Psychiatrists' Adoption of Schizophrenia Guidelines

精神科医生采用精神分裂症指南

• 批准号: 6472037
• 负责人: DONALD Michael STEINWACHS
• 金额: $ 37.02万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-05-16 至 2005-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6472037
• 关键词: adult human (21+); behavioral /social science research tag; clinical research; continuing education; decision making; health care personnel education; health care quality; health care service evaluation; human subject; judgment; learning; patient care management; patient care personnel attitude; perception; population survey; preference; psychiatric patient care; psychiatrist; questionnaires; schizophrenia

There is substantial evidence that quality of care for schizophrenia falls short of evidence-based standards derived from the clinical research literature. Studies of non-adherence to guidelines for other conditions have found lack of knowledge, disagreement with the evidence, lack of confidence in ability to implement guidelines effectively, and perceived organizational barriers to their implementation. Reasons for the gap between practice and evidence are not known for schizophrenia. This study will address these issues through a survey of psychiatrists providing direct patient. The aims are: 1) To identify sources of information used by psychiatrists to learn about advances in diagnosis and treatment of psychiatric disorders, 2) To assess the extent of agreement with and adherence to evidence-based guidelines developed in the schizophrenia PORT project, 3) To examine characteristics of psychiatrists, their practices and the external environment associated with readiness to adopt evidence-based guidelines, and 4) To assess the willingness of psychiatrists to participate in educational opportunities to advance their knowledge about and ability to implement guidelines, and their preferences among alternative educational formats. The survey sample will be all psychiatrists in the state of Maryland who are providing direct patient care. Based on survey responses, psychiatrists will be classified by learning style (what methods and resources they are most likely to respond to), readiness to adopt guideline-based practices (following Prochaska and DiClemente's readiness to change model), and clinical interest in schizophrenia. Among those treating or having an interest in schizophrenia, willingness to participate in practice assessments will be determined, as will perceived need for practice tools to overcome barriers to implementation of guideline-based patient care. The findings of this research will be used to design educational intervention trials in Maryland to improve the care of patients with schizophrenia.

有大量证据表明，精神分裂症的护理质量尚未达到临床研究文献中得出的基于证据的标准。 对其他条件指南的不遵守研究发现缺乏知识，与证据的分歧，对有效执行准则的能力缺乏信心以及对实施的组织障碍。 实践和证据之间存在差距的原因是精神分裂症所不知道的。 这项研究将通过对提供直接患者的精神病医生的调查来解决这些问题。 目的是：1）确定精神病医生使用的信息来源，以了解精神疾病的诊断和治疗方面的进步，2）评估与精神分裂症港口项目中与基于证据的指南的同意程度以及遵守性的程度，3）以检查与精神病学家的愿意，以及在基于循证的环境中的特征，并评估基于循证的环境，以及对基于循证的愿意，以及4），以及4），以及4）4），4）4）提高他们对实施准则的知识和能力的机会，以及他们在替代教育格式中的偏好。调查样本将是马里兰州提供直接患者护理的所有精神科医生。 根据调查的回答，精神科医生将通过学习风格（他们最有可能响应的方法和资源）进行分类，并准备采用基于准则的实践（遵循Prochaska和DiClemente准备改变模型的准备），以及对精神分裂症的临床兴趣。 在治疗或对精神分裂症感兴趣的人中，将确定参加实践评估的意愿，这将确定对实践工具的需求克服实施基于准则的患者护理的障碍。 这项研究的发现将用于在马里兰州设计教育干预试验，以改善精神分裂症患者的护理。