Awareness and perceptions of clinical guidelines for the diagnostics and treatment of severe behavioural problems in children across Europe: A qualitative survey with academic experts

Alexandra-Raluca Gatej, Audri Lamers, Lieke van Domburgh, Matty Crone, Terje Ogden, Daniel Rijo, Eeva Aronen, Ricardo Barroso, Dorret I Boomsma, Robert Vermeiren

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

BACKGROUND: Severe behavioural problems (SBPs1) in childhood are highly prevalent, impair functioning, and predict negative outcomes later in life. Over the last decade, clinical practice guidelines for SBPs have been developed across Europe to facilitate the translation of scientific evidence into clinical practice. This study outlines the results of an investigation into academic experts' perspectives on the current prevalence, implementation, and utility of clinical guidelines for SBPs in children aged 6-12 across Europe.

METHODS: An online semi-structured questionnaire was completed by 28 psychiatry and psychology experts from 23 countries.

RESULTS: Experts indicated that approximately two thirds of the included European countries use at least an unofficial clinical document such as textbooks, while nearly half possess official guidelines for SBPs. Experts believed that, although useful for practice, guidelines' benefits would be maximised if they included more specific recommendations and were implemented more conscientiously. Similarly, experts suggested that unofficial clinical documents offer a wide range of treatment options to individualise treatment from. However, they stressed the need for more consistent, evidence-based clinical practices, by means of developing national and European clinical guidelines for SBPs.

CONCLUSIONS: This study offers a preliminary insight into the current successes and challenges perceived by experts around Europe associated with guidelines and documents for SBPs, acting as a stepping stone for future systematic, in-depth investigations of guidelines. Additionally, it establishes experts' consensus for the need to develop official guidelines better tailored to clinical practice, creating a momentum for a transition towards European clinical guidelines for this population.

LanguageEnglish
Pages1-9
Number of pages9
JournalEuropean Psychiatry
Volume57
DOIs
StateE-pub ahead of print - 15 Jan 2019

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Guidelines
Practice Guidelines
Therapeutics
Textbooks
Evidence-Based Practice
Surveys and Questionnaires
Problem Behavior
Psychiatry
Consensus
Psychology
Population

Cite this

Gatej, Alexandra-Raluca ; Lamers, Audri ; van Domburgh, Lieke ; Crone, Matty ; Ogden, Terje ; Rijo, Daniel ; Aronen, Eeva ; Barroso, Ricardo ; Boomsma, Dorret I ; Vermeiren, Robert. / Awareness and perceptions of clinical guidelines for the diagnostics and treatment of severe behavioural problems in children across Europe : A qualitative survey with academic experts. In: European Psychiatry. 2019 ; Vol. 57. pp. 1-9
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title = "Awareness and perceptions of clinical guidelines for the diagnostics and treatment of severe behavioural problems in children across Europe: A qualitative survey with academic experts",
abstract = "BACKGROUND: Severe behavioural problems (SBPs1) in childhood are highly prevalent, impair functioning, and predict negative outcomes later in life. Over the last decade, clinical practice guidelines for SBPs have been developed across Europe to facilitate the translation of scientific evidence into clinical practice. This study outlines the results of an investigation into academic experts' perspectives on the current prevalence, implementation, and utility of clinical guidelines for SBPs in children aged 6-12 across Europe.METHODS: An online semi-structured questionnaire was completed by 28 psychiatry and psychology experts from 23 countries.RESULTS: Experts indicated that approximately two thirds of the included European countries use at least an unofficial clinical document such as textbooks, while nearly half possess official guidelines for SBPs. Experts believed that, although useful for practice, guidelines' benefits would be maximised if they included more specific recommendations and were implemented more conscientiously. Similarly, experts suggested that unofficial clinical documents offer a wide range of treatment options to individualise treatment from. However, they stressed the need for more consistent, evidence-based clinical practices, by means of developing national and European clinical guidelines for SBPs.CONCLUSIONS: This study offers a preliminary insight into the current successes and challenges perceived by experts around Europe associated with guidelines and documents for SBPs, acting as a stepping stone for future systematic, in-depth investigations of guidelines. Additionally, it establishes experts' consensus for the need to develop official guidelines better tailored to clinical practice, creating a momentum for a transition towards European clinical guidelines for this population.",
author = "Alexandra-Raluca Gatej and Audri Lamers and {van Domburgh}, Lieke and Matty Crone and Terje Ogden and Daniel Rijo and Eeva Aronen and Ricardo Barroso and Boomsma, {Dorret I} and Robert Vermeiren",
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Awareness and perceptions of clinical guidelines for the diagnostics and treatment of severe behavioural problems in children across Europe : A qualitative survey with academic experts. / Gatej, Alexandra-Raluca; Lamers, Audri; van Domburgh, Lieke; Crone, Matty; Ogden, Terje; Rijo, Daniel; Aronen, Eeva; Barroso, Ricardo; Boomsma, Dorret I; Vermeiren, Robert.

