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| Routine Outcome Monitoring× | Clinical Significance Analysis× | |
|---|---|---|
| Fachgebiet | Social Work | Social Work |
| Familie | Process / pipeline | Process / pipeline |
| Entstehungsjahr≠ | 2001 | 1991 |
| Urheber≠ | Michael J. Lambert and the patient-focused/measurement-based-care tradition | Neil S. Jacobson & Paula Truax |
| Typ≠ | Systematic repeated measurement of client outcomes to inform ongoing care | Two-part classification of whether individual change is both reliable and meaningful |
| Wegweisende Quelle≠ | Lambert, M. J., Hansen, N. B., & Finch, A. E. (2001). Client-focused research: Using client outcome data to enhance treatment effects. Journal of Consulting and Clinical Psychology, 69(2), 159–172. DOI ↗ | Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59(1), 12–19. DOI ↗ |
| Aliasnamen | ROM, Measurement-Based Care, Outcome Monitoring, Progress Monitoring | Clinical Significance, Jacobson-Truax Method, Clinically Significant Change, Recovery Classification |
| Verwandt | 4 | 4 |
| Zusammenfassung≠ | Routine outcome monitoring (ROM), also called measurement-based care, is the practice of repeatedly administering a validated outcome measure throughout a course of treatment and using the resulting data to track each client's progress, compare it against an expected recovery trajectory, and adjust care when a client is not improving as predicted. Pioneered in psychotherapy by Michael Lambert's patient-focused research and now standard in behavioral health and social work, it turns outcome measurement from a one-time research activity into a continuous clinical feedback loop that demonstrably improves outcomes for clients who would otherwise deteriorate. | Clinical significance analysis is a method for deciding whether an individual client's change after treatment is not only statistically reliable but also meaningful in real-world terms — specifically, whether the client has moved out of the dysfunctional range and into the range typical of a functional or non-clinical population. Formalized by Neil Jacobson and Paula Truax in 1991, it combines a reliable-change criterion with a clinical cutoff to sort each client into categories such as recovered, improved, unchanged, or deteriorated, complementing group-level statistics that say nothing about individual benefit. |
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