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Dong V, Brettell L, Massaneda-Tuneu C, Rita Barreiros A, Vinh Cao T, Kelly C, Zeng Y, Aoki N, Tor PC, Bayes A, Branjerdporn G, Sarma S, Kwan E, Waite S, Mohan T, Hussain S, Gálvez V, Weiss A, Bull M, Lou Chatterton M, Mihalopoulos C, Glozier N, Hadzi-Pavlovic D, Hopwood M, Mitchell P, Power B, Sara G, Wells K, Loo C, Martin D. Facilitating routine data collection to improve clinical quality and research in Interventional Psychiatry: The CARE Network. Aust N Z J Psychiatry 2024:48674241266057. [PMID: 39054785 DOI: 10.1177/00048674241266057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 07/27/2024]
Affiliation(s)
- Vanessa Dong
- Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, NSW, Australia
- Black Dog Institute, Randwick, NSW, Australia
| | - Louise Brettell
- Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, NSW, Australia
- Black Dog Institute, Randwick, NSW, Australia
| | - Clara Massaneda-Tuneu
- Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, NSW, Australia
- Black Dog Institute, Randwick, NSW, Australia
| | - Ana Rita Barreiros
- Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, NSW, Australia
- Black Dog Institute, Randwick, NSW, Australia
- Brain Dynamics Centre, The Westmead Institute for Medical Research, Westmead, NSW, Australia
- Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia
| | | | - Catherine Kelly
- Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, NSW, Australia
- Black Dog Institute, Randwick, NSW, Australia
| | - Yucheng Zeng
- Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, NSW, Australia
- Black Dog Institute, Randwick, NSW, Australia
| | - Nobuatsu Aoki
- Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, NSW, Australia
- Black Dog Institute, Randwick, NSW, Australia
- Department of Neuropsychiatry, Faculty of Medicine, Kansai Medical University, Osaka, Japan
| | - Phern-Chern Tor
- Department of Mood & Anxiety, Institute of Mental Health, Singapore
| | - Adam Bayes
- Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, NSW, Australia
- Black Dog Institute, Randwick, NSW, Australia
| | - Grace Branjerdporn
- Gold Coast Hospital and Health Service, Southport, QLD, Australia
- Bond University, Robina, QLD, Australia
- Mater Research Institute, The University of Queensland, Brisbane, QLD, Australia
| | - Shanthi Sarma
- Gold Coast Hospital and Health Service, Southport, QLD, Australia
- Bond University, Robina, QLD, Australia
| | - Elaine Kwan
- Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, NSW, Australia
| | - Sue Waite
- The Queen Elizabeth Hospital, Woodville South, SA, Australia
| | - Titus Mohan
- Flinders University, Adelaide, SA, Australia
| | - Salam Hussain
- Division of Psychiatry, School of Medicine, The University of Western Australia, Perth, WA, Australia
- Mental Health Service, Sir Charles Gairdner Hospital, Nedlands, WA, Australia
| | - Verónica Gálvez
- Mental Health and Addiction Service, Hospital Universitari Parc Taulí, Sabadell, Spain
- I3PT CERCA, Sabadell, Spain
| | - Alan Weiss
- School of Medicine and Public Health, The University of Newcastle, Callaghan, NSW, Australia
| | - Michael Bull
- Black Dog Institute, Randwick, NSW, Australia
- Ramsay Clinic Northside, St Leonards, NSW, Australia
- Ramsay Clinic Lakeside, Warners Bay, NSW, Australia
| | - Mary Lou Chatterton
- School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia
| | - Cathrine Mihalopoulos
- School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia
| | - Nick Glozier
- Central Clinical School, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia
- ARC Centre of Excellence for Children and Families over the Life Course, Brisbane, QLD, Australia
| | - Dusan Hadzi-Pavlovic
- Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, NSW, Australia
| | - Malcolm Hopwood
- Department of Psychiatry, The University of Melbourne, Melbourne, VIC, Australia
| | - Philip Mitchell
- Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, NSW, Australia
| | - Brian Power
- School of Medicine Fremantle, The University of Notre Dame, Fremantle, WA, Australia
| | - Grant Sara
- Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, NSW, Australia
- System Information and Analytics Branch, NSW Ministry of Health, St Leonards, NSW, Australia
- Northern Clinical School, Sydney Medical School, The University of Sydney, Sydney, NSW, Australia
| | - Karen Wells
- Faculty of Health Sciences, The University of Sydney, Sydney, NSW, Australia
| | - Colleen Loo
- Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, NSW, Australia
- Black Dog Institute, Randwick, NSW, Australia
| | - Donel Martin
- Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, NSW, Australia
- Black Dog Institute, Randwick, NSW, Australia
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Whooley E, Gusciute G, Kavanagh K, McDonagh K, McCaffrey C, Doody E, Jelovac A, McLoughlin DM. Reliable Change Indices and Minimum Detectable Change for the Montreal Cognitive Assessment in Electroconvulsive Therapy for Depression. J ECT 2024:00124509-990000000-00179. [PMID: 38968448 DOI: 10.1097/yct.0000000000001043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 07/07/2024]
Abstract
OBJECTIVE The Montreal Cognitive Assessment (MoCA) is a commonly used brief cognitive screening tool for monitoring adverse cognitive effects of electroconvulsive therapy (ECT). The aim of this study was to examine three statistical methods for detecting reliable change in the MoCA following ECT. METHODS In a prospective cohort study, 47 patients (mean age 55.2 [SD = 12.8], 59.6% female) with unipolar or bipolar depression treated with an acute course of brief-pulse ECT (72.3% right unilateral) and 47 depressed controls without ECT exposure were tested on the MoCA at baseline and retested at comparable time intervals. ECT patients' performance was also compared to published normative data from a community-based sample of older adults. We calculated proportions of ECT patients remaining stable, declining, and improving following ECT using practice-corrected reliable change index, standardized regression-based formulas, and minimum detectable change cutoff of ±4 MoCA points. RESULTS Using the three methods, 72.3%-78.7% of ECT patients remained stable, 17.0%-23.4% declined, and 4.3% improved in MoCA performance following ECT compared to the two control groups. CONCLUSIONS All three methods yield consistent estimates of reliable change in MoCA scores from pre- to post-brief-pulse ECT. The minimum detectable change approach may be the most efficient and accessible method of detecting change due to simplicity of calculation.
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Affiliation(s)
- Emma Whooley
- From the Department of Psychiatry, Trinity College Dublin, St. Patrick's University Hospital, Dublin, Ireland
| | - Gabriele Gusciute
- From the Department of Psychiatry, Trinity College Dublin, St. Patrick's University Hospital, Dublin, Ireland
| | - Keeva Kavanagh
- From the Department of Psychiatry, Trinity College Dublin, St. Patrick's University Hospital, Dublin, Ireland
| | - Kelly McDonagh
- From the Department of Psychiatry, Trinity College Dublin, St. Patrick's University Hospital, Dublin, Ireland
| | - Cathal McCaffrey
- From the Department of Psychiatry, Trinity College Dublin, St. Patrick's University Hospital, Dublin, Ireland
| | - Eimear Doody
- From the Department of Psychiatry, Trinity College Dublin, St. Patrick's University Hospital, Dublin, Ireland
| | - Ana Jelovac
- From the Department of Psychiatry, Trinity College Dublin, St. Patrick's University Hospital, Dublin, Ireland
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Tor PC, Barreiros AR, Cao TV, Dong V, Brettell L, Tuneu CM, Galvez V, Waite S, Sarma S, Branjerdporn G, Chatterton ML, Mohan T, Hussain S, Martin D, Loo C. Why You Should Collect Routine Clinical Data for ECT: A Singapore Story From the CARE Network. J ECT 2024:00124509-990000000-00157. [PMID: 38587407 DOI: 10.1097/yct.0000000000001012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/09/2024]
Affiliation(s)
- Phern-Chern Tor
- From the Department of Mood and Anxiety, Institute of Mental Health, Singapore
| | | | - Thanh Vinh Cao
- Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Black Dog Institute, Randwick
| | - Vanessa Dong
- Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Black Dog Institute, Randwick
| | - Louise Brettell
- Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Black Dog Institute, Randwick
| | - Clara Massaneda Tuneu
- Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Black Dog Institute, Randwick
| | - Veronica Galvez
- Mental Health and Addiction Searvice, Parc Tauli University Hospital, I3PT-CERCA, Barcelona, Spain
| | - Sue Waite
- The Queen Elizabeth Hospital, Woodville South
| | | | | | | | | | - Salam Hussain
- Sir Charles Gairdner Hospital, School of Psychiatry and Clinical Neurosciences, University of Western Australia, Royal Australian and New Zealand College of Psychiatrists, Nedlands, Australia
| | - Donel Martin
- Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Black Dog Institute, Randwick
| | - Colleen Loo
- Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Black Dog Institute, Randwick
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