F30-F39 F40-F48 F10-F19 R07.2 R07.3 R07.4 Z00-Z99
Conditions
Interventions
Group 1: Psycho-cardiological training for physicians and nurses working in the emergency department
pre-post comparison within a stepped wedge cluster randomized controlled trial. The research design involves random and sequential crossover of clusters from control to intervention until all clusters
Sponsors
Charité – Universitätsmedizin Berlin.
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: (a) age = 18 years; (b) sufficient German literacy and language skills; (c) cognitive ability to understand the study information and to give written informed consent to study participation; (d) clinical experience in treating patients with non-specific chest pain in the ED; (e) sufficient motivation to participate in the psycho-cardiological training program.
Exclusion criteria
Exclusion criteria: (a) age < 18 years; (b) persons under legal guardianship; (c) persons not capable to give written informed consent to study participation; (d) insufficient German literacy and language skills; (e) persons unable to participate in the study due to mental or physical impairments.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Two parallel quantitative primary endpoints: Endpoint I: Verification of the recognition rate by means of a secondary data analysis of ICD-10 diagnoses in the routine data of the hospital information systems of the participating EDs with regard to the frequency of coded mental disorders (i.e., depression [F3x], anxiety disorders [F4x], somatoform disorders [F4x], substance abuse/dependence [F1x ]) in ED patients with non-specific chest pain (i.e., without organ-pathological origin; precordial pain [R07.2], other chest pain [R07.3], chest pain, unspecified [R07.4]) in the period 3-9 months before and 3-9 months after the psycho-cardiological training program. Endpoint II: Verification of the agreement rate using the structured clinical interview for DSM-5 (SCID-5) with regard to the agreement between coded mental disorders (i.e., depression [F3x], anxiety disorders [F4x], somatoform disorders [F4x], substance abuse/dependence [F1x]) in ED patients with non-specific chest pain (i.e., without organ-pathological origin; precordial pain [R07.2], other chest pain [R07.3], chest pain, unspecified [R07.4]) conducted by trained member of the study team (psychologists, physicians) within 4 weeks after the ED visit. One qualitative primary endpoint: Endpoint III: Assessment of the increase in knowledge, skills and competence in diagnosing and treating patients with psychologically triggered chest pain in the ED by means of survey data provided by the participating ED physicians and nurses evaluating the psycho-cardiological training program. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary endpoints are: (a) availability of a psycho-cardiological training program for ED personnel; (b) improvement of the sensitivity (i.e., recognition rate) for psychosocial burden and mental disorders; (c) improvement of competence in diagnosing mental disorders; (d) improvement of competence in communicating with patients; (e) improvement of patient management through the availability of an infrastructure for further referral of ED patients with psychosocial burden and mental disorders to adequate out- or inpatient supportive psychotherapeutic care; (f) ED personnels’ experience with the psycho-cardiological training program; (g) ED physicians’ experience with the diagnosis of mental disorders in their clinical practice; (h) patients’ experience towards an in-depth clinical assessment of mental disorders; (i) availability of a shared data-platform between the EDs of the EMANet network. | — |
Countries
Germany
Contacts
Public ContactMartin Möckel.
Charité – Universitätsmedizin Berlin, Notaufnahmen Campi Nord (CVK, CCM).
Outcome results
None listed