Psychiatrists' Adoption of Schizophrenia Guidelines

精神科医生采用精神分裂症指南

• 批准号: 6624048
• 负责人: DONALD Michael STEINWACHS
• 金额: $ 35.2万
• 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/6624048
• 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福尔斯达不到来自临床研究文献的循证标准。 对其他条件不遵守指南的研究发现缺乏知识，不同意证据，对有效实施指南的能力缺乏信心，以及对其实施的组织障碍。 对于精神分裂症，实践和证据之间存在差距的原因尚不清楚。 本研究将通过对精神科医生提供直接病人的调查来解决这些问题。 其目标是：1）确定精神科医生用于了解精神疾病诊断和治疗进展的信息来源，2）评估精神分裂症PORT项目中制定的循证指南的一致性和依从性程度，3）检查精神科医生的特征，他们的实践和与采用循证指南相关的外部环境，和4）评估精神科医生参与教育机会的意愿，以提高他们对指南的了解和实施指南的能力，以及他们对替代教育形式的偏好。调查样本将是马里兰州所有提供直接病人护理的精神科医生。 根据调查结果，精神科医生将根据学习风格（他们最有可能回应的方法和资源）、采用基于指南的实践的准备程度（遵循Prochaska和DiClemente的准备程度改变模型）以及对精神分裂症的临床兴趣进行分类。 在那些治疗或有兴趣在精神分裂症，愿意参加实践评估将被确定，将认为需要实践工具，以克服障碍，实施基于指南的病人护理。 这项研究的结果将用于设计马里兰州的教育干预试验，以改善精神分裂症患者的护理。