parents stopped filling out questionnaires during ROM measuring. Logistic multilevel analyses revealed initial treatment factors associated with a low completion of questionnaires by parents during ROM: high comorbidity of the child on DSM Axis I, single parenthood, a higher parental educational level and having a weaker therapeutic alliance regarding goal setting.
Conclusions
The findings in this paper demonstrate relatively high completion of questionnaires by clinicians and parents when using ROM in child semi-residential psychiatry. Strong administrative and electronic support undoubtedly contributed to this result. Clinicians are encouraged to motivate parents to mutually invest in ROM, and to take into account factors indicating a possible lower completion of questionnaires by parents.
Original languageEnglish
Article number18
JournalChild and Adolescent Psychiatry and Mental Health
Volume9
DOIs
Publication statusPublished - 2015

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Parents
Surveys and Questionnaires
Comorbidity

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@article{a5969f86df6b4428a8c5e1945d112a6d,
title = "The use of Routine Outcome Monitoring in child semi-residential psychiatry: Predicting parents’ completion rates",
abstract = "BackgroundParents’ perspectives on their children’s treatment process and outcomes are valuable to treatment development and improvement. Participants’ engagement in Routine Outcome Monitoring (ROM) has, however, been difficult and may particularly be so in specialized settings, such as semi-residential psychiatry. In this paper, the use of a web-based ROM system implemented in a child semi-residential psychiatric setting is described and predictors associated with low completion rates of questionnaires by parents are identified.MethodsParents and the multidisciplinary team of 46 children admitted to semi-residential psychiatric treatment participated in this study and completed a battery of questionnaires in three month intervals.ResultsThe overall completion rate of both parents during ROM assessment was 77 {\%} compared to 83 {\%} of all clinicians involved. Completion of questionnaires by parents was higher around first assessments and declined after a year treatment. For eight clients at least one of the parents stopped filling out questionnaires during ROM measuring. Logistic multilevel analyses revealed initial treatment factors associated with a low completion of questionnaires by parents during ROM: high comorbidity of the child on DSM Axis I, single parenthood, a higher parental educational level and having a weaker therapeutic alliance regarding goal setting.ConclusionsThe findings in this paper demonstrate relatively high completion of questionnaires by clinicians and parents when using ROM in child semi-residential psychiatry. Strong administrative and electronic support undoubtedly contributed to this result. Clinicians are encouraged to motivate parents to mutually invest in ROM, and to take into account factors indicating a possible lower completion of questionnaires by parents.",
author = "A. Lamers and {van Nieuwenhuizen}, Ch. and B. Siebelink and T. Blaauw and R. Vermeiren",
year = "2015",
doi = "10.1186/s13034-015-0049-4",
language = "English",
volume = "9",
journal = "Child and Adolescent Psychiatry and Mental Health",
issn = "1753-2000",
publisher = "BioMed Central",

}

The use of Routine Outcome Monitoring in child semi-residential psychiatry : Predicting parents’ completion rates. / Lamers, A.; van Nieuwenhuizen, Ch.; Siebelink, B.; Blaauw, T.; Vermeiren, R.

In: Child and Adolescent Psychiatry and Mental Health, Vol. 9, 18, 2015.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - The use of Routine Outcome Monitoring in child semi-residential psychiatry

T2 - Predicting parents’ completion rates

AU - Lamers, A.

AU - van Nieuwenhuizen, Ch.

AU - Siebelink, B.

AU - Blaauw, T.

AU - Vermeiren, R.

PY - 2015

Y1 - 2015

N2 - BackgroundParents’ perspectives on their children’s treatment process and outcomes are valuable to treatment development and improvement. Participants’ engagement in Routine Outcome Monitoring (ROM) has, however, been difficult and may particularly be so in specialized settings, such as semi-residential psychiatry. In this paper, the use of a web-based ROM system implemented in a child semi-residential psychiatric setting is described and predictors associated with low completion rates of questionnaires by parents are identified.MethodsParents and the multidisciplinary team of 46 children admitted to semi-residential psychiatric treatment participated in this study and completed a battery of questionnaires in three month intervals.ResultsThe overall completion rate of both parents during ROM assessment was 77 % compared to 83 % of all clinicians involved. Completion of questionnaires by parents was higher around first assessments and declined after a year treatment. For eight clients at least one of the parents stopped filling out questionnaires during ROM measuring. Logistic multilevel analyses revealed initial treatment factors associated with a low completion of questionnaires by parents during ROM: high comorbidity of the child on DSM Axis I, single parenthood, a higher parental educational level and having a weaker therapeutic alliance regarding goal setting.ConclusionsThe findings in this paper demonstrate relatively high completion of questionnaires by clinicians and parents when using ROM in child semi-residential psychiatry. Strong administrative and electronic support undoubtedly contributed to this result. Clinicians are encouraged to motivate parents to mutually invest in ROM, and to take into account factors indicating a possible lower completion of questionnaires by parents.

AB - BackgroundParents’ perspectives on their children’s treatment process and outcomes are valuable to treatment development and improvement. Participants’ engagement in Routine Outcome Monitoring (ROM) has, however, been difficult and may particularly be so in specialized settings, such as semi-residential psychiatry. In this paper, the use of a web-based ROM system implemented in a child semi-residential psychiatric setting is described and predictors associated with low completion rates of questionnaires by parents are identified.MethodsParents and the multidisciplinary team of 46 children admitted to semi-residential psychiatric treatment participated in this study and completed a battery of questionnaires in three month intervals.ResultsThe overall completion rate of both parents during ROM assessment was 77 % compared to 83 % of all clinicians involved. Completion of questionnaires by parents was higher around first assessments and declined after a year treatment. For eight clients at least one of the parents stopped filling out questionnaires during ROM measuring. Logistic multilevel analyses revealed initial treatment factors associated with a low completion of questionnaires by parents during ROM: high comorbidity of the child on DSM Axis I, single parenthood, a higher parental educational level and having a weaker therapeutic alliance regarding goal setting.ConclusionsThe findings in this paper demonstrate relatively high completion of questionnaires by clinicians and parents when using ROM in child semi-residential psychiatry. Strong administrative and electronic support undoubtedly contributed to this result. Clinicians are encouraged to motivate parents to mutually invest in ROM, and to take into account factors indicating a possible lower completion of questionnaires by parents.

U2 - 10.1186/s13034-015-0049-4

DO - 10.1186/s13034-015-0049-4

M3 - Article

VL - 9

JO - Child and Adolescent Psychiatry and Mental Health

JF - Child and Adolescent Psychiatry and Mental Health

SN - 1753-2000

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