Derek P de Beurs1, Marieke H de Groot2, Jos de Keijser3, Jan Mokkenstorm4, Erik van Duijn5, Remco F P de Winter6, Ad J F M Kerkhof7. 1. Department of Clinical Psychology, VU University, Amsterdam, The Netherlands; EMGO Institute for Health and Care Research, Amsterdam, The Netherlands. Electronic address: derekdebeurs@gmail.com. 2. Department of Clinical Psychology, VU University, Amsterdam, The Netherlands; EMGO Institute for Health and Care Research, Amsterdam, The Netherlands. Electronic address: Mariekedegroot@ziggo.nl. 3. Groningen University, Groningen, The Netherlands. Electronic address: Jos.de.keijser@ggzfriesland.nl. 4. GGZ Foundation for Mental Health Care GGZ inGeest, The Netherlands. Electronic address: mokkenstorm@gmail.com. 5. GGZ Foundation for Mental Health Care Delfland, The Netherlands. Electronic address: e.vanduijn@ggz-delfland.nl. 6. GGZ Foundation for Mental Health Care, Parnassia, The Hague, The Netherlands. Electronic address: r.dewinter@parnassia.nl. 7. Department of Clinical Psychology, VU University, Amsterdam, The Netherlands; EMGO Institute for Health and Care Research, Amsterdam, The Netherlands. Electronic address: ajfm.kerkhof@vu.nl.
Abstract
BACKGROUND: Randomized studies examining the effect of training of mental health professionals in suicide prevention guidelines are scarce. We assessed whether professionals benefited from an e-learning supported Train-the-Trainer programme aimed at the application of the Dutch multidisciplinary suicide prevention guideline. METHODS:45 psychiatric departments from all over the Netherlands were clustered in pairs and randomized. In the experimental condition, all of the staff of psychiatric departments was trained by peers with an e-learning supported Train-the-Trainer programme. Guideline adherence of individual professionals was measured by means of the response to on-line video fragments. Multilevel analyses were used to establish whether variation between conditions was due to differences between individual professionals or departments. RESULTS: Multilevel analysis showed that the intervention resulted in an improvement of individual professionals. At the 3 month follow-up, professionals who received the intervention showed greater guideline adherence, improved self-perceived knowledge and improved confidence as providers of care than professionals who were only exposed to traditional guideline dissemination. Subgroup analyses showed that improved guideline adherence was found among nurses but not among psychiatrists and psychologists. No significant effect of the intervention on team performance was found. LIMITATIONS: The ICT environment in departments was often technically inadequate when displaying the video clips clip of the survey. This may have caused considerable drop-out and possibly introduced selection bias, as professionals who were strongly affiliated to the theme of the study might have been more likely to finish the study. CONCLUSIONS: Our results support the idea that an e-learning supported Train-the-Trainer programme is an effective strategy for implementing clinical guidelines and improving care for suicidal patients. TRIAL REGISTRATION: Netherlands Trial Register (NTR3092 www.trialregister.nl).
RCT Entities:
BACKGROUND: Randomized studies examining the effect of training of mental health professionals in suicide prevention guidelines are scarce. We assessed whether professionals benefited from an e-learning supported Train-the-Trainer programme aimed at the application of the Dutch multidisciplinary suicide prevention guideline. METHODS: 45 psychiatric departments from all over the Netherlands were clustered in pairs and randomized. In the experimental condition, all of the staff of psychiatric departments was trained by peers with an e-learning supported Train-the-Trainer programme. Guideline adherence of individual professionals was measured by means of the response to on-line video fragments. Multilevel analyses were used to establish whether variation between conditions was due to differences between individual professionals or departments. RESULTS: Multilevel analysis showed that the intervention resulted in an improvement of individual professionals. At the 3 month follow-up, professionals who received the intervention showed greater guideline adherence, improved self-perceived knowledge and improved confidence as providers of care than professionals who were only exposed to traditional guideline dissemination. Subgroup analyses showed that improved guideline adherence was found among nurses but not among psychiatrists and psychologists. No significant effect of the intervention on team performance was found. LIMITATIONS: The ICT environment in departments was often technically inadequate when displaying the video clips clip of the survey. This may have caused considerable drop-out and possibly introduced selection bias, as professionals who were strongly affiliated to the theme of the study might have been more likely to finish the study. CONCLUSIONS: Our results support the idea that an e-learning supported Train-the-Trainer programme is an effective strategy for implementing clinical guidelines and improving care for suicidal patients. TRIAL REGISTRATION: Netherlands Trial Register (NTR3092 www.trialregister.nl).
Authors: Renske Gilissen; Derek De Beurs; Jan Mokkenstorm; Saskia Mérelle; Gé Donker; Sanne Terpstra; Carla Derijck; Gerdien Franx Journal: Int J Environ Res Public Health Date: 2017-03-28 Impact factor: 3.390
Authors: Derek de Beurs; Inge van Bruinessen; Janneke Noordman; Roland Friele; Sandra van Dulmen Journal: Front Psychiatry Date: 2017-05-03 Impact factor: 4.157
Authors: Jan Mokkenstorm; Gerdien Franx; Renske Gilissen; Ad Kerkhof; Johannes Hendrikus Smit Journal: Int J Environ Res Public Health Date: 2018-05-03 Impact factor: 3.390