Responding effectively to adult mental health patient feedback in an online environment: A coproduced framework.

Publisher: Wiley Country of Publication: England NLM ID: 9815926 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1369-7625 (Electronic) Linking ISSN: 13696513 NLM ISO Abbreviation: Health Expect Subsets: MEDLINE

Original Publication: Oxford, UK : Wiley, c1998-

Feedback* ; Internet* ; Mental Health Services* ; Patient Safety* ; Quality Improvement*; Adult ; England ; Humans ; Practice Guidelines as Topic ; Surveys and Questionnaires

Background: Responding to online patient feedback is considered integral to patient safety and quality improvement. However, guidance on how to respond effectively is limited, with limited attention paid to patient perceptions and reactions.
Objectives: To identify factors considered potentially helpful in enhancing response quality; coproduce a best-practice response framework; and quality-appraise existing responses.
Design: A four-stage mixed methodology: (i) systematic search of stories published on Care Opinion about adult mental health services in the South West of England; (ii) collaborative thematic analysis of responses to identify factors potentially helpful in enhancing response quality; (iii) validation of identified factors by a patient-carer group (n = 12) leading to the coproduction of a best-practice response framework; and (iv) quality appraisal of existing responses.
Results: A total of 245 stories were identified, with 183 (74.7%) receiving a response. Twenty-four (9.8%) had been heard but not yet responded to. 1.6% (n = 4/245) may lead to a change. Nineteen factors were considered influential in response quality. These centred around seven subject areas: (i) introductions; (ii) explanations; (iii) speed of response; (iv) thanks and apologies; (v) response content; (vi) signposting; and (vii) response sign-off that were developed into a conceptual framework (the Plymouth, Listen, Learn and Respond framework). Quality appraisal of existing responses highlighted areas for further improvement demonstrating the framework's utility.
Conclusion: This study advances existing understanding by providing previously unavailable guidance. It has clear practical and theoretical implications for those looking to improve health-care services, patient safety and quality of care. Further validation of the conceptual framework is encouraged.
(© 2018 The Authors Health Expectations published by John Wiley & Sons Ltd.)

Int J Health Care Qual Assur. 2009;22(5):525-34. (PMID: 19725372)
BMJ Qual Saf. 2014 Aug;23(8):678-89. (PMID: 24876289)
Nurs Clin North Am. 2012 Sep;47(3):365-74. (PMID: 22920427)
Health Policy. 2014 Oct;118(1):66-73. (PMID: 24836021)
Acad Med. 2011 Nov;86(11):1426-36. (PMID: 21952067)
Int J Qual Health Care. 2009 Oct;21(5):348-55. (PMID: 19700779)
Soc Sci Med. 2017 Apr;178:19-27. (PMID: 28189820)
Int J Ment Health Syst. 2008 Apr 13;2(1):3. (PMID: 18405393)
J Clin Epidemiol. 2009 Sep;62(9):944-52. (PMID: 19230612)
Soc Sci Med. 2007 Sep;65(5):880-9. (PMID: 17493723)
Med Educ. 2010 Jan;44(1):101-8. (PMID: 20078761)
Emerg Med Australas. 2004 Aug;16(4):353-60. (PMID: 15283724)
Health Expect. 2018 Feb;21(1):327-335. (PMID: 28929554)
Eur Psychiatry. 2015 Jan;30(1):172-8. (PMID: 24853297)
BMC Health Serv Res. 2006 Aug 18;6:106. (PMID: 16919165)
Soc Sci Med. 1997 Dec;45(12):1829-43. (PMID: 9447632)
BMJ. 2014 Mar 26;348:g2225. (PMID: 24671966)
Health Expect. 2010 Jun;13(2):185-94. (PMID: 20536538)
PLoS One. 2011;6(10):e26852. (PMID: 22046382)
Health Expect. 2018 Oct;21(5):887-898. (PMID: 29624815)
Qual Saf Health Care. 2005 Dec;14(6):428-32. (PMID: 16326789)

Keywords: coproduction; justice theory; mental health; patient feedback; quality improvement; response framework

Date Created: 20180407 Date Completed: 20190528 Latest Revision: 20210109

20250114

PMC6186539

10.1111/hex.12682

29624815