{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T03:58:41Z","timestamp":1782964721487,"version":"3.54.5"},"reference-count":34,"publisher":"Royal College of Psychiatrists","issue":"5","license":[{"start":{"date-parts":[[2020,8,25]],"date-time":"2020-08-25T00:00:00Z","timestamp":1598313600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:sec id=\"S2056472420000745_sec_a1\" sec-type=\"other\">\n\t    <jats:title>Background<\/jats:title>\n\t    <jats:p>Early identification of patients with mental health problems in need of highly specialised care could enhance the timely provision of appropriate care and improve the clinical and cost-effectiveness of treatment strategies. Recent research on the development and psychometric evaluation of diagnosis-specific decision-support algorithms suggested that the treatment allocation of patients to highly specialised mental healthcare settings may be guided by a core set of transdiagnostic patient factors.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472420000745_sec_a2\" sec-type=\"other\">\n\t    <jats:title>Aims<\/jats:title>\n\t    <jats:p>To develop and psychometrically evaluate a transdiagnostic decision tool to facilitate the uniform assessment of highly specialised mental healthcare need in heterogeneous patient groups.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472420000745_sec_a3\" sec-type=\"methods\">\n\t    <jats:title>Method<\/jats:title>\n\t    <jats:p>The Transdiagnostic Decision Tool was developed based on an analysis of transdiagnostic items of earlier developed diagnosis-specific decision tools. The Transdiagnostic Decision Tool was psychometrically evaluated in 505 patients with a somatic symptom disorder or post-traumatic stress disorder. Feasibility, interrater reliability, convergent validity and criterion validity were assessed. In order to evaluate convergent validity, the five-level EuroQol five-dimensional questionnaire (EQ-5D-5L) and the ICEpop CAPability measure for Adults (ICECAP-A) were administered.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472420000745_sec_a4\" sec-type=\"results\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>The six-item clinician-administered Transdiagnostic Decision Tool demonstrated excellent feasibility and acceptable interrater reliability. Spearman's rank correlations between the Transdiagnostic Decision Tool and ICECAP-A (\u22120.335), EQ-5D-5L index (\u22120.386) and EQ-5D-visual analogue scale (\u22120.348) supported convergent validity. The area under the curve was 0.81 and a cut-off value of \u22653 was found to represent the optimal cut-off value.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472420000745_sec_a5\" sec-type=\"conclusions\">\n\t    <jats:title>Conclusions<\/jats:title>\n\t    <jats:p>The Transdiagnostic Decision Tool demonstrated solid psychometric properties and showed promise as a measure for the early detection of patients in need of highly specialised mental healthcare.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1192\/bjo.2020.74","type":"journal-article","created":{"date-parts":[[2020,8,25]],"date-time":"2020-08-25T08:00:35Z","timestamp":1598342435000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":2,"title":["Development and psychometric evaluation of the Transdiagnostic Decision Tool: matched care for patients with a mental disorder in need of highly specialised care"],"prefix":"10.1192","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8592-3581","authenticated-orcid":false,"given":"Fr\u00e9d\u00e9rique C. W.","family":"van Krugten","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6925-8956","authenticated-orcid":false,"given":"Christina M.","family":"van der Feltz-Cornelis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manon A.","family":"Boeschoten","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saskia A. M.","family":"van Broeckhuysen-Kloth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonna F.","family":"van Eck van der Sluijs","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisa","family":"van Ee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saskia M.","family":"van Es","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maartje","family":"Schoorl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lineke M.","family":"Tak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Werner B. F.","family":"Brouwer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leona","family":"Hakkaart-van