Evidence map›Paper›PMID 19930729›Full record

Trial reportBMC family practice2009

Somatisation in primary care: experiences of primary care physicians involved in a training program and in a randomised controlled trial.

José M Aiarzaguena, Idoia Gaminde, Gonzalo Grandes, Agustín Salazar, Itziar Alonso, Alvaro Sánchez

Registry-linked trialAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC family practice, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00130988 (Efficacy of a Biopsychosocial Treatment for Somatizing Patients Carried Out by the General Practitioner), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT00130988 phase3completednot on this map

Efficacy of a Biopsychosocial Treatment for Somatizing Patients Carried Out by the General Practitioner

TypeinterventionalSponsorBasque Health ServiceRan2001 to 2003Enrolled156ConditionsSomatoform DisordersArmsDEPENAS cognitive and behavioural techniques
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

José M AiarzaguenaSan Inazio Health Care Centre, Osakidetza/Basque Health Service, Bilbao, Spain. jmaiarzaguena@euskalnet.net
Idoia Gaminde
Gonzalo Grandes
Agustín Salazar
Itziar Alonso
Alvaro Sánchez

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA new intervention aimed at managing patients with medically unexplained symptoms (MUS) based on a specific set of communication techniques was developed, and tested in a cluster randomised clinical trial. Due to the modest results obtained and in order to improve our intervention we need to know the GPs' attitudes towards patients with MUS, their experience, expectations and the utility of the communication techniques we proposed and the feasibility of implementing them. Physicians who took part in 2 different training programs and in a randomised controlled trial (RCT) for patients with MUS were questioned to ascertain the reasons for the doctors' participation in the trial and the attitudes, experiences and expectations of GPs about the intervention.

methodsA qualitative study based on four focus groups with GPs who took part in a RCT. A content analysis was carried out.

resultsFollowing the RCT patients are perceived as true suffering persons, and the relationship with them has improved in GPs of both groups. GPs mostly valued the fact that it is highly structured, that it made possible a more comfortable relationship and that it could be applied to a broad spectrum of patients with psychosocial problems. Nevertheless, all participants consider that change in patients is necessary; GPs in the intervention group remarked that that is extremely difficult to achieve.

conclusionGPs positively evaluate the communication techniques and the interventions that help in understanding patient suffering, and express the enormous difficulties in handling change in patients. These findings provide information on the direction in which efforts for improving intervention should be directed.

trial registrationUS ClinicalTrials.gov NCT00130988.

Indexed as

Attitude of Health PersonnelCommunicationPhysician-Patient RelationsAdultEducation, Medical, ContinuingFeasibility StudiesFemaleFocus GroupsHealth StatusHumansMaleMotivationPhysicians, FamilyQuality of LifeSomatoform DisordersSurveys and Questionnaires

Identifiers

PMID19930729
PMCPMC2790434

What OpenQuestion holds

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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.