The effects of a computerized clinical decision aid on clinical decision-making and guideline implementation in psychosis care
Introduction Clinicians in mental healthcare have few objective tools to identify and analyse their patient’s care needs. Clinical decision aids are tools that can support this process. Objectives This study examines whether 1) clinicians working with a clinical decision aid (TREAT) discuss more o...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-06-01
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| Series: | European Psychiatry |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933822004795/type/journal_article |
| _version_ | 1827753725872046080 |
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| author | S. Castelein L.O. Roebroek A. Boonstra W. Veling F. Jörg B. Sportel J. Bruins P.A.E.G. Delespaul |
| author_facet | S. Castelein L.O. Roebroek A. Boonstra W. Veling F. Jörg B. Sportel J. Bruins P.A.E.G. Delespaul |
| author_sort | S. Castelein |
| collection | DOAJ |
| description |
Introduction
Clinicians in mental healthcare have few objective tools to identify and analyse their patient’s care needs. Clinical decision aids are tools that can support this process.
Objectives
This study examines whether 1) clinicians working with a clinical decision aid (TREAT) discuss more of their patient’s care needs compared to usual treatment, and 2) agree on more evidence-based treatment decisions.
Methods
Clinicians participated in consultations (n=166) with patients diagnosed with psychotic disorders from four Dutch mental healthcare institutions. Primary outcomes were measured with the modified Clinical Decision-making in Routine Care questionnaire and combined with psychiatric, physical and social wellbeing related care needs. A multilevel analysis compared discussed care needs and evidence-based treatment decisions between treatment as usual (TAU) before, TAU after and the TREAT-condition.
Results
First, a significant increase in discussed care needs for TREAT compared to both TAU conditions (b = 20.2, SE = 5.2, p = 0.00 and b = 15.8, SE = 5.4, p = 0.01) was found. Next, a significant increase in evidence-based treatments decisions for care needs was observed for TREAT compared to both TAU conditions (b = 16.7, SE = 4.8, p = 0.00 and b = 16.0, SE = 5.1, p = 0.01).
Conclusions
TREAT improved the discussion about physical health issues and social wellbeing related topics. It also increased evidence-based treatment decisions for care needs which are sometimes overlooked and difficult to treat. Our findings suggest that TREAT makes sense of ROM data and improves guideline-informed
care.
Disclosure
No significant relationships.
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| first_indexed | 2024-03-11T07:40:13Z |
| format | Article |
| id | doaj.art-981e3363c67146ff94cc6d72ac486321 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:40:13Z |
| publishDate | 2022-06-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-981e3363c67146ff94cc6d72ac4863212023-11-17T05:08:45ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S181S18110.1192/j.eurpsy.2022.479The effects of a computerized clinical decision aid on clinical decision-making and guideline implementation in psychosis careS. Castelein0L.O. Roebroek1A. Boonstra2W. Veling3F. Jörg4B. Sportel5J. Bruins6P.A.E.G. Delespaul7Lentis Psychiatric Institute, Lentis Research, Groningen, Netherlands University of Groningen, Clinical Psychology, Groningen, NetherlandsLentis Psychiatric Institute, Lentis Research, Groningen, Netherlands University of Groningen, Clinical Psychology, Groningen, NetherlandsUniversity of Groningen, Faculty Of Economics And Business, Groningen, NetherlandsUniversity Medical Center Groningen, University Center For Psychiatry, Groningen, NetherlandsUniversity Medical Center Groningen, University Center For Psychiatry, Groningen, NetherlandsGGz Drenthe, Psychosis Department, Assen, NetherlandsLentis Psychiatric Institute, Lentis Research, Groningen, NetherlandsMaastricht University, School For Mental Health And Neurosciences, Maastricht, Netherlands Mondriaan, Research, Heerlen, Netherlands Introduction Clinicians in mental healthcare have few objective tools to identify and analyse their patient’s care needs. Clinical decision aids are tools that can support this process. Objectives This study examines whether 1) clinicians working with a clinical decision aid (TREAT) discuss more of their patient’s care needs compared to usual treatment, and 2) agree on more evidence-based treatment decisions. Methods Clinicians participated in consultations (n=166) with patients diagnosed with psychotic disorders from four Dutch mental healthcare institutions. Primary outcomes were measured with the modified Clinical Decision-making in Routine Care questionnaire and combined with psychiatric, physical and social wellbeing related care needs. A multilevel analysis compared discussed care needs and evidence-based treatment decisions between treatment as usual (TAU) before, TAU after and the TREAT-condition. Results First, a significant increase in discussed care needs for TREAT compared to both TAU conditions (b = 20.2, SE = 5.2, p = 0.00 and b = 15.8, SE = 5.4, p = 0.01) was found. Next, a significant increase in evidence-based treatments decisions for care needs was observed for TREAT compared to both TAU conditions (b = 16.7, SE = 4.8, p = 0.00 and b = 16.0, SE = 5.1, p = 0.01). Conclusions TREAT improved the discussion about physical health issues and social wellbeing related topics. It also increased evidence-based treatment decisions for care needs which are sometimes overlooked and difficult to treat. Our findings suggest that TREAT makes sense of ROM data and improves guideline-informed care. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822004795/type/journal_article |
| spellingShingle | S. Castelein L.O. Roebroek A. Boonstra W. Veling F. Jörg B. Sportel J. Bruins P.A.E.G. Delespaul The effects of a computerized clinical decision aid on clinical decision-making and guideline implementation in psychosis care European Psychiatry |
| title | The effects of a computerized clinical decision aid on clinical decision-making and guideline implementation in psychosis care |
| title_full | The effects of a computerized clinical decision aid on clinical decision-making and guideline implementation in psychosis care |
| title_fullStr | The effects of a computerized clinical decision aid on clinical decision-making and guideline implementation in psychosis care |
| title_full_unstemmed | The effects of a computerized clinical decision aid on clinical decision-making and guideline implementation in psychosis care |
| title_short | The effects of a computerized clinical decision aid on clinical decision-making and guideline implementation in psychosis care |
| title_sort | effects of a computerized clinical decision aid on clinical decision making and guideline implementation in psychosis care |
| url | https://www.cambridge.org/core/product/identifier/S0924933822004795/type/journal_article |
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