Development and psychometric evaluation of the Decision Tool Anxiety Disorders, OCD and PTSD (DTAOP): Facilitating the early detection of patients in need of highly specialized care.

Autor: van Krugten FCW; Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, The Netherlands., Kaddouri M; Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, The Netherlands., Goorden M; Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, The Netherlands., van Balkom AJLM; Department of Psychiatry, Amsterdam UMC, Amsterdam, The Netherlands.; Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.; Academic Outpatient Clinic for Anxiety Disorders GGZ InGeest, Amsterdam, The Netherlands., Berretty EW; Outpatient Clinic for Anxiety Disorders PsyQ, The Hague, The Netherlands., Cath DC; Department of Clinical Psychology, Utrecht University, Utrecht, The Netherlands.; Department of Psychiatry, University Medical Center Groningen, Groningen, The Netherlands.; GGZ Drenthe Mental Health Institute, Assen, The Netherlands., Hendriks GJ; Overwaal, Center of Expertise for Anxiety, OCD, and PTSD, Institute for Integrated Mental Health Care Pro Persona, Nijmegen, The Netherlands.; Behavioural Science Institute, Radboud University, Nijmegen, The Netherlands.; Department of Psychiatry, Radboud University Medical Center, Nijmegen, The Netherlands., Matthijssen SJMA; Department of Clinical Psychology, Utrecht University, Utrecht, The Netherlands.; Altrecht Academic Anxiety Center, Altrecht GGZ, Utrecht, The Netherlands.; RINO Groep, Utrecht, The Netherlands., Visser HAD; Marina de Wolfcentrum, Mental Health Care Institute GGZ Centraal, Ermelo, The Netherlands., van Vliet IM; Department of Psychiatry, Leiden University Medical Center, Leiden, The Netherlands., Brouwer WBF; Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, The Netherlands., Hakkaart-van Roijen L; Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, The Netherlands.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2021 Aug 19; Vol. 16 (8), pp. e0256384. Date of Electronic Publication: 2021 Aug 19 (Print Publication: 2021).
DOI: 10.1371/journal.pone.0256384
Abstrakt: Background: Early identification of patients with an anxiety disorder, obsessive-compulsive disorder (OCD), or post-traumatic stress disorder (PTSD) in need of highly specialized care could facilitate the selection of the optimal initial treatment in these patients. This paper describes the development and psychometric evaluation of the Decision Tool Anxiety Disorders, OCD and PTSD (DTAOP), which aims to aid clinicians in the early identification of patients with an anxiety disorder, OCD, or PTSD in need of highly specialized mental healthcare.
Methods: A systematic literature review and a concept mapping procedure were carried out to inform the development of the DTAOP. To evaluate the psychometric properties of the DTAOP, a cross-sectional study in 454 patients with a DSM-IV-TR anxiety disorder was carried out. Feasibility was evaluated by the completion time and the content clarity of the DTAOP. Inter-rater reliability was assessed in a subsample of 87 patients. Spearman's rank correlation coefficients between the DTAOP and EuroQol five-dimensional questionnaire (EQ-5D-5L) scores were computed to examine the convergent validity. Criterion validity was assessed against independent clinical judgments made by clinicians.
Results: The average time required to complete the eight-item DTAOP was 4.6 min and the total DTAOP was evaluated as clear in the majority (93%) of the evaluations. Krippendorff's alpha estimates ranged from 0.427 to 0.839. Based on the qualitative feedback, item wording and instructions were improved. As hypothesized, the DTAOP correlated negatively with EQ-5D-5L scores. The area under the curve was 0.826 and the cut-off score of ≥4 optimized sensitivity (70%) and specificity (71%).
Conclusions: The DTAOP demonstrated excellent feasibility and good validity, but weak inter-rater reliability. Based on the qualitative feedback and reliability estimates, revisions and refinements of the wording and instructions were made, resulting in the final version of the DTAOP.
Competing Interests: The authors have declared that no competing interests exist.
Databáze: MEDLINE
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