Evidence map›Paper›PMID 22595655›Full record

ArticlePatient education and counseling2012

Talking about smoking in primary care medical practice--results of experimental studies from the US, UK and Germany.

Olaf von dem Knesebeck, Anke Hoehne, Carol Link, Lisa Marceau, Ann Adams, Martin Roland, Stephen Campbell, Johannes Siegrist, John McKinlay

Abstract readComparative Study
In one paragraph

Article in Patient education and counseling, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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.

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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

9 authors.

Olaf von dem KnesebeckDepartment of Medical Sociology and Health Economics, University Medical Center Hamburg-Eppendorf, Germany. o.knesebeck@uke.de
Anke Hoehne
Carol Link
Lisa Marceau
Ann Adams
Martin Roland
Stephen Campbell
Johannes Siegrist
John McKinlay

Funding

Race/Ethnic Disparities in Diabetes: An ExperimentR01DK066425 · NIDDK · NEW ENGLAND RESEARCH INSTITUTES, INC. · PI MCKINLAY, JOHN B · 2004 to 2008
$2.3M
CLINICAL DECISIONS WITH OLDER PATIENTS--US UK COMPARISONR01AG016747 · NIA · NEW ENGLAND RESEARCH INSTITUTES, INC. · PI MCKINLAY, JOHN B · 2000 to 2006
$2.1M
NIA NIH HHS AG 16747NIA NIH HHS R01 AG016747NIDDK NIH HHS DK 66425NIDDK NIH HHS R01 DK066425
6 · The paper itself

Abstract

objectiveTo analyse effects of patient and physician characteristics on questions and advice about smoking in primary care practice and to examine country differences.

methodsWe conducted a factorial experiment, employing filmed scenarios in which actors played the role of patients with symptoms of coronary heart disease (CHD) or type 2 diabetes. Versions were filmed with patient-actors of different gender, age, race, and socioeconomic status. The videotapes were presented to primary care physicians in the US, UK and Germany. Physicians were asked whether they would ask questions about smoking or give cessation advice.

resultsFemale and older CHD patients are less likely to be asked or get advice about smoking in all three countries. Effects of physician attributes are weak and inconsistent. Compared to physicians in the US and the UK, German doctors are least likely to ask questions or give advice.

conclusionsAlthough all physicians viewed the same cases their questioning and advice giving differed according to patient attributes and country. Due to the experimental design external validity of the study may be limited. PRACTICE IMPLICATIONS: Findings have implications for medical education and professional training of physicians as well as for the organization and financing of health care.

Indexed as

CommunicationPhysician-Patient RelationsSmoking CessationSmoking PreventionAdultAgedAge FactorsAttitude of Health PersonnelCoronary DiseaseDiabetes Mellitus, Type 2Factor Analysis, StatisticalFemaleGermanyHumansMaleMiddle Aged

Identifiers

PMID22595655
PMCPMC3444567

What OpenQuestion holds

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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.