Evidence map›Paper›PMID 29255109›Full record

Trial reportThe British journal of general practice : the journal of the Royal College of General Practitioners2018

PsyScan e-tool to support diagnosis and management of psychological problems in general practice: a randomised controlled trial.

Luc G Gidding, Mark Spigt, Bjorn Winkens, Odette Herijgers, Geert-Jan Dinant

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The British journal of general practice : the journal of the Royal College of General Practitioners, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. PsyScan e-tool to support diagnosis and management of psychological problems in general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018
    Article
  5. Author response.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018
    Article
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Luc G GiddingCare and Public Health Research Institute, Maastricht University, the Netherlands.
Mark SpigtCare and Public Health Research Institute, Maastricht University, the Netherlands.
Bjorn WinkensCare and Public Health Research Institute, Maastricht University, the Netherlands.
Odette HerijgersThe Eindhoven Corporation of Primary Health Care Centres, the Netherlands.
Geert-Jan DinantCare and Public Health Research Institute, Maastricht University, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGPs are crucial in adequately diagnosing and initiating appropriate management for patients with psychological problems, but face many challenges and require support.

aimTo determine the effects of the e-tool PsyScan. DESIGN AND

settingA randomised controlled trial with a 1-year follow-up, comparing care using PsyScan with usual care for psychological problems, was undertaken in 10 multidisciplinary primary healthcare centres in Eindhoven, the Netherlands.

methodBetween consultations with their GP, participants in the intervention group could complete PsyScan. The e-tool consists of a distress screener and Four-Dimensional Symptom Questionnaire to differentiate between stress, depression, anxiety, and somatisation symptoms, and to explore symptom severity. PsyScan generated diagnostic and therapeutic advice for GPs and participants that was automatically transferred to each patient's electronic medical record. The primary outcome was the proportion of participants that achieved a successful treatment result; namely, a decrease of ≥50% on the Symptom Checklist-90-Revised, after 1 year.

resultsThere were 176 participants in the intervention group and 160 in the control group. After multiple imputation, the participants in the intervention group had higher chances of achieving a successful treatment result compared with those in the control group (odds ratio [OR] 2.7, 95% confidence interval [CI] = 1.5 to 4.8,

conclusionPsyScan generated clinically relevant and statistically significant effects, and could be useful in offering effective individualised care to patients.

Indexed as

General PracticeAdultAnxiety DisordersCost-Benefit AnalysisDecision Support Systems, ClinicalDepressive DisorderFemaleFollow-Up StudiesHumansMalePrecision MedicineReferral and ConsultationSomatoform DisordersTelemedicinegeneral practicemental healthpatient portalspsychosocial support systemsrandomised controlled trial

Identifiers

PMID29255109
PMCPMC5737316

What OpenQuestion holds

Textmetadata
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.