Abstract
BACKGROUND: The weaknesses inherent in rom-data in mental health care are largely ignored in Dutch discussions about the pros and cons of rom.
AIM: To promote awareness among users and potential users of rom with regard to the limitations of rom data in mental health care.
METHOD: We present a discussion of three types of measurement problems connected with the use of rom data in mental health care: (a) arbitrary calculation rules for identifying changes that are reliable and of clinical significance, (b) arbitrary metrics and constructs and (c) forced objectivation of subjective information.
RESULTS: rom measurements are unreliable for use in mental health care because they lack a stable basis. The problems with these measurements are both psychometric and substantive.
CONCLUSION: Anyone using or planning to use rom measurements in mental health care should be aware of fundamental measurement problems associated with rom.
| Translated title of the contribution | ROM measurements in mental health care: users need to be aware of the problems and pitfalls |
|---|---|
| Original language | Dutch |
| Pages (from-to) | 388-396 |
| Number of pages | 9 |
| Journal | Tijdschrift voor Psychiatrie |
| Volume | 58 |
| Issue number | 5 |
| Publication status | Published - 1 Jan 2016 |
| Externally published | Yes |