Evidence map›Paper›PMID 26666295›Full record

Trial reportBMC psychiatry2015

Shared Decision Making in mental health care using Routine Outcome Monitoring as a source of information: a cluster randomised controlled trial.

Margot J Metz, Gerdien C Franx, Marjolein A Veerbeek, Edwin de Beurs, Christina M van der Feltz-Cornelis, Aartjan T F Beekman

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC psychiatry, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
8.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Observational
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Observational
  14. Decisional conflict in mental health care: a cross-sectional study.Social psychiatry and psychiatric epidemiology · 2018
    Article
  15. Article
  16. Implementing shared decision making in routine mental health care.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2017
    Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Margot J MetzTrimbos-institute and GGz Breburg, Postbus 770, 5000 AT, Tilburg, The Netherlands. m.metz@ggzbreburg.nl.
Gerdien C FranxTrimbos-institute and Foundation 113Online, Postbus 22232, 1100 CE, Amsterdam, The Netherlands. gcfranx@gmail.com.
Marjolein A VeerbeekTrimbos-institute, Postbus 725, 3500 AS, Utrecht, The Netherlands. mveerbeek@trimbos.nl.
Edwin de BeursUniversity of Leiden and Stichting Benchmark GGZ, Rembrandtlaan 46, 3723 BK, Bilthoven, The Netherlands. edwin.debeurs@sbggz.nl.
Christina M van der Feltz-CornelisTilburg University and Clinical Centre of Excellence for Body, Mind and Health, GGz Breburg, Postbus 770, 5000 AT, Tilburg, The Netherlands. C.vanderFeltz-Cornelis@ggzbreburg.nl.
Aartjan T F BeekmanVUMC and GGZ inGeest, A.J. Ernststraat 1187, 1081 HL, Amsterdam, The Netherlands. a.beekman@ggzingeest.nl.
GGz Breburg · NLTrimbos Institute · NLGGZ inGeest · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundShared Decision Making (SDM) is a way to empower patients when decisions are made about treatment. In order to be effective agents in this process, patients need access to information of good quality. Routine Outcome Monitoring (ROM) may provide such information and therefore may be a key element in SDM. This trial tests the effectiveness of SDM using ROM, primarily aiming to diminish decisional conflict of the patient while making decisions about treatment. The degree of decisional conflict, the primary outcome of this study, encompasses personal certainty about choosing an appropriate treatment, information about options, clarification of patient values, support from others and patients experience of an effective decision making process. Secondary outcomes of the study focus on the working alliance between patient and clinician, adherence to treatment, and clinical outcome and quality of life. METHODS/

designThis article presents the study protocol of a multi-centre two-arm cluster randomised controlled trial (RCT). The research is conducted in Dutch specialised mental health care teams participating in the ROM Quality Improvement Collaborative (QIC), which aims to implement ROM in daily clinical practice. In the intervention teams, ROM is used as a source of information during the SDM process between the patient and clinician. Control teams receive no specific SDM or ROM instructions and apply decision making as usual. Randomisation is conducted at the level of the participating teams within the mental health organisations. A total of 12 teams from 4 organisations and 364 patients participate in the study. Prior to data collection, the intervention teams are trained to use ROM during the SDM process. Data collection will be at baseline, and at 3 and 6 months after inclusion of the patient. Control teams will implement the SDM and ROM model after completion of the study. DISCUSSION: This study will provide useful information about the effectiveness of ROM within a SDM framework. Furthermore, with practical guidelines this study may contribute to the implementation of SDM using ROM in mental health care. Reporting of the results is expected from December 2016 onwards.

trial registrationDutch trial register: TC5262. Trial registration date: 24th of June 2015.

Indexed as

Decision MakingAdultClinical ProtocolsConflict, PsychologicalDecision Support Systems, ClinicalEvidence-Based MedicineFemaleHumansMaleMental DisordersMental HealthMental Health ServicesMiddle AgedModels, TheoreticalNetherlandsOutcome Assessment, Health Care

Identifiers

PMID26666295
PMCPMC4678650
OpenAlexW2210262127

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.