Patients’ experiences with routine outcome monitoring and clinical feedback systems: A systematic review and synthesis of qualitative empirical literature

Stig Magne Solstad, Louis Georges Castonguay, Christian Moltu

Research output: Contribution to journalArticle

7 Scopus citations


Routine outcome monitoring (ROM) and clinical feedback (CF) systems have become important tools for psychological therapies, but there are challenges for their successful implementation. Objective: To overcome these challenges, a greater understanding is needed about how patients experience the use of ROM/CF. Method: We conducted a systematic literature search of qualitative studies on patient experiences with the use of ROM/CF in mental health services. Results: The findings from 16 studies were synthesized, resulting in four meta-themes: (1) Suspicion towards service providers, (2) Flexibility and support to capture complexity, (3) Empowering patients, and (4) Developing collaborative practice. Conclusions: We discuss the implications of these meta-themes for further development and implementation of ROM/CF into clinical practice, acknowledging the limitations of our review and suggesting avenues for further research. Clinical or methodological significance of this article: This article provides useful and actionable knowledge about the patient perspective on ROM/CF, an important discussion on the current state of research in this area, and useful and concrete suggestions for further avenues of research.

Original languageEnglish (US)
Pages (from-to)157-170
Number of pages14
JournalPsychotherapy Research
Issue number2
StatePublished - Mar 4 2019


All Science Journal Classification (ASJC) codes

  • Clinical Psychology

Cite this