Background: Routine outcome monitoring (ROM) was popularized in the mid-1990s to improve client outcomes in psychotherapy, though implementation in clinical practice has been slow. Although increased outcome research in adventure therapy (AT) in the last decade has demonstrated AT as a viable treatment option, recent reviews have found worrying trends regarding research methodology and poorly substantiated claims of superiority. Purpose: The purpose of this article is to explore the potential for ROM in AT. Methodology/Approach: We conducted a brief review of the literature on ROM and offered a discussion that positions principles of ROM with the nascent knowledge base of AT. Findings/Conclusions: We propose ROM is a viable next step in AT research and practice. ROM can explore when change is likely to occur during an AT program and provide a platform for improving client engagement and outcomes. Implications: We recommend implementation of ROM in AT and that future AT research explore therapist effects and important therapeutic factors, such as the therapeutic alliance and deterioration.

中文翻译：

---

冒险疗法和治疗的常规结果监测：现在是时候了

背景：常规结果监测 (ROM) 在 1990 年代中期普及，以改善客户在心理治疗中的结果，尽管在临床实践中的实施进展缓慢。尽管在过去十年中冒险疗法 (AT) 中越来越多的结果研究表明 AT 是一种可行的治疗选择，但最近的评论发现了令人担忧的研究方法趋势和缺乏证据的优越性主张。目的：本文的目的是探索 ROM 在 AT 中的潜力。方法/途径：我们对 ROM 的文献进行了简要回顾，并提供了将 ROM 原则与 AT 的新生知识库定位的讨论。结果/结论：我们认为 ROM 是 AT 研究和实践中可行的下一步。ROM 可以探索在 AT 计划中何时可能发生变化，并提供一个平台来提高客户参与度和成果。启示：我们建议在 AT 中实施 ROM，未来的 AT 研究探索治疗师的效果和重要的治疗因素，如治疗联盟和恶化。