Abstract
BackgroundNearly half of all mental health disorders develop prior to the age of 15. Early assessments, diagnosis, and treatment are critical to shortening single episodes of care, reducing possible comorbidity and long-term disability. In Norway, approximately 20% of all children and adolescents are experiencing mental health problems. To address this, health officials in Norway have called for the integration of innovative approaches. A clinical decision support system (CDSS) is an innovative, computer-based program that provides health professionals with clinical decision support as they care for patients. CDSS use standardized clinical guidelines and big data to provide guidance and recommendations to clinicians in real-time. IDDEAS (Individualised Digital DEcision Assist System) is a CDSS for diagnosis and treatment of child and adolescent mental health disorders. The aim of IDDEAS is to enhance quality, competency, and efficiency in child and adolescent mental health services (CAMHS).Methods/designIDDEAS is a mixed-methods innovation and research project, which consists of four stages: 1) Assessment of Needs and Preparation of IDDEAS; 2) The Development of IDDEAS CDSS Model; 3) The Evaluation of the IDDEAS CDSS; and, 4) Implementation & Dissemination. Both qualitative and quantitative methods will be used for the evaluation of IDDEAS CDSS model. Child and adolescent psychologists and psychiatrists (n = 30) will evaluate the IDDEAS` usability, acceptability and relevance for diagnosis and treatment of attention-deficit/hyperactivity disorder.DiscussionThe IDDEAS CDSS model is the first guidelines and data-driven CDSS to improve efficiency of diagnosis and treatment of child and adolescent mental health disorders in Norway. Ultimately, IDDEAS will help to improve patient health outcomes and prevent long-term adverse outcomes by providing each patient with evidence-based, customized clinical care.Trial registrationISRCTN, ISRCTN12094788. Ongoing study, registered prospectively 8 April 2020 https://doi.org/10.1186/ISRCTN12094788
Highlights
Half of all mental health disorders develop prior to the age of 15
This paper presents the study design and protocol for the evaluation of the first clinical decision support system (CDSS) for child and adolescent mental health services (CAMHS) in Norway, the Individualized Digital Decision Assist System (IDDE AS)
The inclusion of two phases of evaluation within the Individualized digital decision assist system (IDDEAS) trial will allow for a thorough assessment of the specific aspects of the CDSS that are suitable and those that need to be addressed for improvement of clinical care based on clinician’s subjective perception, as well as objective statistical analysis
Summary
IDDEAS will utilize qualitative and quantitative methods to determine whether the implementation of a clinical guideline and data-driven CDSS model in CAMHS will improve the quality of diagnoses and treatment of child and adolescent mental health disorders. IDDEAS’ expected impacts include, but are not limited to, improved use of available health data, integration of predictive interventions in care, better management of complex clinical situations in child and adolescent mental health, enhanced collaboration among stakeholders involved in patient care, and amplified inter-service coordination in management of patient’s health. Overall IDDEAS will improve the quality of mental health care for children and adolescents by using innovative data-analytics within the CDSS model to provide support to clinicians that is evidence-based and customized to meet the needs of each individual patient.
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