In: European Psychiatry, Vol. 57, 15.01.2019, p. 1-9.

Research output: Contribution to JournalArticleAcademicpeer-review

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AU - Gatej,Alexandra-Raluca

AU - Lamers,Audri

AU - van Domburgh,Lieke

AU - Crone,Matty

AU - Ogden,Terje

AU - Rijo,Daniel

AU - Aronen,Eeva

AU - Barroso,Ricardo

AU - Boomsma,Dorret I

AU - Vermeiren,Robert

N1 - Copyright © 2018. Published by Elsevier Masson SAS.

PY - 2019/1/15

Y1 - 2019/1/15

N2 - BACKGROUND: Severe behavioural problems (SBPs1) in childhood are highly prevalent, impair functioning, and predict negative outcomes later in life. Over the last decade, clinical practice guidelines for SBPs have been developed across Europe to facilitate the translation of scientific evidence into clinical practice. This study outlines the results of an investigation into academic experts' perspectives on the current prevalence, implementation, and utility of clinical guidelines for SBPs in children aged 6-12 across Europe.METHODS: An online semi-structured questionnaire was completed by 28 psychiatry and psychology experts from 23 countries.RESULTS: Experts indicated that approximately two thirds of the included European countries use at least an unofficial clinical document such as textbooks, while nearly half possess official guidelines for SBPs. Experts believed that, although useful for practice, guidelines' benefits would be maximised if they included more specific recommendations and were implemented more conscientiously. Similarly, experts suggested that unofficial clinical documents offer a wide range of treatment options to individualise treatment from. However, they stressed the need for more consistent, evidence-based clinical practices, by means of developing national and European clinical guidelines for SBPs.CONCLUSIONS: This study offers a preliminary insight into the current successes and challenges perceived by experts around Europe associated with guidelines and documents for SBPs, acting as a stepping stone for future systematic, in-depth investigations of guidelines. Additionally, it establishes experts' consensus for the need to develop official guidelines better tailored to clinical practice, creating a momentum for a transition towards European clinical guidelines for this population.

AB - BACKGROUND: Severe behavioural problems (SBPs1) in childhood are highly prevalent, impair functioning, and predict negative outcomes later in life. Over the last decade, clinical practice guidelines for SBPs have been developed across Europe to facilitate the translation of scientific evidence into clinical practice. This study outlines the results of an investigation into academic experts' perspectives on the current prevalence, implementation, and utility of clinical guidelines for SBPs in children aged 6-12 across Europe.METHODS: An online semi-structured questionnaire was completed by 28 psychiatry and psychology experts from 23 countries.RESULTS: Experts indicated that approximately two thirds of the included European countries use at least an unofficial clinical document such as textbooks, while nearly half possess official guidelines for SBPs. Experts believed that, although useful for practice, guidelines' benefits would be maximised if they included more specific recommendations and were implemented more conscientiously. Similarly, experts suggested that unofficial clinical documents offer a wide range of treatment options to individualise treatment from. However, they stressed the need for more consistent, evidence-based clinical practices, by means of developing national and European clinical guidelines for SBPs.CONCLUSIONS: This study offers a preliminary insight into the current successes and challenges perceived by experts around Europe associated with guidelines and documents for SBPs, acting as a stepping stone for future systematic, in-depth investigations of guidelines. Additionally, it establishes experts' consensus for the need to develop official guidelines better tailored to clinical practice, creating a momentum for a transition towards European clinical guidelines for this population.

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JO - European Psychiatry

JF - European Psychiatry

SN - 0924-9338

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