Conventional and living guideline for schizophrenia: barriers and facilitating factors in guideline implementation

  • This study aims to investigate the barriers and facilitators to guideline adherence for the print format of the German schizophrenia guideline as well as for the concept of a digital living guideline for the first time. For this purpose, the schizophrenia guideline was transferred to a digital guideline format within the web-based tool MAGICapp. An online survey was performed under participation of mental healthcare professionals (medical doctors, psychologists/psychotherapists, psychosocial therapists, caregivers) in 17 hospitals for psychiatry in Southern Germany and a professional association for German neurologists and psychiatrists. 524 participants opened the survey, 439 completed the demographic questions and commenced the content-related survey and 309 provided complete data sets. Results indicate a higher occurrence of knowledge-related barriers for the living guideline. The print version is associated with more attitude-related and external barriers. Older professionalsThis study aims to investigate the barriers and facilitators to guideline adherence for the print format of the German schizophrenia guideline as well as for the concept of a digital living guideline for the first time. For this purpose, the schizophrenia guideline was transferred to a digital guideline format within the web-based tool MAGICapp. An online survey was performed under participation of mental healthcare professionals (medical doctors, psychologists/psychotherapists, psychosocial therapists, caregivers) in 17 hospitals for psychiatry in Southern Germany and a professional association for German neurologists and psychiatrists. 524 participants opened the survey, 439 completed the demographic questions and commenced the content-related survey and 309 provided complete data sets. Results indicate a higher occurrence of knowledge-related barriers for the living guideline. The print version is associated with more attitude-related and external barriers. Older professionals reported more attitude-related barriers to a living guideline compared to younger professionals. Differences between professions regarding barriers were found for both formats. Various barriers exist for both guideline formats and a need for facilitators was expressed across professions. Many of the mentioned obstacles and facilitators can be more easily addressed with living guidelines. However, also living guidelines face barriers. Thus, the introduction of these new formats alone cannot lead to sustainable behavior change regarding guideline adherence. Yet, living guidelines seem to be a cornerstone to improved and tailored guideline implementation as they facilitate to keep recommendations up to date and to address the need of individual professional groups.show moreshow less

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Metadaten
Author:Carolin Lorenz, Duygu GülerGND, Theresa HalmsORCiDGND, Naiiri Khorikian-GhazariGND, Astrid RöhORCiDGND, Marisa Flick, Angelika Burschinski, Charline Pielenz, Eva Salveridou-Hof, Thomas Schneider-Axmann, Marco Schneider, Elias WagnerGND, Peter Falkai, Wolfgang Gaebel, Stefan Leucht, Alkomiet HasanORCiDGND, Gabriele GaiglGND
URN:urn:nbn:de:bvb:384-opus4-1069447
Frontdoor URLhttps://opus.bibliothek.uni-augsburg.de/opus4/106944
ISSN:0940-1334OPAC
ISSN:1433-8491OPAC
Parent Title (English):European Archives of Psychiatry and Clinical Neuroscience
Publisher:Springer Science and Business Media LLC
Type:Article
Language:English
Year of first Publication:2024
Publishing Institution:Universität Augsburg
Release Date:2023/08/23
Tag:Pharmacology (medical); Biological Psychiatry; Psychiatry and Mental health; General Medicine
Volume:274
First Page:1483
Last Page:1496
DOI:https://doi.org/10.1007/s00406-023-01663-1
Institutes:Medizinische Fakultät
Medizinische Fakultät / Lehrstuhl für Psychiatrie und Psychotherapie
Medizinische Fakultät / Professur für Evidenzbasierte Psychiatrie und Psychotherapie
Dewey Decimal Classification:6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit
Licence (German):CC-BY 4.0: Creative Commons: Namensnennung (mit Print on Demand)