Structured implementation of digital, systematically updated guideline recommendations for enhanced adherence in schizophrenia (SISYPHOS)—protocol of a cluster-randomized trial
Carolin Lorenz,
Gabriele Gaigl,
Duygu Güler,
Theresa Halms,
Naiiri Khorikian-Ghazari,
Astrid Röh,
Marco Schneider,
Elias Wagner,
Thomas Schneider-Axmann,
Angelika Kapfhammer,
Marisa Flick,
Charline Pielenz,
Eva Salveridou-Hof,
Peter Falkai,
Wolfgang Gaebel,
Alkomiet Hasan,
Stefan Leucht
Affiliations
Carolin Lorenz
Department of Psychiatry and Psychotherapy, Technische Universität München, Klinikum rechts der Isar
Gabriele Gaigl
Department of Psychiatry, Psychotherapy and Psychosomatics, Medical Faculty, University of Augsburg
Duygu Güler
Department of Psychiatry, Psychotherapy and Psychosomatics, Medical Faculty, University of Augsburg
Theresa Halms
Department of Psychiatry, Psychotherapy and Psychosomatics, Medical Faculty, University of Augsburg
Naiiri Khorikian-Ghazari
Department of Psychiatry, Psychotherapy and Psychosomatics, Medical Faculty, University of Augsburg
Astrid Röh
Department of Psychiatry, Psychotherapy and Psychosomatics, Medical Faculty, University of Augsburg
Marco Schneider
Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich
Elias Wagner
Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich
Thomas Schneider-Axmann
Department of Psychiatry, Psychotherapy and Psychosomatics, Medical Faculty, University of Augsburg
Angelika Kapfhammer
Department of Psychiatry and Psychotherapy, Technische Universität München, Klinikum rechts der Isar
Marisa Flick
Department of Psychiatry and Psychotherapy, Medical Faculty, LVR-Klinikum Düsseldorf, Heinrich-Heine-University; WHO Collaborating Centre in Quality Assurance and Empowerment in Mental Health DEU-131
Charline Pielenz
Department of Psychiatry and Psychotherapy, Medical Faculty, LVR-Klinikum Düsseldorf, Heinrich-Heine-University; WHO Collaborating Centre in Quality Assurance and Empowerment in Mental Health DEU-131
Eva Salveridou-Hof
Department of Psychiatry and Psychotherapy, Medical Faculty, LVR-Klinikum Düsseldorf, Heinrich-Heine-University; WHO Collaborating Centre in Quality Assurance and Empowerment in Mental Health DEU-131
Peter Falkai
Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich
Wolfgang Gaebel
Department of Psychiatry and Psychotherapy, Medical Faculty, LVR-Klinikum Düsseldorf, Heinrich-Heine-University; WHO Collaborating Centre in Quality Assurance and Empowerment in Mental Health DEU-131
Alkomiet Hasan
Department of Psychiatry, Psychotherapy and Psychosomatics, Medical Faculty, University of Augsburg
Stefan Leucht
Department of Psychiatry and Psychotherapy, Technische Universität München, Klinikum rechts der Isar
Abstract Background Despite high acceptance rates in the field, the implementation of the 2019 published German evidence and consensus-based S3 guideline is unsatisfactory. This study aims to assess the superiority of an adaptive online version with a better visualization of the recommendations in terms of guideline conformity, application of shared decision making, and digital health expertise compared to the classic pdf print version of the guideline. Methods The study is a multicenter, controlled, cluster-randomized trial with two arms: one arm investigating the implementation of the German schizophrenia guideline in form of a digital format (intervention group using the evidence ecosystem MAGICapp), the other arm in form of the classic print pdf version (control group). Physicians and psychologists working in specialized hospitals will be included in the study. The guideline-knowledge before and after the intervention is defined as primary outcome measure. Secondary endpoints include digital health expertise and application of shared decision making. Discussion This is the first study evaluating if an adaptive-digital version of the schizophrenia guideline is superior to the classic pdf print version. Therefore, the guideline is digitally prepared in the evidence-ecosystem MAGICapp, which covers the whole process of the development of a living guideline. We intend to use the results of the cluster-randomized trial for developing the German S3 guideline for schizophrenia in form of a living guideline in future. Trial registration The study is registered (10 May 2022) in the German Clinical Trials Register (DRKS) and the WHO International Clinical Trials Registry Platform (ICTRP) under registration number DRKS00028895 .
