The impact of a digital guideline version on schizophrenia guideline knowledge: results from a multicenter cluster-randomized controlled trial.

Humans Schizophrenia Male Female Adult Guideline Adherence Germany Middle Aged Practice Guidelines as Topic / standards Surveys and Questionnaires Health Knowledge, Attitudes, Practice
Cluster-randomized controlled trial Guideline implementation Health personnel MAGICapp Practice guideline

Journal

BMC medicine
ISSN: 1741-7015
Titre abrégé: BMC Med
Pays: England
ID NLM: 101190723

Informations de publication

Date de publication:
29 Jul 2024
Historique:
received: 05 04 2024
accepted: 17 07 2024
medline: 30 7 2024
pubmed: 30 7 2024
entrez: 29 7 2024
Statut: epublish

Résumé

Clinical practice guidelines are crucial for enhancing healthcare quality and patient outcomes. Yet, their implementation remains inconsistent across various professions and disciplines. Previous findings on the implementation of the German guideline for schizophrenia (2019) revealed low adherence rates among healthcare professionals. Barriers to guideline adherence are multifaceted, influenced by individual, contextual, and guideline-related factors. This study aims to investigate the effectiveness of a digital guideline version compared to print/PDF formats in enhancing guideline adherence. A multicenter, cluster-randomized controlled trial was conducted in South Bavaria, Germany, involving psychologists and physicians. Participants were divided into two groups: implementation of the guideline using a digital online version via the MAGICapp platform and the other using the traditional print/PDF version. The study included a baseline assessment and a post-intervention assessment following a 6-month intervention phase. The primary outcome was guideline knowledge, which was assessed using a guideline knowledge questionnaire. The study included 217 participants at baseline and 120 at post-intervention. Both groups showed significant improvements in guideline knowledge; however, no notable difference was found between both study groups regarding guideline knowledge at either time points. At baseline, 43.6% in the control group (CG) and 52.5% of the interventional group (IG) met the criterion. There was no significant difference in the primary outcome between the two groups at either time point (T0: Chi While the study did not include a control group without any implementation strategy, the overall improvement in guideline knowledge following an implementation strategy, independent of the format, was confirmed. The digital guideline version, while not superior in enhancing knowledge, showed potential benefits in shared decision-making skills. However, familiarity with traditional formats and various barriers to digital application may have influenced these results. The study highlights the importance of tailored implementation strategies, especially for younger healthcare providers. https://drks.de/search/de/trial/DRKS00028895.

Sections du résumé

BACKGROUND BACKGROUND
Clinical practice guidelines are crucial for enhancing healthcare quality and patient outcomes. Yet, their implementation remains inconsistent across various professions and disciplines. Previous findings on the implementation of the German guideline for schizophrenia (2019) revealed low adherence rates among healthcare professionals. Barriers to guideline adherence are multifaceted, influenced by individual, contextual, and guideline-related factors. This study aims to investigate the effectiveness of a digital guideline version compared to print/PDF formats in enhancing guideline adherence.
METHODS METHODS
A multicenter, cluster-randomized controlled trial was conducted in South Bavaria, Germany, involving psychologists and physicians. Participants were divided into two groups: implementation of the guideline using a digital online version via the MAGICapp platform and the other using the traditional print/PDF version. The study included a baseline assessment and a post-intervention assessment following a 6-month intervention phase. The primary outcome was guideline knowledge, which was assessed using a guideline knowledge questionnaire.
RESULTS RESULTS
The study included 217 participants at baseline and 120 at post-intervention. Both groups showed significant improvements in guideline knowledge; however, no notable difference was found between both study groups regarding guideline knowledge at either time points. At baseline, 43.6% in the control group (CG) and 52.5% of the interventional group (IG) met the criterion. There was no significant difference in the primary outcome between the two groups at either time point (T0: Chi
CONCLUSIONS CONCLUSIONS
While the study did not include a control group without any implementation strategy, the overall improvement in guideline knowledge following an implementation strategy, independent of the format, was confirmed. The digital guideline version, while not superior in enhancing knowledge, showed potential benefits in shared decision-making skills. However, familiarity with traditional formats and various barriers to digital application may have influenced these results. The study highlights the importance of tailored implementation strategies, especially for younger healthcare providers.
TRIAL REGISTRATION BACKGROUND
https://drks.de/search/de/trial/DRKS00028895.

