Table 3 Themes raised from the clinician focus groups

Neutral/Current Status

Utilize PROMs to Guide/ Track/ Monitor treatment and symptoms

No feedback/complaint or no noticeable trend from patients in PROM utilization

Report on useful PROMs

Report on non-useful PROMs

22

7

17

3

7.6

2.4

5.8

1.0

50

13

51

3

5

2

2

4

1

Positive themes

(Benefits noted)

Patient/Clinician review the results and have discussion

Patients positive attitude toward MBC - patients like collaborative work on PROMs

Positive view of MBC

 ° PROMs help with intake, diagnosis, and clinical insights

 ° Certain patients are comfortable/ good candidates for PROM use

 ° PROMS are beneficial/ good/ correlate accurately to client’s feelings

22

5

8

14

13

7.6

1.7

2.7

4.8

4.5

50

6

11

21

33

5

1

2

1

3

Negative themes

(Issues raised)

Negative view of current MBC

 ° clinician burden/ clinical inconvenience

 ° Time constraints issue

 ° PROMs are not broadly useful

Negative view of MBC training - clinician burden/clinical inconvenience

Patient non-adherence

Patients’ lack of understanding of MBC

Patients’ negative attitude towards MBC and OWL

Lack of designated MBC/Tech staff

Chart integration issue

COVID/Telehealth barrier

Difficulty to utilize MBC in certain types of patients

Inappropriateness of PROMs for clients with high suicidality

Discrepancies exist between PROMs and Interview reflect inaccuracy

Does not use PROM/ Use other information

3

14

7

4

22

2

6

14

5

4

23

12

8

20

1

4.8

2.4

1.4

7.6

0.7

2.1

4.8

1.7

1.4

7.9

4.1

2.7

6.9

9

40

8

9

48

3

10

29

12

4

50

12

26

47

2

4

1

3

4

1

2

3

3

1

3

1

3

3

Requests & Suggestions

Request for improved implementation/standardization and training/support for MBC

Request for MBC training for clients

Suggestions for future MBC training

13

4

14

4.5

1.4

4.8

33

5

22

3

2

3

 N/A

5

1.7

10

3

Total

291

100.00