Implementing a revised online screening tool in a routine care online clinic treating anxiety and depression

被引:0
|
作者
Mathiasen, Kim [1 ,2 ]
Holmberg Sainte-Marie, Trine Theresa [1 ,2 ]
Skaarnes, Helene [1 ,2 ]
Jensen, Esben Kjems [1 ,2 ]
Vis, Christiaan [3 ,4 ,5 ]
Tarp, Kristine [1 ,2 ]
机构
[1] Mental Hlth Serv Southern Denmark, Ctr Digital Psychiat, Res Unit Digital Psychiat, Odense, Denmark
[2] Univ Southern Denmark, Fac Hlth Sci, Dept Clin Res, Odense C, Denmark
[3] Vrije Univ Amsterdam, Fac Behav & Movement Sci, Clin Neuro & Dev Psychol, Amsterdam, Netherlands
[4] Amsterdam Publ Hlth Res Inst, Amsterdam, Netherlands
[5] Haukeland Hosp, Div Psychiat, Sect Res Based Innovat, Bergen, Norway
来源
FRONTIERS IN DIGITAL HEALTH | 2023年 / 5卷
基金
欧盟地平线“2020”;
关键词
implementation; internet-based cognitive behavioral therapy; screening optimization; anxiety; depression; COGNITIVE-BEHAVIORAL THERAPY; PATIENT HEALTH QUESTIONNAIRE; MENTAL-DISORDERS; EUROPE; GAD-7;
D O I
10.3389/fdgth.2023.1128893
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
IntroductionThe ItFits implementation toolkit was developed as part of the ImpleMentAll EU Project, to help guide implementation processes. The ItFits toolkit was tested in the online clinic, Internetpsykiatrien, in the Region of Southern Denmark, where it was employed to optimize screening and intake procedures. We hypothesized that a larger proportion of assessed patients would be referred to treatment. Further, we hypothesized the completion rate and effectiveness would increase, as a result of including a more relevant sample.MethodUsing the ItFits-toolkit, Internetpsykiatrien developed a revised online screening tool. Data on patient flow and symptom questionnaires was extracted from Internetpsykiatrien six months prior to- and six months after implementation of the revised online screening tool.ResultsA total of 1,830 applicants self-referred for treatment during the study period. A significantly lower proportion of patients were referred to treatment after implementation of the revised screening tool (pre-implementation, n = 1,009; post-implementation, n = 821; odds ratio 0.67, 95% CI: 0.51; 0.87). The number of patients that completed treatment increased significantly (pre-implementation: 136/275 [49.45%], post-implementation, n = 102/162 [62.96%]; odds ratio 1.79, 95% CI 1.20; 2.70). The treatment effect was unchanged (B = 0.01, p = .996). Worth noting, the number of patients that canceled their appointment for the video assessment interview decreased drastically.ConclusionBy using the ItFits toolkit for a focused and structured implementation effort, the clinic was able to improve the completion rate, which is an important effect in iCBT. However, contrary to our hypotheses, we did not find an increase in clinical effect, nor a larger ratio being referred to treatment after assessment. The decreased number of referrals for treatment could be a result of increased awareness of inclusion criteria among the clinicians.
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页数:12
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