Trial reportBMJ (Clinical research ed.)2004
Randomised controlled trial of effect of leaflets to empower patients in consultations in primary care.
Trial report in BMJ (Clinical research ed.), 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 37 papers, 7 of them syntheses that pooled 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.
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.
Impact of Four Patient Information Leaflets (PIL) on Patient Behaviour : a Randomised Controlled Trial in Primary Care.
Impact of Six Patient Information Leaflets (PIL) on Doctor Patient Communication and Adherence in Emergency Ward
Who cites it
37 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- Patient-mediated interventions to improve professional practice.The Cochrane database of systematic reviews · 2018Pooled it
- Patient information leaflets to reduce antibiotic use and reconsultation rates in general practice: a systematic review.BMJ open · 2015Pooled it
- Pooled it
- Effectiveness of web-based interventions on patient empowerment: a systematic review and meta-analysis.Journal of medical Internet research · 2010Pooled it
- Shared decision making interventions for people with mental health conditions.The Cochrane database of systematic reviews · 2010Pooled it
- Interventions before consultations for helping patients address their information needs.The Cochrane database of systematic reviews · 2007Pooled it
- Interventions for improving older patients' involvement in primary care episodes.The Cochrane database of systematic reviews · 2007Pooled it
- Improving patient self-reporting of antihypertensive adverse drug events in primary care: a stepped wedge cluster randomised trial.BMC family practice · 2021Trial
- Validation of the generic medical interview satisfaction scale: the G-MISS questionnaire.Health and quality of life outcomes · 2017Trial
- Encouraging Patient-Centered Care by Including Quality-of-Life Questions on Pre-Encounter Forms.Annals of family medicine · 2016Trial
- Evaluation of an interactive program for preventing adverse drug events in primary care: study protocol of the InPAct cluster randomised stepped wedge trial.Implementation science : IS · 2013Trial
- Testing messages to encourage discussion of clinical trials among cancer survivors and their physicians: examining monitoring style and message detail.Journal of cancer education : the official journal of the American Association for Cancer Education · 2013Trial
- Impact of information leaflets on behavior of patients with gastroenteritis or tonsillitis: a cluster randomized trial in French primary care.Journal of general internal medicine · 2013Trial
- A consultation leaflet to improve an older patient's involvement in general practice care: a randomized trial.Health expectations : an international journal of public participation in health care and health policy · 2005Trial
- Importance of patient pressure and perceived pressure and perceived medical need for investigations, referral, and prescribing in primary care: nested observational study.BMJ (Clinical research ed.) · 2004Trial
- A tailored intervention for the detection of patients with coronary heart disease and mental or cognitive comorbidities in the German primary care setting: qualitative evaluation of implementation success.BMC health services research · 2024Article
- Actions for mitigating the negative effects of patient participation in patient safety: a qualitative study.BMC health services research · 2024Article
- Effects of a Primary Care-Based Intervention on the Identification and Management of Patients with Coronary Heart Disease and Mental or Cognitive Comorbidity-A Study Protocol.International journal of environmental research and public health · 2023Article
- Development and testing of a framework for defining a strategy to address medication adherence during patient encounters in community pharmacies.Exploratory research in clinical and social pharmacy · 2022Article
- The viral prescription pad - a mixed methods study to determine the need for and utility of an educational tool for antimicrobial stewardship in primary health care.BMC family practice · 2020Article
Corrections and comments
- Commented on by
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the impact of leaflets encouraging patients to raise concerns and to discuss symptoms or other health related issues in the consultation.
designRandomised controlled trial.
settingFive general practices in three settings in the United Kingdom.
participants636 consecutive patients, aged 16-80 years, randomised to receive a general leaflet, a depression leaflet, both, or neither. MAIN OUTCOMES: Mean item score on the medical interview satisfaction scale, consultation time, prescribing, referral, and investigation.
resultsThe general leaflet increased patient satisfaction and was more effective with shorter consultations (leaflet 0.64, 95% confidence interval 0.19 to 1.08; time 0.31, 0.0 to 0.06; interaction between both -0.045, -0.08 to-0.009), with similar results for subscales related to the different aspects of communication. Thus for a 10 minute consultation the leaflet increased satisfaction by 7% (seven centile points) and for a five minute consultation by 14%. The leaflet overall caused a small non-significant increase in consultation time (0.36 minutes, -0.54 to 1.26). Although there was no change in prescribing or referral, a general leaflet increased the numbers of investigations (odds ratio 1.43, 1.00 to 2.05), which persisted when controlling for the major potential confounders of perceived medical need and patient preference (1.87, 1.10 to 3.19). Most of excess investigations were not thought strongly needed by the doctor or the patient. The depression leaflet had no significant effect on any outcome.
conclusionsEncouraging patients to raise issues and to discuss symptoms and other health related issues in the consultation improves their satisfaction and perceptions of communication, particularly in short consultations. Doctors do, however, need to elicit expectations to prevent needless investigations.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.