Evidence map›Paper›PMID 22622220›Full record

SynthesisAcademic medicine : journal of the Association of American Medical Colleges2012

Behavior change counseling curricula for medical trainees: a systematic review.

Karen E Hauer, Patricia A Carney, Anna Chang, Jason Satterfield

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Academic medicine : journal of the Association of American Medical Colleges, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
13.7field-weighted citation impact, top 1% 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

32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 80 citations in OpenAlex.

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  14. Cardiometabolic medicine - the US perspective on a new subspecialty.Cardiovascular endocrinology & metabolism · 2020
    Review
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  20. Virtual Patients in a Behavioral Medicine Massive Open Online Course (MOOC): A Qualitative and Quantitative Analysis of Participants' Perceptions.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2017
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Karen E HauerDepartment of Medicine, University of California, San Francisco, School of Medicine, San Francisco, CA 94143-0120, USA. karen.hauer@ucsf.edu
Patricia A Carney
Anna Chang
Jason Satterfield
University of California, San Francisco · US

Funding

Behavioral & Social Sciences as Core Elements of the Medical School CurriculumK07CA121457 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI TOFFLER, WILLIAM L · 2006 to 2011
$1.9M
Social &Behavioral Sciences and Medical EducationK07AT003131 · NCCIH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SATTERFIELD, JASON M · 2005 to 2010
$1.5M
Collaborative Advances in Clinical Health Education (CACHE)R25AT006573 · NCCIH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HARMAN, STEPHANIE, SATTERFIELD, JASON M · 2011 to 2015
$1.2M
NCCIH NIH HHS K07 AT003131NCCIH NIH HHS R25 AT006573NCI NIH HHS CA121457NCI NIH HHS K07 CA121457
6 · The paper itself

Abstract

purposeUnhealthy behaviors contribute to half of U.S. deaths. However, physicians lack sufficient skill in counseling patients to change behaviors. Characterizing effective published curricular interventions for behavior change counseling for medical trainees would inform educators toward improved training.

methodThe authors conducted a systematic literature search of studies published between 1965 and 2011 evaluating curricula on behavior change counseling for medical trainees. Included studies described behavior change counseling, teaching interventions for medical trainees, and assessment of interventions. The authors extracted eligible articles, rated outcomes for learners and patients using Kirkpatrick's hierarchy, and determined study quality.

resultsOf 2,788 identified citations, 109 met inclusion criteria. Most studies were performed in the United States (98), 93 at a single institution, and 81 in primary care settings. Curricular topics for counseling included smoking (67 studies), nutrition (30), alcohol/drug use (26), and exercise (22). Although most studies did not include theoretical frameworks, 39 used the Transtheoretical Model of Change. Sixty-two studies involved eight or fewer hours of curricular time, and 51 spanned four or fewer weeks. The studies with highest-level outcomes and quality employed multiple curricular techniques and included practice of counseling techniques in either simulated or actual clinical settings.

conclusionsExisting literature suggests that trainees learn behavior change counseling through active, realistic practice and implementation of reminder and feedback systems within actual clinical practice settings. Multiinstitutional medical education research on methods of teaching behavior change counseling that influence patients' health outcomes are needed to ensure trainees' clinical competence and improve patient care.

Indexed as

Clinical CompetenceCurriculumBehavior TherapyCounselingEducation, MedicalHealth BehaviorHealth PromotionHumansRisk Reduction BehaviorUnited States

Identifiers

PMID22622220
PMCPMC3386427
OpenAlexW2033728193

What OpenQuestion holds

Textmetadata
LicenceTDM
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.