Clinical Decision Making and Outcome in Routine Care for People with Severe Mental Illness (CEDAR): Study protocol

BMC Psychiatry

Study Protocol

Wolfram Kawohl¹  Wulf Rössler¹  Thomas Becker²  Sabine Steffen²  Bernd Puschner²  Andrea Fiorillo³  Mario Maj³  Mike Slade⁴  Helena Kaliniecka⁴  Anikó Égerházi⁵  Zoltan Nemes⁵  Jens Ivar Larsen⁶  Povl Munk-Jørgensen⁶ 

[1] Department of General and Social Psychiatry, University of Zurich, Militärstrasse 8, 8021, Zurich, Switzerland;Department of Psychiatry and Psychotherapy II, Ulm University, Ludwig-Heilmeyer-Str. 2, 89312, Günzburg, Germany;Department of Psychiatry, University of Naples SUN, Largo Madonna delle Grazie, 80138, Naples, Italy;King's College London, Institute of Psychiatry, Box P029, SE5 8AF, De Crespigny Park, London, UK;Medical and Health Science Center, Department of Psychiatry, University of Debrecen, Nagyerdei krt. 98, 4012, Debrecen, Hungary;Unit for Psychiatric Research, Aalborg Psychiatric Hospital, Aarhus University Hospital, Mølleparkvej 10, 9000, Aalborg, Denmark;

关键词: Mental Health;    Clinical Decision Making;    Mental Health Care;    Severe Mental Illness;    Routine Care;   

DOI  :  10.1186/1471-244X-10-90

 received in 2010-10-02, accepted in 2010-11-10,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundA considerable amount of research has been conducted on clinical decision making (CDM) in short-term physical conditions. However, there is a lack of knowledge on CDM and its outcome in long-term illnesses, especially in care for people with severe mental illness.Methods/DesignThe study entitled "Clinical decision making and outcome in routine care for people with severe mental illness" (CEDAR) is carried out in six European countries (Denmark, Germany, Hungary, Italy, Switzerland and UK). First, CEDAR establishes a methodology to assess CDM in people with severe mental illness. Specific instruments are developed (and psychometric properties established) to measure CDM style, key elements of CDM in routine care, as well as CDM involvement and satisfaction from patient and therapist perspectives. Second, these instruments are being put to use in a multi-national prospective observational study (bimonthly assessments during a one-year observation period; N = 560). This study investigates the immediate, short- and long-term effect of CDM on crucial dimensions of clinical outcome (symptom level, quality of life, needs) by taking into account significant variables moderating the relationship between CDM and outcome.DiscussionThe results of this study will make possible to delineate quality indicators of CDM, as well as to specify prime areas for further improvement. Ingredients of best practice in CDM in the routine care for people with severe mental illness will be extracted and recommendations formulated. With its explicit focus on the patient role in CDM, CEDAR will also contribute to strengthening the service user perspective. This project will substantially add to improving the practice of CDM in mental health care across Europe.Trial registerISRCTN75841675.

【 授权许可】

CC BY   
© Puschner et al; licensee BioMed Central Ltd. 2010