Assessing the feasibility of a web‐based outcome measurement system in child and adolescent mental health services – myHealthE a randomised controlled feasibility pilot study

Background Interest in internet‐based patient reported outcome measure (PROM) collection is increasing. The NHS myHealthE (MHE) web‐based monitoring system was developed to address the limitations of paper‐based PROM completion. MHE provides a simple and secure way for families accessing Child and A...

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Published in:Child and adolescent mental health 2023-02, Vol.28 (1), p.128-147
Main Authors: Morris, Anna C., Ibrahim, Zina, Heslin, Margaret, Moghraby, Omer S., Stringaris, Argyris, Grant, Ian M., Zalewski, Lukasz, Pritchard, Megan, Stewart, Robert, Hotopf, Matthew, Pickles, Andrew, Dobson, Richard J. B., Simonoff, Emily, Downs, Johnny
Format: Article
Language:English
Subjects:
acceptability
Adolescent
Caregivers
Child
Child & adolescent mental health
Child and adolescent mental health
Feasibility Studies
Health services
Humans
Mental health care
Mental Health Services
Original
patient‐reported outcome measures
Pilot Projects
Questionnaires
remote monitoring
Research Design
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Summary:Background Interest in internet‐based patient reported outcome measure (PROM) collection is increasing. The NHS myHealthE (MHE) web‐based monitoring system was developed to address the limitations of paper‐based PROM completion. MHE provides a simple and secure way for families accessing Child and Adolescent Mental Health Services to report clinical information and track their child's progress. This study aimed to assess whether MHE improves the completion of the Strengths and Difficulties Questionnaire (SDQ) compared with paper collection. Secondary objectives were to explore caregiver satisfaction and application acceptability. Methods A 12‐week single‐blinded randomised controlled feasibility pilot trial of MHE was conducted with 196 families accessing neurodevelopmental services in south London to examine whether electronic questionnaires are completed more readily than paper‐based questionnaires over a 3‐month period. Follow up process evaluation phone calls with a subset (n = 8) of caregivers explored system satisfaction and usability. Results MHE group assignment was significantly associated with an increased probability of completing an SDQ‐P in the study period (adjusted hazard ratio (HR) 12.1, 95% CI 4.7–31.0; p = 
ISSN:1475-357X
1475-3588
DOI:10.1111/camh.12571