Identifiants

DOI: 10.1186/s12916-024-03533-6 PMID: 39075458
pubmed: 39075458
doi: 10.1186/s12916-024-03533-6
pii: 10.1186/s12916-024-03533-6
doi:

Types de publication

Journal Article Randomized Controlled Trial Multicenter Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

311

Subventions

Organisme : Gemeinsamer Bundesausschuss
ID : 01VSF20024
Organisme : German Center of Mental Health
ID : 01EE2303C

Informations de copyright

© 2024. The Author(s).

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Auteurs

Theresa Halms (T)

Department of Psychiatry, Psychotherapy and Psychosomatics, University of Augsburg, Medical Faculty, BKH Augsburg, Geschwister-Schönert-Str. 1, Augsburg, 86156, Germany. Theresa.Halms@med.uni-augsburg.de.

Gabriele Gaigl (G)

Department of Psychiatry, Psychotherapy and Psychosomatics, University of Augsburg, Medical Faculty, BKH Augsburg, Geschwister-Schönert-Str. 1, Augsburg, 86156, Germany.

Carolin Lorenz (C)

Department of Psychiatry and Psychotherapy, Technische Universität München, Medical Faculty, Klinikum rechts der Isar, Munich, Germany.

Duygu Güler (D)

Department of Psychiatry, Psychotherapy and Psychosomatics, University of Augsburg, Medical Faculty, BKH Augsburg, Geschwister-Schönert-Str. 1, Augsburg, 86156, Germany.

Naiiri Khorikian-Ghazari (N)

Department of Psychiatry, Psychotherapy and Psychosomatics, University of Augsburg, Medical Faculty, BKH Augsburg, Geschwister-Schönert-Str. 1, Augsburg, 86156, Germany.

Astrid Röh (A)

Department of Psychiatry, Psychotherapy and Psychosomatics, University of Augsburg, Medical Faculty, BKH Augsburg, Geschwister-Schönert-Str. 1, Augsburg, 86156, Germany.

Angelika Burschinski (A)

Department of Psychiatry and Psychotherapy, Technische Universität München, Medical Faculty, Klinikum rechts der Isar, Munich, Germany.

Wolfgang Gaebel (W)

Department of Psychiatry and Psychotherapy, LVR-Klinikum Düsseldorf, Medical Faculty, Heinrich-Heine-University, Düsseldorf, Germany.
WHO Collaborating Centre on Quality Assurance and Empowerment in Mental Health, Düsseldorf, EU131, Germany.

Marisa Flick (M)

Department of Psychiatry and Psychotherapy, LVR-Klinikum Düsseldorf, Medical Faculty, Heinrich-Heine-University, Düsseldorf, Germany.
WHO Collaborating Centre on Quality Assurance and Empowerment in Mental Health, Düsseldorf, EU131, Germany.

Charline Pielenz (C)

Department of Psychiatry and Psychotherapy, LVR-Klinikum Düsseldorf, Medical Faculty, Heinrich-Heine-University, Düsseldorf, Germany.
WHO Collaborating Centre on Quality Assurance and Empowerment in Mental Health, Düsseldorf, EU131, Germany.

Eva Salveridou-Hof (E)

Department of Psychiatry and Psychotherapy, LVR-Klinikum Düsseldorf, Medical Faculty, Heinrich-Heine-University, Düsseldorf, Germany.
WHO Collaborating Centre on Quality Assurance and Empowerment in Mental Health, Düsseldorf, EU131, Germany.

