Testing an individualized digital decision assist system for the diagnosis and management of mental and behavior disorders in children and adolescents

被引：15

作者：

Clausen, Carolyn E. ^{[1
]}

Leventhal, Bennett L. ^{[2
]}

Nytro, Oystein ^{[3
]}

Koposov, Roman ^{[4
,5
]}

Westbye, Odd Sverre ^{[1
,6
]}

Rost, Thomas Brox ^{[3
]}

Bakken, Victoria ^{[1
]}

Koochakpour, Kaban ^{[3
]}

Thorvik, Ketil ^{[7
]}

Skokauskas, Norbert ^{[1
]}

机构：

[1] Norwegian Univ Sci & Technol NTNU, Fac Med & Hlth Sci, Reg Ctr Child & Youth Mental Hlth & Child Welf RK, IPH, Trondheim, Norway

[2] Univ Calif San Francisco UCSF, Dept Psychiat, Div Child & Adolescent Psychiat, San Francisco, CA USA

[3] Norwegian Univ Sci & Technol NTNU, Fac Informat Technol & Elect Engn, Dept Comp Sci, Trondheim, Norway

[4] UiT Arctic Univ Norway, Reg Ctr Child & Youth Mental Hlth & Child Welf RK, Tromso, Norway

[5] Sechenov First Moscow State Med Univ, Moscow, Russia

[6] St Olavs Hosp, Dept Child & Adolescent Psychiat, Trondheim, Norway

[7] Cent Norway Reg Hlth Informat Technol HEMIT, Trondheim, Norway

来源：

BMC MEDICAL INFORMATICS AND DECISION MAKING | 2020年 / 20卷 / 01期

关键词：

Child and adolescent mental health services (CAMHS); Clinical decision support system (CDSS); Innovation; Attention-deficit; hyperactivity disorder (ADHD); IDDEAS; Norway; ENGAGEMENT SCALE UES; SUPPORT-SYSTEM; USER ENGAGEMENT; CARE; ACCEPTABILITY; PREVALENCE; USABILITY; EUROPE; BRAIN;

D O I：

10.1186/s12911-020-01239-2

中图分类号：

R-058 [];

学科分类号：

摘要：

Background Nearly half of all mental health disorders develop prior to the age of 15. Early assessments, diagnosis, and treatment are critical to shortening single episodes of care, reducing possible comorbidity and long-term disability. In Norway, approximately 20% of all children and adolescents are experiencing mental health problems. To address this, health officials in Norway have called for the integration of innovative approaches. A clinical decision support system (CDSS) is an innovative, computer-based program that provides health professionals with clinical decision support as they care for patients. CDSS use standardized clinical guidelines and big data to provide guidance and recommendations to clinicians in real-time. IDDEAS (IndividualisedDigitalDEcisionAssistSystem) is a CDSS for diagnosis and treatment of child and adolescent mental health disorders. The aim of IDDEAS is to enhance quality, competency, and efficiency in child and adolescent mental health services (CAMHS). Methods/design IDDEAS is a mixed-methods innovation and research project, which consists of four stages: 1) Assessment of Needs and Preparation of IDDEAS; 2) The Development of IDDEAS CDSS Model; 3) The Evaluation of the IDDEAS CDSS; and, 4) Implementation & Dissemination. Both qualitative and quantitative methods will be used for the evaluation of IDDEAS CDSS model. Child and adolescent psychologists and psychiatrists (n = 30) will evaluate the IDDEAS` usability, acceptability and relevance for diagnosis and treatment of attention-deficit/hyperactivity disorder. Discussion The IDDEAS CDSS model is the first guidelines and data-driven CDSS to improve efficiency of diagnosis and treatment of child and adolescent mental health disorders in Norway. Ultimately, IDDEAS will help to improve patient health outcomes and prevent long-term adverse outcomes by providing each patient with evidence-based, customized clinical care.

引用

页数：9

共 42 条

[1] Prototype to Practice Developing and Testing a Clinical Decision Support System for Secondary Stroke Prevention in a Veterans Healthcare Facility [J].