Using regular client feedback (FIT) to improve outcomes in social services
Official title: Empowering Clients, Preventing Dropout and Improving Outcomes Through Routine Outcome Monitoring and Systematic Client Feedback in Social Services
Run by Karolinska Institutet · NCT07303608 · Data updated 2026-11-12
This project will test whether using regular client feedback with FIT helps people receiving social services—such as outpatient, addiction, and residential care—get better, more tailored support.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 15 Years and up |
| Sex | All |
| Enrollment | 400 (estimated) |
| Sponsor | Karolinska Institutet Academic / other |
| Locations | 1 site (Linköping) |
| Status | Recruiting |
| Started | December 5, 2025 |
| Main results expected | June 15, 2028 |
| Study ends | December 15, 2028 |
| Registry record updated | December 26, 2025 |
| Trial ID | NCT07303608 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
People granted assistance under the Swedish Social Services Act who receive voluntary outpatient, addiction, or residential services at participating units and can use Swedish to provide feedback are ideal candidates.
✕Probably not a fit
People who cannot use Swedish well enough, have cognitive impairments that prevent using FIT, or are in involuntary care under LVU/LVM are excluded and are unlikely to benefit from this intervention as tested.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a randomized controlled trial comparing Feedback Informed Treatment (FIT) to treatment as usual across social services outpatient care, addiction care, and residential treatment settings. Clients and social workers will regularly complete outcome measures covering quality of life, behavior, and symptoms, while researchers measure direct effects, cost-effectiveness, instrument psychometrics, and predictive value. The project uses user input to select outcome measures and includes qualitative work on clients' and social workers' experiences of giving and receiving feedback. Implementation factors at the service level will be studied to identify barriers and facilitators for wider adoption.
Why it matters
Potential benefit: If successful, FIT could help social workers tailor support more quickly, improving clients' quality of life, behavior outcomes, and satisfaction with services.
How similar studies have gone: FIT has been used internationally with positive results in mental health and some addiction settings, though evidence specific to social services contexts is more limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: People who have been granted assistance under the Social Services Act at includes centers. Exclusion Criteria: * People who do not have sufficient knowledge of Swedish or have impaired cognitive functions that prevent them from using FIT in Swedish, as they cannot benefit from the intervention that the study intends to evaluate the effects of. This is assessed by the respective social service. * People who receive support and treatment interventions that are not voluntary, i.e. interventions according to the Act on the Compulsory Care of Young People (LVU) or the Act on the Compulsory Care of Drug Abusers (LVM)
Where it's running
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Linköpings kommun
Linköping, Sweden Recruiting
Study contacts
- Principal investigator: Magnus Johansson, PhD — Karolinska Institutet
- Study coordinator: Magnus Johansson, PhD
- Email: magnus.johansson.1@ki.se
- Phone: +46812345783
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.