Impact of the WHO depression guideline on patient care by psychiatrists: A randomized controlled trial

Linden, M.; Westram, Anja; Schmidt, Lutz; Haag, C.

doi:10.1016/j.eurpsy.2008.04.001

Cited by 6 publications

(24 citation statements)

References 22 publications

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“…In order to achieve these changes, an active implementation was needed and not just a dissemination of, or lecturing about, guidelines. This finding is in accord with earlier studies [11,29,30]. …”

Section: Discussionsupporting

confidence: 94%

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Supported local implementation of clinical guidelines in psychiatry: a two-year follow-up

et al. 2010

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BackgroundThe gap between evidence-based guidelines for clinical care and their use in medical settings is well recognized and widespread. Only a few implementation studies of psychiatric guidelines have been carried out, and there is a lack of studies on their long-term effects.The aim of this study was to measure compliance to clinical guidelines for treatment of patients with depression and patients with suicidal behaviours, two years after an actively supported implementation.MethodsSix psychiatric clinics in Stockholm, Sweden, participated in an implementation of the guidelines. The guidelines were actively implemented at four of them, and the other two only received the guidelines and served as controls. The implementation activities included local implementation teams, seminars, regular feedback, and academic outreach visits. Compliance to guidelines was measured using quality indicators derived from the guidelines. At baseline, measurements of quality indicators, part of the guidelines, were abstracted from medical records in order to analyze the gap between clinical guidelines and current practice. On the basis of this, a series of seminars was conducted to introduce the guidelines according to local needs. Local multidisciplinary teams were established to monitor the process. Data collection took place after 6, 12, and 24 months and a total of 2,165 patient records were included in the study.ResultsThe documentation of the quality indicators improved from baseline in the four clinics with an active implementation, whereas there were no changes, or a decline, in the two control clinics. The increase was recorded at six months, and persisted over 12 and 24 months.ConclusionsCompliance to the guidelines increased after active implementation and was sustained over the two-year follow-up. These results indicate that active local implementation of clinical guidelines involving clinicians can change behaviour and maintain compliance.

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Section: Discussionsupporting

confidence: 94%

“…Guidelines aim to influence the treatment behaviour of practitioners. However, studies are needed to show that physicians exposed to guidelines provide better treatment [11]. …”

Section: Introductionmentioning

confidence: 99%

Supported local implementation of clinical guidelines in psychiatry: a two-year follow-up

et al. 2010

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“…Studies included 239,477 patients, with one study (Eccles et al, 2007) not reporting the number of patients. The total number of sites was 378, ranging from 1 to 73 per study, with five studies not reporting the number of sites (Worrall et al, 1999;Azocar et al, 2003;Gerrity et al, 1999;Linden et al, 2008;Shirazi et al, 2013). Six studies did not report any information about a power calculation, nine studies reported an a priori power calculation with targeted sample size achieved, and seven noted a post hoc analysis indicating insufficient power.…”

Section: Designmentioning

confidence: 99%

“…Twenty studies took place in primary care settings, ranging from primary care offices and academically affiliated primary care practices to family medicine research network practices and continuing medical education groups. Two studies took place in specialty care settings: a private psychiatry practice (Linden et al, 2008) and a managed behavioral health care organization (Azocar et al, 2003). Specific names of the sites as described in the articles can be found in Appendix C.…”

Section: Settingmentioning

confidence: 99%

“…Broadly categorized, seven studies described education interventions, ten studies described interventions with an education component plus other components, and six studies described intervention arms of distributing guidelines. One (Linden et al, 2008) was a three-arm study that described two intervention conditions (education only and distribution of guidelines) compared to usual clinical care practice. More detailed descriptions of the interventions can be found in Appendix C.…”

Section: Interventionsmentioning

confidence: 99%

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Provider Interventions to Increase Uptake of Evidence-Based Treatment for Depression: A Systematic Review

Pedersen¹,

Kandrack²,

Danz³

et al. 2018

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Over the past two decades, the Department of Defense (DoD) has invested unparalleled resources into developing effective treatments for military-related psychological health conditions. Systematic reviews are a key component in the knowledge translation process and function to translate research into evidence-based health care guidelines that promote optimal clinical care. Although a few government agencies, including the Department of Veterans Affairs (VA) and the Agency for Healthcare Research and Quality (AHRQ), have established evidence synthesis centers, there is no similar center within the DoD that can synthesize research evidence on psychological health issues of interest. The Southern California Evidence-Based Practice Center, housed at the RAND Corporation, was awarded a three-year contract to synthesize research on psychological health interventions important to military populations. This document details a systematic review that was performed during year one of this three-year project. The review is of interest to military health policymakers and practitioners who oversee or implement provider interventions for the treatment of depression.

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Continuing education meetings and workshops: effects on professional practice and healthcare outcomes

Forsetlund

O’Brien

Forsén

et al. 2021

Cochrane Database of Systematic Reviews

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Impact of the WHO depression guideline on patient care by psychiatrists: A randomized controlled trial

Cited by 6 publications

References 22 publications

Supported local implementation of clinical guidelines in psychiatry: a two-year follow-up

Supported local implementation of clinical guidelines in psychiatry: a two-year follow-up

Provider Interventions to Increase Uptake of Evidence-Based Treatment for Depression: A Systematic Review

Continuing education meetings and workshops: effects on professional practice and healthcare outcomes

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