BJPsych Open (May 2022)
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
- Hisashi Yamada,
- Mikuni Motoyama,
- Naomi Hasegawa,
- Kenichiro Miura,
- Junya Matsumoto,
- Kazutaka Ohi,
- Norio Yasui-Furukori,
- Shusuke Numata,
- Masahiro Takeshima,
- Nobuhiro Sugiyama,
- Tatsuya Nagasawa,
- Chika Kubota,
- Kiyokazu Atake,
- Takashi Tsuboi,
- Kayo Ichihashi,
- Naoki Hashimoto,
- Takahiko Inagaki,
- Yoshikazu Takaesu,
- Jun-ichi Iga,
- Hikaru Hori,
- Toshiaki Onitsuka,
- Hiroshi Komatsu,
- Akitoyo Hishimoto,
- Kentaro Fukumoto,
- Michiko Fujimoto,
- Toshinori Nakamura,
- Kiyotaka Nemoto,
- Ryuji Furihata,
- Satoshi Yamamura,
- Hirotaka Yamagata,
- Kazuyoshi Ogasawara,
- Eiichi Katsumoto,
- Atsunobu Murata,
- Hitoshi Iida,
- Shinichiro Ochi,
- Manabu Makinodan,
- Mikio Kido,
- Taishiro Kishimoto,
- Yuka Yasuda,
- Masahide Usami,
- Taro Suwa,
- Ken Inada,
- Koichiro Watanabe,
- Ryota Hashimoto
Affiliations
- Hisashi Yamada
- ORCiD
- 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
- Mikuni Motoyama
- Department of Neuropsychiatry, Hyogo College of Medicine, Japan
- Naomi Hasegawa
- Department of Pathology of Mental Diseases, National Institute of Mental Health, National Center of Neurology and Psychiatry, Japan
- Kenichiro Miura
- Department of Pathology of Mental Diseases, National Institute of Mental Health, National Center of Neurology and Psychiatry, Japan
- Junya Matsumoto
- Department of Pathology of Mental Diseases, National Institute of Mental Health, National Center of Neurology and Psychiatry, Japan
- Kazutaka Ohi
- ORCiD
- Department of Psychiatry, Gifu University Graduate School of Medicine, Japan
- Norio Yasui-Furukori
- Department of Psychiatry, Dokkyo Medical University School of Medicine, Japan
- Shusuke Numata
- Department of Psychiatry, Graduate School of Biomedical Science, Tokushima University, Japan
- Masahiro Takeshima
- Department of Neuropsychiatry Section of Neuro and Locomotor Science, Akita University Graduate School of Medicine, Japan
- Nobuhiro Sugiyama
- Department of Psychiatry, Shinshu University School of Medicine, Japan; and Department of Applied Occupational Therapy, Shinshu University School of Health Sciences, Japan
- Tatsuya Nagasawa
- Department of Neuropsychiatry, Kanazawa Medical University, Japan
- Chika Kubota
- Department of Pathology of Mental Diseases, National Institute of Mental Health, National Center of Neurology and Psychiatry, Japan
- Kiyokazu Atake
- Kyushu Health Administration Center, Nippon Telegraph and Telephone West Corporation, Japan
- Takashi Tsuboi
- Department of Neuropsychiatry, Kyorin University School of Medicine, Japan
- Kayo Ichihashi
- Department of Neuropsychiatry, University of Tokyo Hospital, Japan
- Naoki Hashimoto
- Department of Psychiatry, Hokkaido University Graduate School of Medicine, Japan
- Takahiko Inagaki
- Adolescent Mental Health Service, Biwako Hospital, Japan; and Department of Psychiatry, Shiga University of Medical Science, Japan
- Yoshikazu Takaesu
- Department of Neuropsychiatry, Graduate School of Medicine, University of the Ryukyus, Japan
- Jun-ichi Iga
- Department of Neuropsychiatry, Molecules and Function, Ehime University Graduate School of Medicine, Japan
- Hikaru Hori
- Department of Psychiatry, Faculty of Medicine, Fukuoka University, Japan
- Toshiaki Onitsuka
- Department of Neuroimaging Psychiatry, Graduate School of Medical Sciences, Kyushu University, Japan
- Hiroshi Komatsu
- Department of Psychiatry, Tohoku University Hospital, Japan
- Akitoyo Hishimoto
- Department of Psychiatry, Yokohama City University Graduate School of Medicine, Japan
- Kentaro Fukumoto
- Department of Neuropsychiatry, Iwate Medical University School of Medicine, Japan
- Michiko Fujimoto
- Department of Pathology of Mental Diseases, National Institute of Mental Health, National Center of Neurology and Psychiatry, Japan; and Department of Psychiatry, Osaka University Graduate School of Medicine, Japan
- Toshinori Nakamura
- Department of Psychiatry, Shinshu University School of Medicine, Japan
- Kiyotaka Nemoto
- Department of Psychiatry, Faculty of Medicine, University of Tsukuba, Japan
- Ryuji Furihata
- Kyoto University Health Service, Japan
- Satoshi Yamamura
- Suzuka Kosei Hospital, Japan
- Hirotaka Yamagata
- Division of Neuropsychiatry, Department of Neuroscience, Yamaguchi University School of Medicine, Japan
- Kazuyoshi Ogasawara
- Center for Postgraduate Clinical Training and Career Development, Nagoya University Hospital, Japan
- Eiichi Katsumoto
- Katsumoto Mental Clinic, Japan
- Atsunobu Murata
- Department of Pathology of Mental Diseases, National Institute of Mental Health, National Center of Neurology and Psychiatry, Japan
- Hitoshi Iida
- Department of Psychiatry, Faculty of Medicine, Fukuoka University, Japan
- Shinichiro Ochi
- Department of Neuropsychiatry, Molecules and Function, Ehime University Graduate School of Medicine, Japan
- Manabu Makinodan
- Department of Psychiatry, Faculty of Medicine, Nara Medical University, Japan
- Mikio Kido
- Department of Psychiatry, Toyama City Hospital, Japan; and Department of Neuropsychiatry, University of Toyama Graduate School of Medicine and Pharmaceutical Sciences, Japan
- Taishiro Kishimoto
- Department of Neuropsychiatry, Keio University School of Medicine, Japan
- Yuka Yasuda
- Department of Pathology of Mental Diseases, National Institute of Mental Health, National Center of Neurology and Psychiatry, Japan; and Life Grow Brilliant Mental Clinic, Medical Corporation Foster, Japan
- Masahide Usami
- Department of Child and Adolescent Psychiatry, Kohnodai Hospital, National Center for Global Health and Medicine, Japan
- Taro Suwa
- Department of Psychiatry, Graduate School of Medicine, Kyoto University, Japan
- Ken Inada
- Department of Psychiatry, Tokyo Women's Medical University, Japan
- Koichiro Watanabe
- Department of Neuropsychiatry, Kyorin University School of Medicine, Japan
- Ryota Hashimoto
- Department of Pathology of Mental Diseases, National Institute of Mental Health, National Center of Neurology and Psychiatry, Japan
- DOI
- https://doi.org/10.1192/bjo.2022.44
- Journal volume & issue
-
Vol. 8
Abstract
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.
Keywords
- Clinical practice guidelines
- educational programme
- schizophrenia
- major depressive disorder
- EGUIDE project
