Effect of education regarding treatment guidelines for schizophrenia and depression on the treatment behavior of psychiatrists: A multicenter study-Reference-Cited by-同舟云学术

Effect of education regarding treatment guidelines for schizophrenia and depression on the treatment behavior of psychiatrists: A multicenter study

Published:2023-09-08 Issue:10 Volume:77 Page:559-568
ISSN:1323-1316
Container-title:Psychiatry and Clinical Neurosciences
language:en
Short-container-title:Psychiatry Clin Neurosci

Author:

Hasegawa Naomi¹,Yasuda Yuka¹²^ORCID,Yasui‐Furukori Norio³^ORCID,Yamada Hisashi¹⁴,Hori Hikaru⁵,Ichihashi Kayo⁶,Takaesu Yoshikazu⁷^ORCID,Iida Hitoshi⁵,Muraoka Hiroyuki⁸⁹,Kodaka Fumitoshi¹⁰,Iga Jun‐ichi¹¹^ORCID,Hashimoto Naoki¹²^ORCID,Ogasawara Kazuyoshi¹³,Ohi Kazutaka¹⁴^ORCID,Fukumoto Kentaro¹⁵,Numata Shusuke¹⁶,Tsuboi Takashi¹⁷^ORCID,Usami Masahide¹⁸^ORCID,Hishimoto Akitoyo¹⁹,Furihata Ryuji²⁰^ORCID,Kishimoto Taishiro²¹,Nakamura Toshinori²²^ORCID,Katsumoto Eiichi²³^ORCID,Ochi Shinichiro¹¹^ORCID,Nagasawa Tatsuya²⁴,Atake Kiyokazu¹²⁵,Kubota Chika¹,Komatsu Hiroshi²⁶,Yamagata Hirotaka²⁷,Ide Kenta²⁸,Takeshima Masahiro²⁹^ORCID,Kido Mikio³⁰³¹,Kikuchi Saya²⁶,Okada Tsuyoshi³²^ORCID,Matsumoto Junya¹^ORCID,Miura Kenichiro¹^ORCID,Shimazu Taichi³³,Inada Ken⁸⁹^ORCID,Watanabe Koichiro¹⁷^ORCID,Hashimoto Ryota¹^ORCID

Affiliation:

1. Department of Pathology of Mental Diseases National Institute of Mental Health, National Center of Neurology and Psychiatry Tokyo Japan

2. Life Grow Brilliant Mental Clinic Medical Corporation Foster Osaka Japan

3. Department of Psychiatry Dokkyo Medical University School of Medicine Tochigi Japan

4. Department of Neuropsychiatry Hyogo Medical University Hyogo Japan

5. Department of Psychiatry Faculty of Medicine, Fukuoka University Fukuoka Japan

6. Department of Neuropsychiatry University of Tokyo Hospital Tokyo Japan

7. Department of Neuropsychiatry Graduate School of Medicine, University of the Ryukyus Okinawa Japan

8. Department of Psychiatry School of Medicine, Tokyo Women's Medical University Tokyo Japan

9. Department of Psychiatry Kitasato University, School of Medicine Kanagawa Japan

10. Department of Psychiatry The Jikei University School of Medicine Tokyo Japan

11. Department of Neuropsychiatry Ehime University Graduate School of Medicine Ehime Japan

12. Department of Psychiatry Hokkaido University Graduate School of Medicine Hokkaido Japan

13. Center for Postgraduate Clinical Training and Career Development Nagoya University Hospital Aichi Japan

14. Department of Psychiatry Gifu University Graduate School of Medicine Gifu Japan

15. Department of Neuropsychiatry Iwate Medical University School of Medicine Iwate Japan

16. Department of Psychiatry Graduate School of Biomedical Science, Tokushima University Tokushima Japan

17. Department of Neuropsychiatry Kyorin University School of Medicine Tokyo Japan

18. Department of Child and Adolescent Psychiatry Kohnodai Hospital, National Center for Global Health and Medicine Chiba Japan

19. Department of Psychiatry Yokohama City University Graduate School of Medicine Kanagawa Japan

20. Agency for Student Support and Disability Resources Kyoto University Kyoto Japan

21. Hills Joint Research Laboratory for Future Preventive Medicine and Wellness Keio University School of Medicine Tokyo Japan

22. Department of Psychiatry Shinshu University School of Medicine Nagano Japan

23. Katsumoto Mental Clinic Osaka Japan

24. Department of Neuropsychiatry Kanazawa Medical University Ishikawa Japan

25. Nippon Telegraph and Telephone West Corporation Kyushu Health Administration Center Fukuoka Japan

26. Department of Psychiatry, Tohoku University Hospital Miyagi Japan

27. Division of Neuropsychiatry, Department of Neuroscience Yamaguchi University School of Medicine Yamaguchi Japan

28. Department of Hospital Pharmacy Hospital of University of Occupational and Environmental Health Fukuoka Japan

29. Department of Neuropsychiatry Akita University Graduate School of Medicine Akita Japan

30. Department of Neuropsychiatry University of Toyama Graduate School of Medicine and Pharmaceutical Sciences Toyama Japan

31. Kido Clinic Toyama Japan

32. Department of Psychiatry Jichi Medical University Tochigi Japan

33. Division of Behavioral Sciences Institute for Cancer Control, National Cancer Center Tokyo Japan

Abstract

AimThis study aims to examine the real‐world effectiveness of education regarding clinical guidelines for psychiatric disorders using ‘the Effectiveness of guidelines for dissemination and education in psychiatric treatment (EGUIDE)’ project.MethodsThe EGUIDE project is a nationwide prospective implementation study of two clinical practice guidelines, i.e., the Guideline for Pharmacological Therapy of Schizophrenia and the Treatment Guidelines for Major Depressive Disorders, in Japan. Between 2016 and 2019, 782 psychiatrists belonging to 176 hospitals with psychiatric wards participated in the project and attended lectures on clinical practice guidelines. The proportions of guideline‐recommended treatments in 7405 patients with schizophrenia and 3794 patients with major depressive disorder at participating hospitals were compared between patients under the care of psychiatrists participating in the project and those not participating in the project. Clinical and prescribing data on the patients discharged from April to September each year from participating hospitals of the project were also analyzed.ResultsThe proportions of three quality indicators (antipsychotic monotherapy regardless of whether other psychotropics medication, antipsychotic monotherapy without other psychotropics and no prescription of anxiolytics or hypnotics) for schizophrenia were higher among participating psychiatrists than among nonparticipating psychiatrists. As similar results were obtained in major depressive disorder, the effectiveness of the project for the dissemination of guideline‐recommended treatment has been replicated.ConclusionThis strategy of providing education regarding the clinical guidelines for psychiatric disorders was effective in improving the treatment‐related behavior of psychiatrists. The use of this education‐based strategy might contribute to resolving the mental health treatment gap.

Funder

Japan Agency for Medical Research and Development

Japan Society for the Promotion of Science

Publisher

Wiley

Subject

Psychiatry and Mental health,Neurology (clinical),Neurology,General Medicine,General Neuroscience

Link

https://onlinelibrary.wiley.com/doi/pdf/10.1111/pcn.13578

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