Evidence map›Paper›PMID 39075458›Full record

Trial reportBMC medicine2024

The impact of a digital guideline version on schizophrenia guideline knowledge: results from a multicenter cluster-randomized controlled trial.

Theresa Halms, Gabriele Gaigl, Carolin Lorenz, Duygu Güler, Naiiri Khorikian-Ghazari, Astrid Röh, Angelika Burschinski, Wolfgang Gaebel, Marisa Flick, Charline Pielenz and 24 more

Abstract readRandomized Controlled TrialMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC medicine, 2024. 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. Addressing knowledge gaps in evidence-based psychiatric treatment: insights from recent research.European archives of psychiatry and clinical neuroscience · 2025
    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

34 authors.

Theresa Halms *Department of Psychiatry, Psychotherapy and Psychosomatics, University of Augsburg, Medical Faculty, BKH Augsburg, Geschwister-Schönert-Str. 1, Augsburg, 86156, Germany. Theresa.Halms@med.uni-augsburg.de.
Gabriele Gaigl *Department of Psychiatry, Psychotherapy and Psychosomatics, University of Augsburg, Medical Faculty, BKH Augsburg, Geschwister-Schönert-Str. 1, Augsburg, 86156, Germany.
Carolin LorenzDepartment of Psychiatry and Psychotherapy, Technische Universität München, Medical Faculty, Klinikum rechts der Isar, Munich, Germany.
Duygu GülerDepartment of Psychiatry, Psychotherapy and Psychosomatics, University of Augsburg, Medical Faculty, BKH Augsburg, Geschwister-Schönert-Str. 1, Augsburg, 86156, Germany.
Naiiri Khorikian-GhazariDepartment of Psychiatry, Psychotherapy and Psychosomatics, University of Augsburg, Medical Faculty, BKH Augsburg, Geschwister-Schönert-Str. 1, Augsburg, 86156, Germany.
Astrid RöhDepartment of Psychiatry, Psychotherapy and Psychosomatics, University of Augsburg, Medical Faculty, BKH Augsburg, Geschwister-Schönert-Str. 1, Augsburg, 86156, Germany.
Angelika BurschinskiDepartment of Psychiatry and Psychotherapy, Technische Universität München, Medical Faculty, Klinikum rechts der Isar, Munich, Germany.
Wolfgang GaebelDepartment of Psychiatry and Psychotherapy, LVR-Klinikum Düsseldorf, Medical Faculty, Heinrich-Heine-University, Düsseldorf, Germany.
Marisa FlickDepartment of Psychiatry and Psychotherapy, LVR-Klinikum Düsseldorf, Medical Faculty, Heinrich-Heine-University, Düsseldorf, Germany.
Charline PielenzDepartment of Psychiatry and Psychotherapy, LVR-Klinikum Düsseldorf, Medical Faculty, Heinrich-Heine-University, Düsseldorf, Germany.
Eva Salveridou-HofDepartment of Psychiatry and Psychotherapy, LVR-Klinikum Düsseldorf, Medical Faculty, Heinrich-Heine-University, Düsseldorf, Germany.
Thomas Schneider-AxmannDepartment of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.
Marco SchneiderDepartment of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.
Elias WagnerDepartment of Psychiatry, Psychotherapy and Psychosomatics, University of Augsburg, Medical Faculty, BKH Augsburg, Geschwister-Schönert-Str. 1, Augsburg, 86156, Germany.
Peter FalkaiDepartment of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.
Susanne LucaeMax Planck Institute of Psychiatry, Munich, Germany.
Michael RentropDepartment of Psychiatry and Psychotherapy, Technische Universität München, Medical Faculty, Klinikum rechts der Isar, Munich, Germany.
Peter ZwanzgerDepartment of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.
Florian SeemüllerKbo-Lech-Mangfall-Klinik Garmisch-Partenkirchen und Peißenberg, Garmisch-Partenkirchen, Germany.
Michael LandgrebeKbo-Lech-Mangfall-Klinik Agatharied, Hausham, Germany.
Marion OrtnerKbo-Lech-Mangfall-Klinik Landsberg am Lech, Landsberg am Lech, Germany.
Bertram SchneeweißKbo-Klinik Taufkirchen/Vils, Taufkirchen, Germany.
Peter BriegerKbo-Isar-Amper-Klinikum München-Ost, Munich, Germany.
Klemens AjayiKbo-Isar-Amper-Klinikum München-Ost, Munich, Germany.
Michael SchwarzKbo-Isar-Amper-Klinikum München-Ost, Munich, Germany.
Stephan HeresKbo-Isar-Amper-Klinikum München-Nord, Munich, Germany.
Nicolay MarstranderKbo-Isar-Amper-Klinikum München-Nord, Munich, Germany.
Thomas BeckerDepartment of Psychiatry and Psychotherapy II, Ulm University, BKH Günzburg, Günzburg, Germany.
Markus JägerDepartment of Psychiatry and Psychotherapy II, Ulm University, BKH Günzburg, Günzburg, Germany.
Albert PutzhammerBKH Kaufbeuren, Kaufbeuren, Germany.
Karel FraschDepartment of Psychiatry and Psychotherapy II, Ulm University, BKH Günzburg, Günzburg, Germany.
Raimund SteberBKH Memmingen, Memmingen, Germany.
Stefan Leucht *Department of Psychiatry and Psychotherapy, Technische Universität München, Medical Faculty, Klinikum rechts der Isar, Munich, Germany.
Alkomiet Hasan *Department of Psychiatry, Psychotherapy and Psychosomatics, University of Augsburg, Medical Faculty, BKH Augsburg, Geschwister-Schönert-Str. 1, Augsburg, 86156, Germany.

