Department of Psychiatry, Institute of Biomedical Science, Tokushima University Graduate School, Tokushima, Japan.
Department of Pathology of Mental Diseases, National Center of Neurology and Psychiatry, National Institute of Mental Health, Tokyo, Japan.
Neuropsychopharmacol Rep. 2021 Jun;41(2):199-206. doi: 10.1002/npr2.12173. Epub 2021 Mar 11.
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).
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.
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.
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.
为了实施临床实践指南（CPGs），精神科医生有必要加深对 CPGs 的理解。Effectiveness of Guidelines for Dissemination and Education in Psychiatric Treatment（EGUIDE）项目是一项针对精神分裂症和重度抑郁症（MDD）两套 CPGs 的全国性传播和实施研究。
共有 413 名精神科医生（2016 年 n=212；2017 年 n=201）参加了 EGUIDE 项目的教育计划学习这两套 CPGs，并在基线和项目后评估了这些 CPGs 的临床知识。为了提高项目后临床知识的正确答案率，我们修订了与 2016 年低正确率项目相关的讲座材料，并在 2017 年使用修订后的讲座材料和 CPGs。比较了 2016 年和 2017 年组项目后正确答案率。
2017 年组中，一项关于精神分裂症 CPG 的项目和一项关于 MDD CPG 的项目的正确答案率（S-D5 和 D-C6）有所提高，而 MDD CPG 的一项项目的正确答案率（D-D3）显著提高（P=0.0008），与 2016 年组相比。
我们报告了 EGUIDE 项目后，在 2017 年组中，根据 2016 年组的结果修订讲座材料后，CPGs 的临床知识有所提高。这些提高对 CPGs 理解程度的尝试可能有助于成功传播和实施日常实践中的精神科指南。
