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HELSEVEL-Gode og effektive helse-, omsorgs- og velferdstjenester

NORSE: Building bridges between psyche and soma through personalized and dynamic mental health systems

Alternative title: NORSE: Brobygging mellom psyke og soma ved personliggjorte og lærande systemer innan psykisk helse

Awarded: NOK 9.8 mill.

During 2021 the project «Norse Feedback - building bridges between psyche and soma through personalized dynamic mental health systems» have entered its last phase of implementation. Important milestones have been achieved throughout the year. For example, the project partner Norse Feedback has scaled, and was awarded the ?Health Technology Start-up of the year? prize at the annual Helseteknologikonferansen 2021. The partnership in this grant has contributed to this status. During this year Norse Feeedback has established in 60 different organizations, including more than 30 Norwegian municipalities, three out of four Norwegian health regions and more than half of the student health services in Norway. Following this development Norse Feedback is also selected finalist in DNB NXT?s Nordic Healthcare Venture Conference 2021. A series of important peer-reviewer scientific papers have been published internationally in 2021. Seven papers about Norse Feedback have been published in 2021, some of which were available online first by the end of 2020. Two particularly important papers are a validation paper for the mental health context in work package 1, published in Quality of Life Research, and a validation paper for the obesity context in work package 2, published in Clinical Obesity. In addition, we have published a methods paper that shows how end-user collaboration and continuous development are key to health innovations. This paper is also published in Quality of Life Research. The scope of research has developed based on the methodology established in this project, and we have developed similar projects to bridge mental health and somatic healthcare in pain management and ostomy care. These projects are in the grant review process at the time of reporting. Importantly, one additional outcome of the present grant is a strengthening of the research group?s experience and compentece that leads to extended research opportunities for new candidates. Two PhD processes connected to the project have been finalized and defended during 2021. Stig Magne Solstad and Pål Andre Hegland defended their theses on clinical use of Norse Feeebdack in a mental health and obesity setting respectively. Research publication is not the sole communication resulting from this project. From work package 2, the obesity context, we have developed professional development films based on research data, and piloted these both back in the clinics and in research conferences, with good feedback. Presently, we develop this intervention for active professional reflection further, in a fully digital format that scales easily.

The Norwegian Outcome Response System for Evaluation (NORSE) is a second generation Routine Outcome Monitoring (ROM) innovation, with a dynamic clinical feedback system (CFS), developed at Førde Hospital Trust. NORSE has advanced significantly on existing methodologies in that the system A) actively learns from, and B) adapts to, the individual patient´s feedback, and C) instantaneously personalizes the system to individual profiles of suffering and resources. The present proposal details research needed for the next level of development, and for moving NORSE into regional and national use both in mental health clinics and in somatic health care. The group of researchers proposing this project has longstanding experience with research on clinical feedback on mental health, on patient and clinician driven research, and on obesity research. We propose a research program based on advanced quantitative and qualitative research methods to achieve our objectives. Research challenges addressed by this project can be summarized into four domains: A) We need to develop ROM/CFS with psychometrically valid dimensional clinical profiles. Large datasets and advanced statistics must be employed. B) Psychometric properties are only half the story in the effect of ROM/CFS: implementation knowledge is key to outcome and need to be part of research protocols in naturalistic settings. C) Structured work with mental health knowledge in obesity settings is non-existent: Research into these domains is breaking new ground and should thus be experimental. D) Structured access to specialized mental health knowledge to support evaluation and referral in primary care is rare. Research into these domains should thus be experimental. On this background, the project group proposes three work packages: 1) NORSE in the mental health clinic, 2) NORSE in the obesity clinic: improving mental health after bariatric surgery, and 3) NORSE improving services and the general practitioners office.

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HELSEVEL-Gode og effektive helse-, omsorgs- og velferdstjenester