Patients’ experience of patient-reported outcomes, continuous feedback, and a solution-focused approach (using DIALOG +) in psychosis care in Sweden
Abstract Background Involving patients in care and ensuring structured continuous follow-up can be challenging. Using Patient-Reported Outcomes during routine encounters can enable patients and healthcare professionals to collaboratively focus on the patients needs and adjust treatments over time. P...
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| Language: | English |
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BMC
2025-07-01
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| Series: | BMC Psychiatry |
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| Online Access: | https://doi.org/10.1186/s12888-025-07070-1 |
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| author | Marcus Lundmark Katarina Allerby Andreas Gremyr Ann-Christine Andersson |
| author_facet | Marcus Lundmark Katarina Allerby Andreas Gremyr Ann-Christine Andersson |
| author_sort | Marcus Lundmark |
| collection | DOAJ |
| description | Abstract Background Involving patients in care and ensuring structured continuous follow-up can be challenging. Using Patient-Reported Outcomes during routine encounters can enable patients and healthcare professionals to collaboratively focus on the patients needs and adjust treatments over time. Previous research highlights the benefits of continuous feedback and solution-focused methods in psychiatric care. DIALOG + is a digitally supported conversational intervention designed to enhance the therapeutic effectiveness through self-reported outcomes and a solution-focused approach. This study explores patients' experiences of using DIALOG + in Swedish psychosis care, focusing on its integration of continuous feedback and a solution-focused approach to support active patient participation in planning and evaluation of care. Methods A qualitative exploratory study using Reflexive Thematic Analysis was conducted. Individual semi-structured interviews were carried out with ten patients who had used DIALOG + three or more times. Results The analysis identified two themes: “The supportive features of DIALOG + ” and “DIALOG + provides a constructive structure”. These themes included six sub-categories: “Expanded the understanding of my health,”; “Moving toward improvement,”; “Provided memory support,”; “Empowering participation,”; “Distinguishing DIALOG + as a constructive complement,” and “Experiences of the digital interface.” Conclusion This study suggests that DIALOG + may enhance care for patients with psychotic disorders by: 1. Expanding the understanding of the patient's health by enabling a more comprehensive and nuanced picture of the patient's situation. 2. Promoting improvement by focusing on solution-oriented discussions and concrete actions. 3. Providing valuable memory support for patients, which facilitates follow-up and continuity of care. 4. Strengthening patient involvement in their own care 5. Offering a digital interface that facilitates structured communication between patient and healthcare provider. This intervention has the potential to enhance patient participation and foster co-production, aligning with national healthcare priorities. |
| format | Article |
| id | doaj-art-e0674825eb4f44f5b3cc923bf969c20f |
| institution | Kabale University |
| issn | 1471-244X |
| language | English |
| publishDate | 2025-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychiatry |
| spelling | doaj-art-e0674825eb4f44f5b3cc923bf969c20f2025-08-20T03:37:38ZengBMCBMC Psychiatry1471-244X2025-07-0125111210.1186/s12888-025-07070-1Patients’ experience of patient-reported outcomes, continuous feedback, and a solution-focused approach (using DIALOG +) in psychosis care in SwedenMarcus Lundmark0Katarina Allerby1Andreas Gremyr2Ann-Christine Andersson3Department of Psychotic Disorders, Sahlgrenska University HospitalDepartment of Psychotic Disorders, Sahlgrenska University HospitalDepartment of Psychotic Disorders, Sahlgrenska University HospitalJönköping Academy for Improvement of Health and Welfare, School of Health and WelfareAbstract Background Involving patients in care and ensuring structured continuous follow-up can be challenging. Using Patient-Reported Outcomes during routine encounters can enable patients and healthcare professionals to collaboratively focus on the patients needs and adjust treatments over time. Previous research highlights the benefits of continuous feedback and solution-focused methods in psychiatric care. DIALOG + is a digitally supported conversational intervention designed to enhance the therapeutic effectiveness through self-reported outcomes and a solution-focused approach. This study explores patients' experiences of using DIALOG + in Swedish psychosis care, focusing on its integration of continuous feedback and a solution-focused approach to support active patient participation in planning and evaluation of care. Methods A qualitative exploratory study using Reflexive Thematic Analysis was conducted. Individual semi-structured interviews were carried out with ten patients who had used DIALOG + three or more times. Results The analysis identified two themes: “The supportive features of DIALOG + ” and “DIALOG + provides a constructive structure”. These themes included six sub-categories: “Expanded the understanding of my health,”; “Moving toward improvement,”; “Provided memory support,”; “Empowering participation,”; “Distinguishing DIALOG + as a constructive complement,” and “Experiences of the digital interface.” Conclusion This study suggests that DIALOG + may enhance care for patients with psychotic disorders by: 1. Expanding the understanding of the patient's health by enabling a more comprehensive and nuanced picture of the patient's situation. 2. Promoting improvement by focusing on solution-oriented discussions and concrete actions. 3. Providing valuable memory support for patients, which facilitates follow-up and continuity of care. 4. Strengthening patient involvement in their own care 5. Offering a digital interface that facilitates structured communication between patient and healthcare provider. This intervention has the potential to enhance patient participation and foster co-production, aligning with national healthcare priorities.https://doi.org/10.1186/s12888-025-07070-1Decision makingSharedPatient participationPatient reported outcome measuresProblem solvingPsychotic disorders |
| spellingShingle | Marcus Lundmark Katarina Allerby Andreas Gremyr Ann-Christine Andersson Patients’ experience of patient-reported outcomes, continuous feedback, and a solution-focused approach (using DIALOG +) in psychosis care in Sweden BMC Psychiatry Decision making Shared Patient participation Patient reported outcome measures Problem solving Psychotic disorders |
| title | Patients’ experience of patient-reported outcomes, continuous feedback, and a solution-focused approach (using DIALOG +) in psychosis care in Sweden |
| title_full | Patients’ experience of patient-reported outcomes, continuous feedback, and a solution-focused approach (using DIALOG +) in psychosis care in Sweden |
| title_fullStr | Patients’ experience of patient-reported outcomes, continuous feedback, and a solution-focused approach (using DIALOG +) in psychosis care in Sweden |
| title_full_unstemmed | Patients’ experience of patient-reported outcomes, continuous feedback, and a solution-focused approach (using DIALOG +) in psychosis care in Sweden |
| title_short | Patients’ experience of patient-reported outcomes, continuous feedback, and a solution-focused approach (using DIALOG +) in psychosis care in Sweden |
| title_sort | patients experience of patient reported outcomes continuous feedback and a solution focused approach using dialog in psychosis care in sweden |
| topic | Decision making Shared Patient participation Patient reported outcome measures Problem solving Psychotic disorders |
| url | https://doi.org/10.1186/s12888-025-07070-1 |
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