Evidence map›Paper›PMID 30005594›Full record

ArticleBMC psychiatry2018

Treatment results for severe psychiatric illness: which method is best suited to denote the outcome of mental health care?

Edwin de Beurs, Matthijs Blankers, Philippe Delespaul, Erik van Duijn, Niels Mulder, Annet Nugter, Wilma Swildens, Bea G Tiemens, Jan Theunissen, Arno F A van Voorst and 1 more

Abstract read
In one paragraph

Article in BMC psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

11 authors.

Edwin de BeursStichting Benchmark GGZ, Rembrandtlaan 46, 3723 BK, Bilthoven, Netherlands. edwin.debeurs@sbggz.nl.ORCID 0000-0003-3832-8477
Matthijs BlankersArkin, Klaprozenweg 111, 1033, Amsterdam, NN, Netherlands.
Philippe DelespaulMaastricht University, Minderbroedersberg 4-6, 6211, Maastricht, LK, Netherlands.
Erik van DuijnGGZ Delfland, Sint Jorisweg 2, 2612, Delft, GA, Netherlands.
Niels MulderParnassia Bavo GGZ Zorgholding BV, Monsterseweg 93, 2553, Den Haag, RJ, Netherlands.
Annet NugterGGZ Noord-Holland Noord, Postbus 18, 1850, Heilo, BA, Netherlands.
Wilma SwildensAltrecht Mental Health Care, Lange Nieuwstraat 119, 3512, Utrecht, PG, Netherlands.
Bea G TiemensPro Persona Mental health Services ProCES, Indigo, Wolfheze 2, 6874, Wolfheze, BE, Netherlands.
Jan TheunissenGGZ Ingeest, VU University Medical Center Amsterdam, De Boelelaan 1117, 1081, Amsterdam, HV, Netherlands.
Arno F A van VoorstGGZ Centraal, Utrechtseweg 266, 3818, Amersfoort, EW, Netherlands.
Jaap van WeeghelParnassia Bavo GGZ Zorgholding BV, Monsterseweg 93, 2553, Den Haag, RJ, Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe present study investigates the suitability of various treatment outcome indicators to evaluate performance of mental health institutions that provide care to patients with severe mental illness. Several categorical approaches are compared to a reference indicator (continuous outcome) using pretest-posttest data of the Health of Nation Outcome Scales (HoNOS).

methodsData from 10 institutions and 3189 patients were used, comprising outcomes of the first year of treatment by teams providing long-term care.

resultsFindings revealed differences between continuous indicators (standardized pre-post difference score ES and ΔT) and categorical indicators (SEM, JT

conclusionsFor research comparing group averages, a continuous outcome indicator such as ES or ΔT is preferred, as this best preserves information from the original variable. Categorical outcomes can be used to illustrate what is accomplished in clinical terms. For categorical outcome, the classical Jacobson-Truax approach is preferred over the more complex method of Parabiaghi et al. with eight outcome categories. The latter may be valuable in clinical practice as it allows for a more detailed characterization of individual patients.

Indexed as

Mental DisordersPatient Care ManagementAdultFemaleHumansMaleMental HealthMiddle AgedNetherlandsOutcome Assessment, Health CareTreatment OutcomeClinical significanceHoNOSRoutine outcome monitoringSevere mental illnessTreatment outcome

Identifiers

PMID30005594
PMCPMC6044073

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Registered trials

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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.