Resources for Clinical Practice Guidelines in Clinical Psychology: - - PowerPoint PPT Presentation

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Resources for Clinical Practice Guidelines in Clinical Psychology: - - PowerPoint PPT Presentation

Sep 23, 2022 422 likes •751 views

Resources for Clinical Practice Guidelines in Clinical Psychology: An Environmental Scan Clinical Health Psychology J. Barnes, M. Holmqvist, P. Bieling, D. Dozois, M. Drapeau & G. Tasca Evidence Based Practice (EBP) The conscientious,

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Resources for Clinical Practice Guidelines in Clinical Psychology: An Environmental Scan

Clinical Health Psychology

  • J. Barnes, M. Holmqvist, P. Bieling,
  • D. Dozois, M. Drapeau & G. Tasca
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Evidence Based Practice (EBP)

The conscientious, explicit, and judicious use of the best available research evidence to inform each stage of clinical decision-making and service delivery, [which] requires that psychologists apply their knowledge of the best available research in the context of specific client characteristics, cultural backgrounds, and treatment preferences1

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Image By CFCF - Own work, CC BY-SA 4.0, https://commons.wikimedia.org/w/index.php?curid=42857470

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CPGs for psychology

  • VISION:

– Create a “hub” for CPGs for clinical psychology

  • First step: Does something like this already

exist??

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Environmental Scan

  • Primary Aim: to determine whether an open-access,

comprehensive, searchable database for psychological clinical practice guidelines already exists

  • Secondary Aims:

1) To map key sites/resources providing access to CPGs for psychology 2) To describe (in broad terms) these resources

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Strategy

  • 1. Search the published, academic literature

Pubmed, EMBASE, Scopus, PsychInfo & grey literature. Search terms included: "practice guidelines”, “clinical guidelines”, “clinical psychology”, “clinical psychologist” and "clinical psychologists”

  • 2. Naïve Internet Search

Same search terms. Used google*. Computer’s cache cleared before each search; Canadian, British, American and Australian sites searched separately.

  • 3. Targeted Internet Search

National psychological associations for Canada, USA, UK and Australia were searched; also searched provincial associations within Canada.

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Site evaluation

  • Accessibility: Is a membership or user fee required? Is registration or a

username/password required?

  • Comprehensiveness: Is the site limited to a specific diagnosis, modality,

population or setting?

  • Transparency/Authority: Does the site identify a clear process for how

guidelines are selected? Is the site associated with an academic or government institution?

  • Ease of Use: Is it possible to search? Is there an index or menu? Is the

content hosted on the site itself, or is it a list of links to external resources?

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Results

Academic Literature Search identified 0 databases

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Results

Naïve Internet Search identified 5 databases

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Results

Targeted Internet Search identified 3 databases

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Results

  • Expert Consultation identified an additional 24

resources (!)

  • In total, 29 unique sites were evaluated
  • Only 2 sites met all criteria (but were not

psychology-specific)

National Institutes of Clinical Excellence (NICE) in the UK Agency for Healthcare Research and Quality (AHRQ) Clearinghouse *The National Health and Medical Research Council (NHMRC) site met nearly all criteria

  • Only 11 sites were specific to psychology

None met all criteria (2 nearly met all)

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NICE

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Site evaluation

Site Name Brief Description Accessibility Comprehensiveness Authority Ease of Use

National Institute for Clinical Excellence (NICE) Guidelines https://www.nice.org.uk/guidance?unlid=31075611620146 1222831 NICE provides evidence-based guidance and advice to improve health and social care in England. Includes clinical guidelines, public health guidelines, social care guidelines, medical practice guidelines and safe staffing guidelines.  No fee  No registration required  Identifies mobile

  • ptimization

 No limitations on specific diagnoses, modalities, populations, or settings  Clear process

  • n information

selection  Clear process

  • n updating

 Credible authority source  Search by keyword  Search by topic  Index to browse  Multiple steps not required  Content hosted on site

Find full report and all tables at: http://www.cpa.ca/docs/File/IUPsyS/Environmental%20Scan%20for%20CPG%20project.pdf

