一项旨在根据精神分裂症和重度抑郁症治疗指南改善精神科医生临床行为的传播与教育计划：精神科治疗传播与教育指南的有效性（EGUIDE）项目。
A dissemination and education programme to improve the clinical behaviours of psychiatrists in accordance with treatment guidelines for schizophrenia and major depressive disorders: the Effectiveness of Guidelines for Dissemination and Education in Psychiatric Treatment (EGUIDE) project.
作者信息
Yamada Hisashi, Motoyama Mikuni, Hasegawa Naomi, Miura Kenichiro, Matsumoto Junya, Ohi Kazutaka, Yasui-Furukori Norio, Numata Shusuke, Takeshima Masahiro, Sugiyama Nobuhiro, Nagasawa Tatsuya, Kubota Chika, Atake Kiyokazu, Tsuboi Takashi, Ichihashi Kayo, Hashimoto Naoki, Inagaki Takahiko, Takaesu Yoshikazu, Iga Jun-Ichi, Hori Hikaru, Onitsuka Toshiaki, Komatsu Hiroshi, Hishimoto Akitoyo, Fukumoto Kentaro, Fujimoto Michiko, Nakamura Toshinori, Nemoto Kiyotaka, Furihata Ryuji, Yamamura Satoshi, Yamagata Hirotaka, Ogasawara Kazuyoshi, Katsumoto Eiichi, Murata Atsunobu, Iida Hitoshi, Ochi Shinichiro, Makinodan Manabu, Kido Mikio, Kishimoto Taishiro, Yasuda Yuka, Usami Masahide, Suwa Taro, Inada Ken, Watanabe Koichiro, Hashimoto Ryota
机构信息
Department of Neuropsychiatry, Hyogo College of Medicine, Japan; and Department of Pathology of Mental Diseases, National Institute of Mental Health, National Center of Neurology and Psychiatry, Japan.
Department of Neuropsychiatry, Hyogo College of Medicine, Japan.
出版信息
BJPsych Open. 2022 Apr 21;8(3):e83. doi: 10.1192/bjo.2022.44.
BACKGROUND
Clinical practice guidelines for schizophrenia and major depressive disorder have been published. However, these have not had sufficient penetration in clinical settings. We developed the Effectiveness of Guidelines for Dissemination and Education in Psychiatric Treatment (EGUIDE) project as a dissemination and education programme for psychiatrists.
AIMS
The aim of this study is to assess the effectiveness of the EGUIDE project on the subjective clinical behaviour of psychiatrists in accordance with clinical practice guidelines before and 1 and 2 years after participation in the programmes.
METHOD
A total of 607 psychiatrists participated in this study during October 2016 and March 2019. They attended both 1-day educational programmes based on the clinical practice guidelines for schizophrenia and major depressive disorder, and answered web questionnaires about their clinical behaviours before and 1 and 2 years after attending the programmes. We evaluated the changes in clinical behaviours in accordance with the clinical practice guidelines between before and 2 years after the programme.
RESULTS
All of the scores for clinical behaviours in accordance with clinical practice guidelines were significantly improved after 1 and 2 years compared with before attending the programmes. There were no significant changes in any of the scores between 1 and 2 years after attending.
CONCLUSIONS
All clinical behaviours in accordance with clinical practice guidelines improved after attending the EGUIDE programme, and were maintained for at least 2 years. The EGUIDE project could contribute to improved guideline-based clinical behaviour among psychiatrists.
背景
精神分裂症和重度抑郁症的临床实践指南已经发布。然而，这些指南在临床环境中的渗透还不够充分。我们开展了精神科治疗指南传播与教育有效性（EGUIDE）项目，作为针对精神科医生的传播与教育计划。
目的
本研究旨在评估EGUIDE项目对精神科医生在参与项目前以及参与项目1年和2年后依据临床实践指南的主观临床行为的有效性。
方法
2016年10月至2019年3月期间，共有607名精神科医生参与了本研究。他们参加了基于精神分裂症和重度抑郁症临床实践指南的为期1天的教育项目，并在参加项目前以及参加项目1年和2年后回答了关于其临床行为的网络问卷。我们评估了项目前与项目后2年之间依据临床实践指南的临床行为变化。
结果
与参加项目前相比，在参加项目1年和2年后，所有依据临床实践指南的临床行为得分均有显著提高。参加项目1年和2年后的任何得分之间均无显著变化。
结论
参加EGUIDE项目后，所有依据临床实践指南的临床行为均得到改善，并至少维持了2年。EGUIDE项目有助于提高精神科医生基于指南的临床行为。
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