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1. Improvements in the degree of understanding the treatment guidelines for schizophrenia and major depressive disorder in a nationwide dissemination and implementation study

Author

Shusuke Numata, Masahito Nakataki, Naomi Hasegawa, Yoshikazu Takaesu, Masahiro Takeshima, Toshiaki Onitsuka, Toshinori Nakamura, Reon Edagawa, Hiroaki Edo, Kenichiro Miura, Junya Matsumoto, Norio Yasui‐Furukori, Taishiro Kishimoto, Hikaru Hori, Takashi Tsuboi, Yuka Yasuda, Ryuji Furihata, Hiroyuki Muraoka, Shinichiro Ochi, Tatsuya Nagasawa, Yoshitaka Kyou, Atsunobu Murata, Eiichi Katsumoto, Kazutaka Ohi, Akitoyo Hishimoto, Ken Inada, Koichiro Watanabe, and Ryota Hashimoto

Subjects
clinical practice guidelines, degree of understanding, depression, dissemination, education, implementation, Therapeutics. Pharmacology, RM1-950, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571
Abstract

Abstract Background To implement clinical practice guidelines (CPGs), it is necessary for psychiatrists to deepen their understanding of the CPGs. The Effectiveness of Guidelines for Dissemination and Education in Psychiatric Treatment (EGUIDE) project is a nationwide dissemination and implementation study of two sets of CPGs for schizophrenia and major depressive disorder (MDD). Methods A total of 413 psychiatrists (n = 212 in 2016; n = 201 in 2017) learned the two CPGs in the education program of the EGUIDE project, and clinical knowledge of these CPGs was evaluated at baseline and after the programs. To improve the correct answer rate for clinical knowledge after the programs, we revised the lecture materials associated with items that had a low correct answer rate in 2016 and used the revised lecture materials with the CPGs in 2017. The rates of correct answers after the programs between the 2016 and 2017 groups were compared. Results The correct answer rate of one item on the schizophrenia CPG and one item on the MDD CPG tended to be improved (S‐D5 and D‐C6) and that of one on the MDD CPG was significantly improved (D‐D3, P = 0.0008) in the 2017 group compared to those in the 2016 group. Conclusions We reported improvements in clinical knowledge of CPGs after the EGUIDE program in the 2017 group following revision of the lecture materials based on results from the 2016 group. These attempts to improve the degree of understanding of CPGs may facilitate the successful dissemination and implementation of psychiatric guidelines in everyday practice.

Published
2021
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2. Improvements in the degree of understanding the treatment guidelines for schizophrenia and major depressive disorder in a nationwide dissemination and implementation study

Author

Hiroyuki Muraoka, Kenichiro Miura, Norio Yasui-Furukori, Shusuke Numata, Eiichi Katsumoto, Yoshikazu Takaesu, Koichiro Watanabe, Toshinori Nakamura, Ryota Hashimoto, Junya Matsumoto, Shinichiro Ochi, Hikaru Hori, Ken Inada, Masahito Nakataki, Takashi Tsuboi, Masahiro Takeshima, Ryuji Furihata, Hiroaki Edo, Yoshitaka Kyou, Tatsuya Nagasawa, Kazutaka Ohi, Reon Edagawa, Yuka Yasuda, Akitoyo Hishimoto, Taishiro Kishimoto, Naomi Hasegawa, Atsunobu Murata, and Toshiaki Onitsuka

Subjects
medicine.medical_specialty, animal structures, behavioral disciplines and activities, degree of understanding, dissemination, Clinical knowledge, medicine, Humans, Pharmacology (medical), implementation, Psychiatry, Pharmacology, Depressive Disorder, Major, education, business.industry, Original Articles, medicine.disease, schizophrenia, Clinical Practice, Psychiatry and Mental health, Clinical Psychology, Schizophrenia, Family medicine, depression, embryonic structures, Major depressive disorder, Original Article, business, clinical practice guidelines, human activities
Abstract

Background To implement clinical practice guidelines (CPGs), it is necessary for psychiatrists to deepen their understanding of the CPGs. The Effectiveness of Guidelines for Dissemination and Education in Psychiatric Treatment (EGUIDE) project is a nationwide dissemination and implementation study of two sets of CPGs for schizophrenia and major depressive disorder (MDD). Methods A total of 413 psychiatrists (n = 212 in 2016; n = 201 in 2017) learned the two CPGs in the education program of the EGUIDE project, and clinical knowledge of these CPGs was evaluated at baseline and after the programs. To improve the correct answer rate for clinical knowledge after the programs, we revised the lecture materials associated with items that had a low correct answer rate in 2016 and used the revised lecture materials with the CPGs in 2017. The rates of correct answers after the programs between the 2016 and 2017 groups were compared. Results The correct answer rate of one item on the schizophrenia CPG and one item on the MDD CPG tended to be improved (S‐D5 and D‐C6) and that of one on the MDD CPG was significantly improved (D‐D3, P = 0.0008) in the 2017 group compared to those in the 2016 group. Conclusions We reported improvements in clinical knowledge of CPGs after the EGUIDE program in the 2017 group following revision of the lecture materials based on results from the 2016 group. These attempts to improve the degree of understanding of CPGs may facilitate the successful dissemination and implementation of psychiatric guidelines in everyday practice., Effective implementation and dissemination of CPGs for psychiatry is necessary, as research has shown that CPGs have minimal effects on clinical practice in the context of mental health pharmacotherapy. The EGUIDE project is a nationwide dissemination and implementation study of CPGs for psychiatry. We revealed that the clinical knowledge of CPGs improved the EGUIDE program. We also provided evidence for the effectiveness of lecture revisions, which further improved the clinical knowledge of the CPGs. This attempt to improve the clinical knowledge of CPGs can facilitate the successful dissemination and implementation of psychiatric guidelines in everyday practice.

Published
2021
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