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Perspectives on clinical guidelines for severe behavioural problems in children across Europe: a qualitative study with mental health clinicians
Clinical guidelines for severe behavioural problems (SBPs) in children have recently been developed in several European countries. However, questions emerged regarding their applicability to practice. Our study aimed to provide a first European insight into guidelines’ fitness-for-purpose by explori...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7103577/ https://www.ncbi.nlm.nih.gov/pubmed/31278526 http://dx.doi.org/10.1007/s00787-019-01365-x |
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author | Gatej, Alexandra-Raluca Lamers, Audri van Domburgh, Lieke Vermeiren, Robert |
author_facet | Gatej, Alexandra-Raluca Lamers, Audri van Domburgh, Lieke Vermeiren, Robert |
author_sort | Gatej, Alexandra-Raluca |
collection | PubMed |
description | Clinical guidelines for severe behavioural problems (SBPs) in children have recently been developed in several European countries. However, questions emerged regarding their applicability to practice. Our study aimed to provide a first European insight into guidelines’ fitness-for-purpose by exploring mental health clinicians’ familiarity with, use and perceived value of guidelines for SBPs in children. Participants included 161 clinicians, primarily psychiatrists, from 24 countries. Clinicians completed a semi-structured qualitative questionnaire on existing SBPs guidelines and development of new guidelines where not available. Clinicians’ responses were mapped against academic experts’ perceptions on SBPs guidelines highlighted in a previous study (Gatej et al. in Eur Psychiatry 57:1–9, 2019). Under half of the clinicians reported being unaware of guidelines. Of these, 37.6% represented countries where guidelines were available according to experts. The remaining half of clinicians who were aware of guidelines on average reported being moderately familiar with their content, perceiving them as moderately useful and using them some of the time. Additionally, 60.8% clinicians agreed that SBPs guidelines need to be developed, as these would create a shared scientific knowledge base and common practice. Guideline improvements included taking a multifactorial approach, creating specific case recommendations, and dissemination efforts. The modest familiarity with and use of guidelines amongst practitioners may highlight guidelines poor fitness-for-purpose, or, alternatively, an underlying confusion around the meaning and purpose of guidelines. Moving forward, efforts should be directed at disseminating clearer definitions of guidelines, addressing existing challenges, and unifying efforts to further develop and audit application of international guidelines for SBPs. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s00787-019-01365-x) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-7103577 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-71035772020-03-30 Perspectives on clinical guidelines for severe behavioural problems in children across Europe: a qualitative study with mental health clinicians Gatej, Alexandra-Raluca Lamers, Audri van Domburgh, Lieke Vermeiren, Robert Eur Child Adolesc Psychiatry Original Contribution Clinical guidelines for severe behavioural problems (SBPs) in children have recently been developed in several European countries. However, questions emerged regarding their applicability to practice. Our study aimed to provide a first European insight into guidelines’ fitness-for-purpose by exploring mental health clinicians’ familiarity with, use and perceived value of guidelines for SBPs in children. Participants included 161 clinicians, primarily psychiatrists, from 24 countries. Clinicians completed a semi-structured qualitative questionnaire on existing SBPs guidelines and development of new guidelines where not available. Clinicians’ responses were mapped against academic experts’ perceptions on SBPs guidelines highlighted in a previous study (Gatej et al. in Eur Psychiatry 57:1–9, 2019). Under half of the clinicians reported being unaware of guidelines. Of these, 37.6% represented countries where guidelines were available according to experts. The remaining half of clinicians who were aware of guidelines on average reported being moderately familiar with their content, perceiving them as moderately useful and using them some of the time. Additionally, 60.8% clinicians agreed that SBPs guidelines need to be developed, as these would create a shared scientific knowledge base and common practice. Guideline improvements included taking a multifactorial approach, creating specific case recommendations, and dissemination efforts. The modest familiarity with and use of guidelines amongst practitioners may highlight guidelines poor fitness-for-purpose, or, alternatively, an underlying confusion around the meaning and purpose of guidelines. Moving forward, efforts should be directed at disseminating clearer definitions of guidelines, addressing existing challenges, and unifying efforts to further develop and audit application of international guidelines for SBPs. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s00787-019-01365-x) contains supplementary material, which is available to authorized users. Springer Berlin Heidelberg 2019-07-05 2020 /pmc/articles/PMC7103577/ /pubmed/31278526 http://dx.doi.org/10.1007/s00787-019-01365-x Text en © The Author(s) 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Original Contribution Gatej, Alexandra-Raluca Lamers, Audri van Domburgh, Lieke Vermeiren, Robert Perspectives on clinical guidelines for severe behavioural problems in children across Europe: a qualitative study with mental health clinicians |
title | Perspectives on clinical guidelines for severe behavioural problems in children across Europe: a qualitative study with mental health clinicians |
title_full | Perspectives on clinical guidelines for severe behavioural problems in children across Europe: a qualitative study with mental health clinicians |
title_fullStr | Perspectives on clinical guidelines for severe behavioural problems in children across Europe: a qualitative study with mental health clinicians |
title_full_unstemmed | Perspectives on clinical guidelines for severe behavioural problems in children across Europe: a qualitative study with mental health clinicians |
title_short | Perspectives on clinical guidelines for severe behavioural problems in children across Europe: a qualitative study with mental health clinicians |
title_sort | perspectives on clinical guidelines for severe behavioural problems in children across europe: a qualitative study with mental health clinicians |
topic | Original Contribution |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7103577/ https://www.ncbi.nlm.nih.gov/pubmed/31278526 http://dx.doi.org/10.1007/s00787-019-01365-x |
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