Thomas Schneider-Axmann (T)

Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.

Marco Schneider (M)

Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.

Elias Wagner (E)

Department of Psychiatry, Psychotherapy and Psychosomatics, University of Augsburg, Medical Faculty, BKH Augsburg, Geschwister-Schönert-Str. 1, Augsburg, 86156, Germany.
Evidence-Based Psychiatry and Psychotherapy, Faculty of Medicine, University of Augsburg, Augsburg, Germany.

Peter Falkai (P)

Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.
Max Planck Institute of Psychiatry, Munich, Germany.

Susanne Lucae (S)

Max Planck Institute of Psychiatry, Munich, Germany.

Michael Rentrop (M)

Department of Psychiatry and Psychotherapy, Technische Universität München, Medical Faculty, Klinikum rechts der Isar, Munich, Germany.
Kbo Inn-Salzach-Klinik Wasserburg, Wasserburg, Germany.

Peter Zwanzger (P)

Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.
Kbo Inn-Salzach-Klinik Wasserburg, Wasserburg, Germany.

Florian Seemüller (F)

Kbo-Lech-Mangfall-Klinik Garmisch-Partenkirchen und Peißenberg, Garmisch-Partenkirchen, Germany.

Michael Landgrebe (M)

Kbo-Lech-Mangfall-Klinik Agatharied, Hausham, Germany.

Marion Ortner (M)

Kbo-Lech-Mangfall-Klinik Landsberg am Lech, Landsberg am Lech, Germany.

Bertram Schneeweiß (B)

Kbo-Klinik Taufkirchen/Vils, Taufkirchen, Germany.

Peter Brieger (P)

Kbo-Isar-Amper-Klinikum München-Ost, Munich, Germany.

Klemens Ajayi (K)

Kbo-Isar-Amper-Klinikum München-Ost, Munich, Germany.

Michael Schwarz (M)

Kbo-Isar-Amper-Klinikum München-Ost, Munich, Germany.

Stephan Heres (S)

Kbo-Isar-Amper-Klinikum München-Nord, Munich, Germany.

Nicolay Marstrander (N)

Kbo-Isar-Amper-Klinikum München-Nord, Munich, Germany.

Thomas Becker (T)

Department of Psychiatry and Psychotherapy II, Ulm University, BKH Günzburg, Günzburg, Germany.
Department of Psychiatry and Psychotherapy, University of Leipzig, Leipzig, Germany.

Markus Jäger (M)

Department of Psychiatry and Psychotherapy II, Ulm University, BKH Günzburg, Günzburg, Germany.
BKH Kempten, Kempten, Germany.

Albert Putzhammer (A)

BKH Kaufbeuren, Kaufbeuren, Germany.

Karel Frasch (K)

Department of Psychiatry and Psychotherapy II, Ulm University, BKH Günzburg, Günzburg, Germany.
BKH Donauwörth, Donauwörth, Germany.

Raimund Steber (R)

BKH Memmingen, Memmingen, Germany.

Stefan Leucht (S)

Department of Psychiatry and Psychotherapy, Technische Universität München, Medical Faculty, Klinikum rechts der Isar, Munich, Germany.

Alkomiet Hasan (A)

Department of Psychiatry, Psychotherapy and Psychosomatics, University of Augsburg, Medical Faculty, BKH Augsburg, Geschwister-Schönert-Str. 1, Augsburg, 86156, Germany.
DZPG (German Center for Mental Health), partner site München/Augsburg, Munich/Augsburg, Germany.

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Recherchemedicale.com › Troubles mentaux › Schizophrénie et troubles avec traits psychotiques › Schizophrénie › The impact of a digital guideline version on...
Recherchemedicale.com › Personnes › Tranches d'âge › Adulte › The impact of a digital guideline version on...
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Recherchemedicale.com › Personnes › Tranches d'âge › Adulte › Adulte d'âge moyen › The impact of a digital guideline version on...
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