Evidence map›Paper›PMID 11358775›Full record

Trial reportBMJ (Clinical research ed.)2001

Randomised controlled trial of self management leaflets and booklets for minor illness provided by post.

P Little, J Somerville, I Williamson, G Warner, M Moore, R Wiles, S George, A Smith, R Peveler

Open access · bronzeAbstract readClinical TrialComparative StudyMulticenter Study
In one paragraph

Trial report in BMJ (Clinical research ed.), 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.

  1. Pooled it
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  5. E-health and consultation rates for respiratory illnesses in infants: a randomised clinical trial in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015
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  17. Patients' attitudes towards patient involvement in safety interventions: results of two exploratory studies.Health expectations : an international journal of public participation in health care and health policy · 2013
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  18. Antibiotics: time to act.The British journal of general practice : the journal of the Royal College of General Practitioners · 2013
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 3 countries.

P LittlePrimary Medical Care Group, Aldermoor Health Centre, Southampton SO16 5ST. ps13@soton.ac.uk
J Somerville
I Williamson
G Warner
M Moore
R Wiles
S George
A Smith
R Peveler
University of Southampton · GBNightingale Hospital · INRoyal South Hants Hospital · GBSalisbury University · USWessex Institute of Technology · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the effectiveness of providing information by post about managing minor illnesses.

designRandomised controlled trial.

settingSix general practices.

participantsRandom sample of 4002 patients from the practice registers.

interventionPatients were randomised to receive one of three kinds of leaflet or booklet endorsed by their general practitioner: control (surgery access times), booklet, or summary card.

main outcome measuresAttendance with the 42 minor illnesses listed in the booklet. Perceived usefulness of leaflets or booklets, confidence in managing illness, and willingness to wait before seeing the doctor.

results238 (6%) patients did not receive the intervention as allocated. Of the remaining 3764 patients, 2965 (79%) had notes available for review after one year. Compared with the control group, fewer patients attended commonly with the minor illnesses in the booklet group (>/=2 consultations a year: odds ratio 0.81, 95% confidence interval 0.67 to 0.99) and the summary card group (0.83; 0.72 to 0.96). Among patients who had attended with respiratory tract infections in the past year there was a reduction in those attending in the booklet group (0.81; 0.62 to 1.07) and summary card group (0.67; 0.51 to 0.89) compared with the control group. The incidence of contacts with minor illness fell slightly compared with the previous year in the booklet (incidence ratio 0.97; 0.84 to 1.13) and summary card groups (0.93; 0.80 to 1.07). More patients in the intervention groups felt greater confidence in managing illness (booklet 32%, card 34%, control 12%, P<0.001), but there was no difference in willingness to wait score (all groups mean=32, P=0.67).

conclusionMost patients find information about minor illness provided by post useful, and it helps their confidence in managing illness. Information may reduce the number attending commonly with minor illness, but the effect on overall contacts is likely to be modest. These data suggest that posting detailed information booklets about minor illness to the general population would have a limited effect.

Indexed as

PamphletsPatient Education as TopicTeaching MaterialsAdultFemaleHumansMaleOffice VisitsPatient Acceptance of Health CareSelf Care

Identifiers

PMID11358775
PMCPMC31621
OpenAlexW2153669991

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.