A National Quality Improvement Collaborative for the clinical use of outcome measurement in specialised mental healthcare: results from a parallel group design and a nested cluster randomised controlled trial

Margot J Metz; Marjolein A Veerbeek; Gerdien C Franx; Christina M van der Feltz-Cornelis; Edwin de Beurs; Aartjan T F Beekman

doi:https://doi.org/10.1192/bjpo.bp.116.004366

A National Quality Improvement Collaborative for the clinical use of outcome measurement in specialised mental healthcare: results from a parallel group design and a nested cluster randomised controlled trial

Margot J Metz, Marjolein A Veerbeek, Gerdien C Franx, Christina M van der Feltz-Cornelis, Edwin de Beurs, Aartjan T F Beekman

Research output: Contribution to journal › Article › Academic › peer-review

10 Citations (Scopus)

Abstract

BACKGROUND: Although the importance and advantages of measurement-based care in mental healthcare are well established, implementation in daily practice is complex and far from optimal.

AIMS: To accelerate the implementation of outcome measurement in routine clinical practice, a government-sponsored National Quality Improvement Collaborative was initiated in Dutch-specialised mental healthcare.

METHOD: To investigate the effects of this initiative, we combined a matched-pair parallel group design (21 teams) with a cluster randomised controlled trial (RCT) (6 teams). At the beginning and end, the primary outcome 'actual use and perceived clinical utility of outcome measurement' was assessed.

RESULTS: In both designs, intervention teams demonstrated a significant higher level of implementation of outcome measurement than control teams. Overall effects were large (parallel group d=0.99; RCT d=1.25).

CONCLUSIONS: The National Collaborative successfully improved the use of outcome measurement in routine clinical practice.

DECLARATION OF INTEREST: None.

COPYRIGHT AND USAGE: © The Royal College of Psychiatrists 2017. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) license.

Original language	English
Pages (from-to)	106-112
Number of pages	7
Journal	BJPsych Open
Volume	3
Issue number	3
DOIs	https://doi.org/10.1192/bjpo.bp.116.004366
Publication status	Published - May 2017

Keywords

Journal Article

Access to Document

https://doi.org/10.1192/bjpo.bp.116.004366

Cite this

Metz, M. J., Veerbeek, M. A., Franx, G. C., van der Feltz-Cornelis, C. M., de Beurs, E., & Beekman, A. T. F. (2017). A National Quality Improvement Collaborative for the clinical use of outcome measurement in specialised mental healthcare: results from a parallel group design and a nested cluster randomised controlled trial. BJPsych Open, 3(3), 106-112. https://doi.org/10.1192/bjpo.bp.116.004366

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Metz, MJ, Veerbeek, MA, Franx, GC, van der Feltz-Cornelis, CM, de Beurs, E & Beekman, ATF 2017, 'A National Quality Improvement Collaborative for the clinical use of outcome measurement in specialised mental healthcare: results from a parallel group design and a nested cluster randomised controlled trial', BJPsych Open, vol. 3, no. 3, pp. 106-112. https://doi.org/10.1192/bjpo.bp.116.004366

A National Quality Improvement Collaborative for the clinical use of outcome measurement in specialised mental healthcare: results from a parallel group design and a nested cluster randomised controlled trial. / Metz, Margot J; Veerbeek, Marjolein A; Franx, Gerdien C et al.
In: BJPsych Open, Vol. 3, No. 3, 05.2017, p. 106-112.

Research output: Contribution to journal › Article › Academic › peer-review

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AB - BACKGROUND: Although the importance and advantages of measurement-based care in mental healthcare are well established, implementation in daily practice is complex and far from optimal.AIMS: To accelerate the implementation of outcome measurement in routine clinical practice, a government-sponsored National Quality Improvement Collaborative was initiated in Dutch-specialised mental healthcare.METHOD: To investigate the effects of this initiative, we combined a matched-pair parallel group design (21 teams) with a cluster randomised controlled trial (RCT) (6 teams). At the beginning and end, the primary outcome 'actual use and perceived clinical utility of outcome measurement' was assessed.RESULTS: In both designs, intervention teams demonstrated a significant higher level of implementation of outcome measurement than control teams. Overall effects were large (parallel group d=0.99; RCT d=1.25).CONCLUSIONS: The National Collaborative successfully improved the use of outcome measurement in routine clinical practice.DECLARATION OF INTEREST: None.COPYRIGHT AND USAGE: © The Royal College of Psychiatrists 2017. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) license.

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Metz MJ, Veerbeek MA, Franx GC, van der Feltz-Cornelis CM, de Beurs E, Beekman ATF. A National Quality Improvement Collaborative for the clinical use of outcome measurement in specialised mental healthcare: results from a parallel group design and a nested cluster randomised controlled trial. BJPsych Open. 2017 May;3(3):106-112. doi: https://doi.org/10.1192/bjpo.bp.116.004366