TY - JOUR
AU - S. G. Spicer
AU - R. Bhattacharya
AU - K. Smalley
AU - A. Shetty
AU - P. Sharpe
AU - R. Byng
A1 - 
AB - AIMS AND METHOD: DIALOG is a patient-reported outcome and experience measure. We analysed anonymised DIALOG scores routinely collected from East London NHS Foundation Trust. We aimed to (a) examine changes in DIALOG scores through the patient journey ('assessment', 'review' and 'discharge'); and (b) assess the impact of community mental health (CMH) transformation by comparing pre- and post-DIALOG scores. We analysed 11 198 DIALOG scores from 5007 patients in 2018-2019 and 2021-2022. RESULTS: DIALOG scores improved across treatment stages in both years. There was no clear difference pre- and post-CMH transformation, although in 2021-2022 there were lower satisfaction scores at referral. CLINICAL IMPLICATIONS: DIALOG showed sensitivity to change, supporting the utility of this scale in the evaluation of mental health services. The impact of CMH transformation was difficult to assess, due to potential confounders such as the COVID-19 pandemic. Routinely collected DIALOG data can help evaluate patient outcomes over time and inform service improvements.
AD - Community & Primary Care Research Centre, https://ror.org/008n7pv89University of Plymouth, Plymouth, UK.; East London NHS Foundation Trust, Tower Hamlets Directorate, London, UK.; Warwick Medical School, University of Warwick, Coventry, UK.; North East London NHS Foundation Trust, London, UK.
AN - 41919366
BT - BJPsych Bull
C5 - Measures
DA - 04/2026
DO - 10.1192/bjb.2026.10215
DP - NLM
ET - 20260401
JF - BJPsych Bull
LA - eng
N2 - AIMS AND METHOD: DIALOG is a patient-reported outcome and experience measure. We analysed anonymised DIALOG scores routinely collected from East London NHS Foundation Trust. We aimed to (a) examine changes in DIALOG scores through the patient journey ('assessment', 'review' and 'discharge'); and (b) assess the impact of community mental health (CMH) transformation by comparing pre- and post-DIALOG scores. We analysed 11 198 DIALOG scores from 5007 patients in 2018-2019 and 2021-2022. RESULTS: DIALOG scores improved across treatment stages in both years. There was no clear difference pre- and post-CMH transformation, although in 2021-2022 there were lower satisfaction scores at referral. CLINICAL IMPLICATIONS: DIALOG showed sensitivity to change, supporting the utility of this scale in the evaluation of mental health services. The impact of CMH transformation was difficult to assess, due to potential confounders such as the COVID-19 pandemic. Routinely collected DIALOG data can help evaluate patient outcomes over time and inform service improvements.
PY - 2026
SN - 2056-4694 (Print); 2056-4694
SP - 1
EP - 9+
ST - Evaluating the patient journey through integrated mental health services using routinely collected data: utility of the DIALOG patient-reported outcome and experience measure
T1 - Evaluating the patient journey through integrated mental health services using routinely collected data: utility of the DIALOG patient-reported outcome and experience measure
T2 - BJPsych Bull
TI - Evaluating the patient journey through integrated mental health services using routinely collected data: utility of the DIALOG patient-reported outcome and experience measure
U1 - Measures
U3 - 10.1192/bjb.2026.10215
VO - 2056-4694 (Print); 2056-4694
Y1 - 2026
ER -