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Research group PERSONFORSK: Research project

Norse Feedback Action Research Program

The Norse Feedback Action Research Program (NFARP) stands as a pioneering clinic-near health service research methodology, a collaboration between Western Norway University of Applied Science and Førde Hospital Trust, developed by PERSONFORSK. Rooted in mental health, NFARP comprehensively addresses clinical use, implementation, and stakeholder perspectives on PROMs. It provides a scientific framework for building, implementing, and researching personalized PROMs through bottom-up health service research, actively engaging clinicians and patients as committed research partners.

Main objective

NFARP’s main objective is to serve as a dynamic methodological framework for developing and implementing research and innovation projects. NFARP aims to enhance the efficiency and quality of health services through systematic exploration and innovative practices.

Method

NFARP focuses iteratively on developing, trialing, feasibility testing, involving, and disseminating the use of Patient-Reported Outcome Measures (PROMs) in ordinary clinical settings.

The Norse Feedback Action Research Program (NFARP) employs a comprehensive, clinic-near health service research design within partner hospital and municipal sites, originating in mental health. It utilizes a structured method addressing clinical use, implementation, and stakeholder perspectives on PROMs.

NFARP actively engages clinicians and patients as committed research partners, aiming to bridge evidence-based and practice-based approaches. The program’s methodological framework incorporates Practice-Research Networks (PRN), fostering close collaboration between researchers, clinicians, and patients.

NFARP embraces a multidisciplinary approach, recognizing the complexity of healthcare issues and engaging professionals from diverse fields. This methodology is applied across diverse medical and health contexts, emphasizing personalized PROMs in clinical settings through both quantitative and qualitative research approaches.

NFARP’s inclusive approach reflects its commitment to bridging knowledge from different domains for a holistic and effective health service research. The program comprises a diverse team of researchers, including PhD fellows, postdocs, and an international network of senior researchers, leveraging their expertise, technology, and infrastructure for concrete study implementation.

Contact information:

Christian Moltu, christian.moltu@helse-forde.no

Project period

2014 – ongoing

.

Funding sources:

The Western Norway Regional Health Authority

The Research Council of Norway

Førde Hospital Trust and Western Norway University of Applied Sciences

Collaborating institutions

Førde Hospital Trust

Norwegian University of Science and Technology

University of Bergen

University of Stavanger

Most recent publications (2020-2023):

McAleavey, A.A., De Jong, K., Nissen-Lie, H., Boswell, J., Moltu, C., & Lutz, W. (2024). Routine outcome monitoring and clinical feedback in psychotherapy: Recent advances and future directions. Administration and Policy in Mental Health. Accepted in press.

Solstad, S., Cooper, M., Sundet, R., & Moltu, C. (2023). Effects and experiences of idiographic patient reported outcome measures (I-PROMs) for feedback in psychotherapy: a systematic review and secondary analysis of the empirical literature. Psychotherapy Research. DOI: 10.1080/10503307.2023.2283528

Helleseth, M. M., McAleavey, A.A., & Moltu, C. (2023). Clinical feedback as an additional communication aide in therapy processes: A dual case study of how feedback can influence therapeutic work. Frontiers in Psychology, 14. DOI: 10.3389/fpsyg.2023.1199431

Låver, J., McAleavey, A., Castonguay, L., & Moltu, C. (2023). Therapists’ and patients’ experiences of using patients’ quantitative self-report data in ongoing psychotherapy processes – a systematic review and meta-analysis of qualitative studies. Psychotherapy Research, https://doi.org/10.1080/10503307.2023.2222896.

Moltu, C., McAleavey, A., Helleseth, M.M, Møller, G.H., & Nordberg, S. (2021). How therapists and patients need to develop a clinical feedback system after 18 months of use in a practice-research network: a qualitative study. International Journal of Mental Health Systems. 15:43. ttps://doi.org/10.1186/s13033-021-00465-z

McAleavey, A. A., Nordberg, S. S., & Moltu, C. (2021). Initial quantitative development of the Norse Feedback system: A novel adaptive multidimensional tool for use in routine mental healthcare. Quality of Life Research. 10.1007/s11136-021-02825-1. Online First

Nordberg, S. S., McAleavey, A. A., & Moltu, C. (2021). Continuous quality improvement in measure development: Lessons from building a novel clinical feedback system. Quality of Life Research. DOI: 10.1007/s11136-021-02768-7

Lavik, K., Veseth, M., Frøysa, H., Stefansen, J., Nøtnes, J.C., & Moltu, C. (2020). This is what I need a clinical feedback system to do for me: A qualitative inquiry into adolescents’ and their therapists’ perspectives. Journal of Clinical Psychology, 10.1002/jclp.23100

Hovland, R. & Moltu, C. (2020). The challenges of making clinical feedback in psychotherapy benefit all users: a qualitative study. Nordic Psychology. 72, 3, P. 248-262 https://doi.org/10.1080/19012276.2019.1684348

Rewards:

  • Western Norway Health Authority, Innovation Prize of 2019 to Christian Moltu for Norse Feedback (in Norwegian)

  • Western Norway Health Authority, Quality Prize of 2017 to Christian Moltu for develping and implementing NORSE in Førde Hospital Trust (in Norwegian

Helseforsking Sogn og Fjordane
Svanehaugvegen 2 (Angabygget)
6812 Førde

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