Development of a guideline for the treatment of generalized anxiety disorder with the ADAPTE method.

{"article_title":"Development of a guideline for the treatment of generalized anxiety disorder with the ADAPTE method.","author":"Hurtado MM, Nogueras EV, Cantero N, G\ufffdlvez L, Garc\ufffda-Herrera JM, Morales-Asencio JM","journal_title":"International journal for quality in health care : journal of the International Society for Quality in Health Care","issn":"1464-3677","isbn":"","publication_date":"2020 Jul 20","volume":"32","issue":"6","first_page":"356","page_count":"","accession_number":"32427320","doi":"10.1093\/intqhc\/mzaa053","publisher":"Oxford University Press","doctype":"Journal Article","subjects":"Spain; Anxiety Disorders therapy; Practice Guidelines as Topic; Anxiety Disorders diagnosis; Evidence-Based Medicine; Hospitals, Teaching; Humans; Mental Health Services; Primary Health Care standards; Quality of Health Care; Spain","interest_area":["Psychiatry"," Pediatric Medicine"," Internal\/Family Medicine"],"abstract":"Objective: The aim was to develop a clinical guideline for managing generalised anxiety disorder in Primary Health Care and Mental Health, using guideline adaptation methods. Design: A clinical guideline was developed, following the methods of the ADAPTE group, and implemented in a Primary Health Care District and in Mental Health Services in Spain. Setting: Regional University Hospital of M\ufffdlaga and District of Primary Health Care M\ufffdlaga-Guadalhorce (Spain). Participants: The participants were family physicians, psychiatrists and clinical psychologists. The phases of the process included definition of clinical scenarios, literature search and guidelines appraisal, elaboration of recommendations, conducting focus groups with users diagnosed with generalised anxiety disorder, linking the testimonials of users with recommendations, external review and implementation by multifaceted interventions. Results: The final release included 49 Recommendations, of which 47 are from the 2011 NICE guidance for GAD and 2 of the 2011 NICE guideline for common mental disorder. Finally, seven recommendations needed to be adapted to the Spanish health care context, and three recommendations were excluded. Conclusions: A guideline aimed to improve the quality and effectiveness of the care provided to people with generalised anxiety disorder has been released. The use of adaptation methods has simplified the use of resources and time. This guideline and the process designed for its implementation constitute a suitable collection of resources for the improvement on detection and treatment of GAD in primary health care. Adaptation methods play a key role in the knowledge translation continuum. \ufffd The Author(s) 2020. Published by Oxford University Press in association with the International Society for Quality in Health Care. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.","url":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&db=mdl&AN=32427320&authtype=shib&custid=ns346513","isPdfLink":true,"isSAML":false,"additionalInfo":{"Authored_By":"Hurtado MM, Nogueras EV, Cantero N, G\u00e1lvez L, Garc\u00eda-Herrera JM, Morales-Asencio JM","Journal_Info":"Publisher: Oxford University Press Country of Publication: England NLM ID: 9434628 Publication Model: Print Cited Medium: Internet ISSN: 1464-3677 (Electronic) Linking ISSN: 13534505 NLM ISO Abbreviation: Int J Qual Health Care Subsets: MEDLINE","Publication_Type":"Journal Article","Published_Date":"2020-07-20","Source":"International journal for quality in health care : journal of the International Society for Quality in Health Care [Int J Qual Health Care] 2020 Jul 20; Vol. 32 (6), pp. 356-363.","Languages":"English","Electronic_ISSN":"1464-3677","MeSH_Terms":"Practice Guidelines as Topic*, Anxiety Disorders\/*therapy, Anxiety Disorders\/diagnosis ; Evidence-Based Medicine ; Hospitals, Teaching ; Humans ; Mental Health Services ; Primary Health Care\/standards ; Quality of Health Care ; Spain","Subjects":"Anxiety Disorders diagnosis, Evidence-Based Medicine, Hospitals, Teaching, Humans, Mental Health Services, Primary Health Care standards, Quality of Health Care, Spain, Anxiety Disorders therapy, Practice Guidelines as Topic","Title_Abbreviations":"International journal for quality in health care : journal of the International Society for Quality in Health Care","Volume":"32"},"header":{"DbId":"mdl","DbLabel":"MEDLINE Ultimate","An":"32427320","RelevancyScore":"853","PubType":"Academic Journal","PubTypeId":"academicJournal","PreciseRelevancyScore":"852.964111328125"},"plink":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&site=eds-live&db=mdl&AN=32427320&authtype=shib&custid=ns346513&group=main&profile=eds","upload_link":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&site=eds-live&db=mdl&AN=32427320&authtype=shib&custid=ns346513&group=main&profile=eds"}