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AHRQ Clearinghouse

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Site Name Brief Description Accessibility Comprehensiveness Authority Ease of Use

Agency for Healthcare Research and Quality (AHRQ) Clearinghouse https://www.guideline.gov A public resource containing summaries

  • f evidence-based

clinical practice

  • guidelines. This large,

searchable database focuses mainly on medical specialties, but contains guidelines on mental health under “Psychiatry”  No fee  No registration required  Identifies support for multiple operating systems/browsers  Identifies accessibility  No limitations on specific diagnoses, modalities, populations, or settings  Clear process

  • n information

selection  Clear process

  • n updating

 Credible authority source  Search by keyword  Search by topic  Index to browse  Multiple steps not required  Content hosted on site

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APS: EQIP

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Site Name Brief Description Accessibility Comprehensiveness Authority

Australian Psychological Society – Evidence-based and Quality Information for Psychologists (EQIP) http://eqip.psychology.org.au A search-driven website developed for APS members to support their professional

  • practice. Some

summaries available to non-members / X Fee required for some resources / X Registration required for some resources  No limitations on specific diagnoses, modalities, populations, or settings  Clear process on information selection  Clear process on updating  Credible authority source  Search by keyword  Search by topic  Index to browse  Multiple steps not required  Content hosted on site

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APA Practice Guidelines

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Site Name Brief Description Accessibility Comprehensiveness Authority

American Psychiatric Association (APA) Practice Guidelines http://psychiatryonline.org/guidelines, https://www.psychiatry.org/psychiatrists/practice/clini cal-practice-guidelines/guideline-development-process A database of practice guidelines developed and published by APA. Fourteen “legacy” guidelines available (created 1992-2010). In 2011 they created a new development process to align with Institute of Medicine recommendation – these guidelines not yet available.  No fee  No registration required  Identifies mobile

  • ptimization

 Identifies support for multiple

  • perating

systems/browse rs  No limitations on specific diagnoses, modalities, or settings X Limited to adult populations  Clear process on information selection  Clear process on updating  Credible authority source X Search by keyword  Search by topic X Index to browse  Multiple steps not required  Content hosted on site

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Find all the sites here:

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Some thoughts

  • Of the 3 searches conducted, the academic

literature revealed the fewest guidelines and the majority of sites identified through expert consultation were not discovered using any of the searches

  • Most of the sites discovered were for mixed

audiences (not psychology specifically) and the majority lacked key features (e.g., only half were searchable)

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  • Few sites (9) provided any kind of information

about the quality of guidelines presented

  • Next Step: What would psychologists

(especially members of CPA/clinical section) want in a CPG database?

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Needs Assessment

  • Survey circulated in November, 2016
  • 198 respondents
  • 88.75% of respondents belonged to CPA
  • 81% clinical section
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Sample Characteristics

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Approach to EBP

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Is there anything that would make you more likely to use CPGs?

Relevance/utility Ease of Use/convenience Quality Assurance**

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Moving Forward

  • Clear that there is a lot of work to be done

regarding the quality of CPGs2

  • Psychologists need to care about this issue

and get involved

  • Put out a call in February for proposals and we

are now working on developing partnerships to carry this idea forward

  • Interested in being involved? Send an email to

mholmqvist@exchange.hsc.mb.ca

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References

  • 1. Dozois, D.J., Mikail, S.F., Alden, L.E., Bieling, P.J., Bourgon, G., Clark, D.A., Drapeau, M., Gallson,

D., Greenberg, L., Hunsley, J., & Johnston, C. (2014). The CPA presidential task force on evidence-based practice of psychological treatments. Canadian Psychology, 55(3), 153-160

  • 2. Bennett, K., Gorman, D. A., Duda, S., Brouwers, M., & Szatmari, P. (2016). Practitioner Review:

On the trustworthiness of clinical practice guidelines–a systematic review of the quality of methods used to develop guidelines in child and youth mental health. Journal of Child Psychology and Psychiatry.