[Computer-based diagnosis of functional and mental disorders in general practice]

Area of Science:

• Psychiatry
• General Practice
• Health Informatics

Context:

• Growing use of psychometric tests in Danish general practice.
• Limited availability of electronic instruments compared to paper-based ones.
• Introduction of the electronic Common Mental Disorder Questionnaire (e-CMDQ).

Purpose:

• Evaluate the applicability of the e-CMDQ in daily clinical workflows.
• Assess the validity of data collected using the e-CMDQ.
• Determine appropriate indications for e-CMDQ use.
• Gauge general practitioner (GP) perceived benefit from test results.

Summary:

• Eleven GPs used the e-CMDQ with 125 patients over a year, averaging 5.6 minutes per patient.
• High data completeness (4,499/4,500 responses) and good psychometric properties (Cronbach's alpha 0.69-0.92) were observed.
• GPs found the e-CMDQ results useful in 89% of cases, primarily for suspected psychiatric morbidity and symptom follow-up.

Impact:

• The e-CMDQ demonstrates low time consumption, high data quality, and sufficient construct validity.
• High user satisfaction reported among participating GPs.
• Partial implementation suggests a need to address identified barriers for broader clinical integration.