Strategies, processes, outcomes, and costs of implementing experience sampling-based monitoring in routine mental health care in four European countries: study protocol for the IMMERSE effectiveness-implementation study.

Autor: Reininghaus U; Department of Public Mental Health, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany. ulrich.reininghaus@zi-mannheim.de.; Centre for Epidemiology and Public Health, Health Service and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK. ulrich.reininghaus@zi-mannheim.de.; German Center for Mental Health (DZPG), partner site Mannheim-Heidelberg-Ulm, Mannheim, Germany. ulrich.reininghaus@zi-mannheim.de., Schwannauer M; School of Health in Social Science, University of Edinburgh, Edinburgh, UK., Barne I; School of Health in Social Science, University of Edinburgh, Edinburgh, UK., Beames JR; Center for Contextual Psychiatry, Department of Neurosciences, KU Leuven, Leuven, Belgium., Bonnier RA; Center for Contextual Psychiatry, Department of Neurosciences, KU Leuven, Leuven, Belgium., Brenner M; Hector Institute for AI in Psychiatry, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany., Breznoščáková D; Center for Contextual Psychiatry, Department of Neurosciences, KU Leuven, Leuven, Belgium., Dančík D; Department of Psychology, Faculty of Arts, Comenius University, Bratislava, Slovakia.; Department of Psychiatry, Faculty of Medicine, Comenius University, Bratislava, Slovakia., De Allegri M; Heidelberg Institute of Global Health, University Hospital and Faculty of Medicine, Heidelberg University, Heidelberg, Germany., Di Folco S; School of Health in Social Science, University of Edinburgh, Edinburgh, UK., Durstewitz D; Hector Institute for AI in Psychiatry, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.; Department of Theoretical Neuroscience, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.; Department of Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany., Gugel J; Department of Public Mental Health, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany., Hajdúk M; Department of Psychology, Faculty of Arts, Comenius University, Bratislava, Slovakia.; Department of Psychiatry, Faculty of Medicine, Comenius University, Bratislava, Slovakia., Heretik A; Department of Psychology, Faculty of Arts, Comenius University, Bratislava, Slovakia., Izáková Ľ; Department of Psychiatry, Faculty of Medicine, Comenius University, Bratislava, Slovakia., Katreniakova Z; Department of Social and Behavioural Medicine, Faculty of Medicine, PJ Safarik University, Kosice, Slovakia., Kiekens G; Center for Contextual Psychiatry, Department of Neurosciences, KU Leuven, Leuven, Belgium.; Faculty of Psychology and Educational Sciences, Clinical Psychology, KU Leuven, Leuven, Belgium.; Department of Medical and Clinical Psychology, Tilburg University, Tilburg, The Netherlands., Koppe G; Hector Institute for AI in Psychiatry, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.; Department of Theoretical Neuroscience, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.; Department of Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany., Kurilla A; Department of Psychology, Faculty of Arts, Comenius University, Bratislava, Slovakia., Marelli L; Centre for Sociological Research, KU Leuven, Leuven, Belgium.; Department of Medical Biotechnology and Translational Medicine, University of Milan, Milan, Italy., Nagyova I; Department of Social and Behavioural Medicine, Faculty of Medicine, PJ Safarik University, Kosice, Slovakia., Nguyen H; Heidelberg Institute of Global Health, University Hospital and Faculty of Medicine, Heidelberg University, Heidelberg, Germany., Pečeňák J; Department of Psychiatry, Faculty of Medicine, Comenius University, Bratislava, Slovakia., Schulte-Strathaus JCC; Department of Public Mental Health, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany., Sotomayor-Enriquez K; School of Health in Social Science, University of Edinburgh, Edinburgh, UK., Uyttebroek L; Center for Contextual Psychiatry, Department of Neurosciences, KU Leuven, Leuven, Belgium., Weermeijer J; Center for Contextual Psychiatry, Department of Neurosciences, KU Leuven, Leuven, Belgium., Wolters M; Department of Public Mental Health, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.; School of Informatics, University of Edinburgh, Edinburgh, UK.; OFFIS Institute for Information Technology, Oldenburg, Germany., Wensing M; Department of General Practice and Health Services Research, Heidelberg University Hospital, Heidelberg, Germany., Boehnke JR; Department of Public Mental Health, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.; School of Health Sciences, University of Dundee, Dundee, UK., Myin-Germeys I; Center for Contextual Psychiatry, Department of Neurosciences, KU Leuven, Leuven, Belgium., Schick A; Department of Public Mental Health, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Jazyk: angličtina
Zdroj: BMC psychiatry [BMC Psychiatry] 2024 Jun 24; Vol. 24 (1), pp. 465. Date of Electronic Publication: 2024 Jun 24.
DOI: 10.1186/s12888-024-05839-4
Abstrakt: Background: Recent years have seen a growing interest in the use of digital tools for delivering person-centred mental health care. Experience Sampling Methodology (ESM), a structured diary technique for capturing moment-to-moment variation in experience and behaviour in service users' daily life, reflects a particularly promising avenue for implementing a person-centred approach. While there is evidence on the effectiveness of ESM-based monitoring, uptake in routine mental health care remains limited. The overarching aim of this hybrid effectiveness-implementation study is to investigate, in detail, reach, effectiveness, adoption, implementation, and maintenance as well as contextual factors, processes, and costs of implementing ESM-based monitoring, reporting, and feedback into routine mental health care in four European countries (i.e., Belgium, Germany, Scotland, Slovakia).
Methods: In this hybrid effectiveness-implementation study, a parallel-group, assessor-blind, multi-centre cluster randomized controlled trial (cRCT) will be conducted, combined with a process and economic evaluation. In the cRCT, 24 clinical units (as the cluster and unit of randomization) at eight sites in four European countries will be randomly allocated using an unbalanced 2:1 ratio to one of two conditions: (a) the experimental condition, in which participants receive a Digital Mobile Mental Health intervention (DMMH) and other implementation strategies in addition to treatment as usual (TAU) or (b) the control condition, in which service users are provided with TAU. Outcome data in service users and clinicians will be collected at four time points: at baseline (t 0 ), 2-month post-baseline (t 1 ), 6-month post-baseline (t 2 ), and 12-month post-baseline (t 3 ). The primary outcome will be patient-reported service engagement assessed with the service attachment questionnaire at 2-month post-baseline. The process and economic evaluation will provide in-depth insights into in-vivo context-mechanism-outcome configurations and economic costs of the DMMH and other implementation strategies in routine care, respectively.
Discussion: If this trial provides evidence on reach, effectiveness, adoption, implementation and maintenance of implementing ESM-based monitoring, reporting, and feedback, it will form the basis for establishing its public health impact and has significant potential to bridge the research-to-practice gap and contribute to swifter ecological translation of digital innovations to real-world delivery in routine mental health care.
Trial Registration: ISRCTN15109760 (ISRCTN registry, date: 03/08/2022).
(© 2024. The Author(s).)
Databáze: MEDLINE
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