Roijen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2020,8,25]]},"reference":[{"key":"S2056472420000745_ref33","doi-asserted-by":"publisher","DOI":"10.1097\/NMD.0000000000000049"},{"key":"S2056472420000745_ref32","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(1950)3:1<32::AID-CNCR2820030106>3.0.CO;2-3"},{"key":"S2056472420000745_ref31","volume-title":"Statistical Power Analysis for the Behavioral Sciences","author":"Cohen","year":"1988"},{"key":"S2056472420000745_ref29","doi-asserted-by":"publisher","DOI":"10.1080\/19312450709336664"},{"key":"S2056472420000745_ref28","doi-asserted-by":"publisher","DOI":"10.1002\/hec.3014"},{"key":"S2056472420000745_ref26","doi-asserted-by":"publisher","DOI":"10.1016\/j.jval.2016.01.003"},{"key":"S2056472420000745_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2012.09.015"},{"key":"S2056472420000745_ref30","volume-title":"Content Analysis: An Introduction to its Methodology","author":"Krippendorff","year":"2012"},{"key":"S2056472420000745_ref27","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-011-9927-2"},{"key":"S2056472420000745_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocrd.2012.12.005"},{"key":"S2056472420000745_ref8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.2005.00731.x"},{"key":"S2056472420000745_ref13","doi-asserted-by":"publisher","DOI":"10.2147\/NDT.S134008"},{"key":"S2056472420000745_ref16","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.68.4.547"},{"key":"S2056472420000745_ref23","doi-asserted-by":"publisher","DOI":"10.1177\/070674370004500210"},{"key":"S2056472420000745_ref2","doi-asserted-by":"publisher","DOI":"10.1002\/da.20741"},{"key":"S2056472420000745_ref20","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-019-2165-9"},{"key":"S2056472420000745_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)61611-6"},{"key":"S2056472420000745_ref34","doi-asserted-by":"publisher","DOI":"10.1007\/s10597-018-0351-8"},{"key":"S2056472420000745_ref6","volume-title":"The Global Economic Burden of Noncommunicable Diseases","author":"Bloom","year":"2012"},{"key":"S2056472420000745_ref25","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-011-9903-x"},{"key":"S2056472420000745_ref4","doi-asserted-by":"publisher","DOI":"10.1023\/A:1011133529649"},{"key":"S2056472420000745_ref3","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.2006.163.11.1905"},{"key":"S2056472420000745_ref14","doi-asserted-by":"publisher","DOI":"10.1097\/NMD.0000000000000250"},{"key":"S2056472420000745_ref1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.psych.52.1.685"},{"key":"S2056472420000745_ref21","first-page":"S146","article-title":"Psychometric evaluation of the decision tool anxiety disorders: Facilitating the early identification of patients with an anxiety disorder in need of highly specialized care","volume":"48","author":"Van Krugten","year":"2018","journal-title":"Eur Psychiatry"},{"key":"S2056472420000745_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.psym.2017.02.008"},{"key":"S2056472420000745_ref12","doi-asserted-by":"publisher","DOI":"10.1007\/s10926-013-9483-4"},{"key":"S2056472420000745_ref18","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2528"},{"key":"S2056472420000745_ref24","volume-title":"Diagnostic and Statistical Manual of Mental Disorders","year":"2013"},{"key":"S2056472420000745_ref17","doi-asserted-by":"publisher","DOI":"10.3892\/br.2017.922"},{"key":"S2056472420000745_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60937-9"},{"key":"S2056472420000745_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2015.06.006"},{"key":"S2056472420000745_ref19","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-017-1460-6"},{"key":"S2056472420000745_ref22","doi-asserted-by":"publisher","DOI":"10.1177\/070674370004500209"}],"container-title":["BJPsych Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S2056472420000745","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,8,25]],"date-time":"2020-08-25T08:00:38Z","timestamp":1598342438000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S2056472420000745\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8,25]]},"references-count":34,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2020,9]]}},"alternative-id":["S2056472420000745"],"URL":"https:\/\/doi.org\/10.1192\/bjo.2020.74","relation":{},"ISSN":["2056-4724"],"issn-type":[{"value":"2056-4724","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,8,25]]},"assertion":[{"value":"Copyright \u00a9 The Author(s), 2020. Published by Cambridge University Press on behalf of the Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike licence (http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the same Creative Commons licence is included and the original work is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e93"}}