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Indian Psychiatric Society Survey on Clinical Practice Guidelines

AIM: This survey aimed to assess the utility of the earlier published clinical practice guidelines (CPGs) by IPS and to understand the expectations of members of Indian Psychiatric Society from the proposed revised CPGs. In addition, the survey also evaluated the current level of practice of psychia...

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Autores principales: Grover, Sandeep, Avasthi, Ajit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5310096/
https://www.ncbi.nlm.nih.gov/pubmed/28216782
http://dx.doi.org/10.4103/0019-5545.196971
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author Grover, Sandeep
Avasthi, Ajit
author_facet Grover, Sandeep
Avasthi, Ajit
author_sort Grover, Sandeep
collection PubMed
description AIM: This survey aimed to assess the utility of the earlier published clinical practice guidelines (CPGs) by IPS and to understand the expectations of members of Indian Psychiatric Society from the proposed revised CPGs. In addition, the survey also evaluated the current level of practice of psychiatry in terms of availability of different investigation facilities, prescription patterns in terms of use of polypharmacy, and competence in carrying out certain nonpharmacological treatments. METHODOLOGY: An online survey was received by 3475 psychiatrist, of whom 608 (17.5%) participants completed the survey. RESULTS: Almost all (93.8%) of the psychiatrists agreed that there should be separate CPGs for Indian setting. In terms of problems with the previous version of the CPGs, this survey shows that the previous version of guidelines was used in making clinical decisions by only one-third (31.25%) of the participating psychiatrists. The major limitations of the previous version of CPGs which were pointed out included the lack of consideration of socio-cultural issues (33.2%), lack of recommendations for many clinical situations that are encountered in clinical practice (43.15) and poor dissemination (35.2%). In terms of expectations, the membership expects the society to come up with guidelines, which are shorter in length (82.2%), has significant proportion of information in the form of tables and flow diagrams (58.7%), besides the evidence base must also take expert opinions into account (84.7%), must be circulated before adopting (88.7%), must be disseminated by displaying the same on the website (72%), and also by sending the same by E-mails (62%). Further, the membership expects the IPS to design online continuing medical education program on CPGs (54.3%). The survey also suggests that it is feasible on the part of more than two-third of the psychiatrists to monitor the metabolic parameters in routine clinical practice and carryout various nonpharmacological treatments. Majority of the psychiatrist opined that polypharmacy is not used in more than 25% of patients with schizophrenia and depression and hence the use of polypharmacy should be recommended judiciously. CONCLUSION: This survey shows that the membership of the IPS is interested in having own guidelines for the management of various psychiatric disorders in Indian setting. Further, the survey provides insights into why the previous versions of the guidelines were not very popular and what IPS should do improve the acceptability of guidelines in future.
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spelling pubmed-53100962017-02-17 Indian Psychiatric Society Survey on Clinical Practice Guidelines Grover, Sandeep Avasthi, Ajit Indian J Psychiatry Original Article AIM: This survey aimed to assess the utility of the earlier published clinical practice guidelines (CPGs) by IPS and to understand the expectations of members of Indian Psychiatric Society from the proposed revised CPGs. In addition, the survey also evaluated the current level of practice of psychiatry in terms of availability of different investigation facilities, prescription patterns in terms of use of polypharmacy, and competence in carrying out certain nonpharmacological treatments. METHODOLOGY: An online survey was received by 3475 psychiatrist, of whom 608 (17.5%) participants completed the survey. RESULTS: Almost all (93.8%) of the psychiatrists agreed that there should be separate CPGs for Indian setting. In terms of problems with the previous version of the CPGs, this survey shows that the previous version of guidelines was used in making clinical decisions by only one-third (31.25%) of the participating psychiatrists. The major limitations of the previous version of CPGs which were pointed out included the lack of consideration of socio-cultural issues (33.2%), lack of recommendations for many clinical situations that are encountered in clinical practice (43.15) and poor dissemination (35.2%). In terms of expectations, the membership expects the society to come up with guidelines, which are shorter in length (82.2%), has significant proportion of information in the form of tables and flow diagrams (58.7%), besides the evidence base must also take expert opinions into account (84.7%), must be circulated before adopting (88.7%), must be disseminated by displaying the same on the website (72%), and also by sending the same by E-mails (62%). Further, the membership expects the IPS to design online continuing medical education program on CPGs (54.3%). The survey also suggests that it is feasible on the part of more than two-third of the psychiatrists to monitor the metabolic parameters in routine clinical practice and carryout various nonpharmacological treatments. Majority of the psychiatrist opined that polypharmacy is not used in more than 25% of patients with schizophrenia and depression and hence the use of polypharmacy should be recommended judiciously. CONCLUSION: This survey shows that the membership of the IPS is interested in having own guidelines for the management of various psychiatric disorders in Indian setting. Further, the survey provides insights into why the previous versions of the guidelines were not very popular and what IPS should do improve the acceptability of guidelines in future. Medknow Publications & Media Pvt Ltd 2017-01 /pmc/articles/PMC5310096/ /pubmed/28216782 http://dx.doi.org/10.4103/0019-5545.196971 Text en Copyright: © Indian Journal of Psychiatry http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Grover, Sandeep
Avasthi, Ajit
Indian Psychiatric Society Survey on Clinical Practice Guidelines
title Indian Psychiatric Society Survey on Clinical Practice Guidelines
title_full Indian Psychiatric Society Survey on Clinical Practice Guidelines
title_fullStr Indian Psychiatric Society Survey on Clinical Practice Guidelines
title_full_unstemmed Indian Psychiatric Society Survey on Clinical Practice Guidelines
title_short Indian Psychiatric Society Survey on Clinical Practice Guidelines
title_sort indian psychiatric society survey on clinical practice guidelines
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5310096/
https://www.ncbi.nlm.nih.gov/pubmed/28216782
http://dx.doi.org/10.4103/0019-5545.196971
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