The impact of a digital guideline version on schizophrenia guideline knowledge: results from a multicenter cluster-randomized controlled trial

作者：Theresa Halms, Gabriele Gaigl, Carolin Lorenz, Duygu Güler, Naiiri Khorikian–Ghazari, Astrid Röh, Angelika Burschinski, Wolfgang Gäebel, Marisa Flick, Charline Pielenz, Eva Salveridou‐Hof, Thomas Schneider-Axmann, Marco Schneider, Elias Wagner, Peter Falkai, Susanne Lucae, Michael Rentrop, Peter Zwanzger, Florian Seemüller, Michael Landgrebe, Marion Ortner, Bertram Schneeweiß, Peter Brieger, Klemens Ajayi, Michael Schwarz, Stephan Heres, Nicolay Marstrander, Thomas Becker, Markus Jäger, Albert Putzhammer, Karel Frasch, Raimund Steber, Stefan Leucht, Alkomiet Hasan · 发表于：BMC Medicine · 年份：2024 · DOI：10.1186/s12916-024-03533-6 · 被引用次数：3 · 研究领域：Clinical practice guidelines implementation、Health Policy Implementation Science、Mental Health and Patient Involvement

Abstract Background Clinical practice guidelines are crucial for enhancing healthcare quality and patient outcomes. Yet, their implementation remains inconsistent across various professions and disciplines. Previous findings on the implementation of the German guideline for schizophrenia (2019) revealed low adherence rates among healthcare professionals. Barriers to guideline adherence are multifaceted, influenced by individual, contextual, and guideline-related factors. This study aims to investigate the effectiveness of a digital guideline version compared to print/PDF formats in enhancing guideline adherence. Methods A multicenter, cluster-randomized controlled trial was conducted in South Bavaria, Germany, involving psychologists and physicians. Participants were divided into two groups: implementation of the guideline using a digital online version via the MAGICapp platform and the other using the traditional print/PDF version. The study included a baseline assessment and a post-intervention assessment following a 6-month intervention phase. The primary outcome was guideline knowledge, which was assessed using a guideline knowledge questionnaire. Results The study included 217 participants at baseline and 120 at post-intervention. Both groups showed significant improvements in guideline knowledge; however, no notable difference was found between both study groups regarding guideline knowledge at either time points. At baseline, 43.6% in the control group (CG) and 52.5% o...