TITLE:
Progress Monitoring Measures: The Interaction of Clinician Initial Motivation with Selection and Maintenance Issues
AUTHORS:
Megan Knoll, Gabriela Ionita, Jann Tomaro, Vivian Chen, Marilyn Fitzpatrick
KEYWORDS:
Progress Monitoring (PM), Outcome Monitoring, Evidence-Based Practice, Consensual Qualitative Research (CQR), Measure Selection
JOURNAL NAME:
Psychology,
Vol.7 No.3,
March
30,
2016
ABSTRACT: The use of
Progress Monitoring (PM) measures has been shown to improve outcomes in therapy
for clients who do not follow the normal trajectory of improvement. In addition
to improved outcomes, there are several other documented benefits of PM that may
motivate clinicians to use PM. Research has examined the broader field of
selecting mental health care quality assessment tools and a review of the
literature has pointed to the importance of considering motivation for
assessment when selecting a measure. However, how motivation influences the
selection or maintained usage of PM measures has not been studied. This study
examined initial motivation as well as measure selection and continuing use of
PM. Consensual Qualitative Research methodology was applied to characterize how
clinicians (n = 25) started, selected, and maintained use of
PM measures and how initial motivation related to measure selection and
continued use. Regardless of initial motivation, convenience and effectiveness
emerged as important when selecting and continuing to use a measure. Results
are compared to current frameworks for selecting mental health- care quality
indicators. Our results suggest that PM measures need to strike a balance,
emphasizing convenience as well as efficacy in order to improve clinical uptake
and adherence.