Funding

Gemeinsamer Bundesausschuss 01VSF20024German Center of Mental Health 01EE2303C
6 · The paper itself

Abstract

backgroundClinical practice guidelines are crucial for enhancing healthcare quality and patient outcomes. Yet, their implementation remains inconsistent across various professions and disciplines. Previous findings on the implementation of the German guideline for schizophrenia (2019) revealed low adherence rates among healthcare professionals. Barriers to guideline adherence are multifaceted, influenced by individual, contextual, and guideline-related factors. This study aims to investigate the effectiveness of a digital guideline version compared to print/PDF formats in enhancing guideline adherence.

methodsA multicenter, cluster-randomized controlled trial was conducted in South Bavaria, Germany, involving psychologists and physicians. Participants were divided into two groups: implementation of the guideline using a digital online version via the MAGICapp platform and the other using the traditional print/PDF version. The study included a baseline assessment and a post-intervention assessment following a 6-month intervention phase. The primary outcome was guideline knowledge, which was assessed using a guideline knowledge questionnaire.

resultsThe study included 217 participants at baseline and 120 at post-intervention. Both groups showed significant improvements in guideline knowledge; however, no notable difference was found between both study groups regarding guideline knowledge at either time points. At baseline, 43.6% in the control group (CG) and 52.5% of the interventional group (IG) met the criterion. There was no significant difference in the primary outcome between the two groups at either time point (T0: Chi

conclusionsWhile the study did not include a control group without any implementation strategy, the overall improvement in guideline knowledge following an implementation strategy, independent of the format, was confirmed. The digital guideline version, while not superior in enhancing knowledge, showed potential benefits in shared decision-making skills. However, familiarity with traditional formats and various barriers to digital application may have influenced these results. The study highlights the importance of tailored implementation strategies, especially for younger healthcare providers.

trial registrationhttps://drks.de/search/de/trial/DRKS00028895.

Indexed as

Guideline AdherenceSchizophreniaAdultFemaleGermanyHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedPractice Guidelines as TopicSurveys and QuestionnairesCluster-randomized controlled trialGuideline implementationHealth personnelMAGICappPractice guideline

Identifiers

PMID39075458
PMCPMC11287881

What OpenQuestion holds

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LicenceCC BY
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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.