ArticleBMJ open2013
The effect of training doctors in communication skills on women's satisfaction with doctor-woman relationship during labour and delivery: a stepped wedge cluster randomised trial in Damascus.
Article in BMJ open, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03855735 ("Sufficiency, Accuracy, Clarity, Contextualization, and Interpersonal Adaptation - Safe, Digitally Supported Communication in Gynecology and Obstetrics), which is not on this map. Cited by 27 papers, 4 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.
"Sufficiency, Accuracy, Clarity, Contextualization, and Interpersonal Adaptation - Safe, Digitally Supported Communication in Gynecology and Obstetrics: TeamBaby"
Who cites it
27 citing papers in PubMed, 4 syntheses or guidelines pooled it, 58 citations in OpenAlex.
- Effectiveness of Communication Interventions in Obstetrics-A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- Can Patient-Provider Interpersonal Interventions Achieve the Quadruple Aim of Healthcare? A Systematic Review.Journal of general internal medicine · 2020Pooled it
- Interventions to support effective communication between maternity care staff and women in labour: A mixed-methods systematic review.Midwifery · 2018Pooled it
- Stepped wedge randomised controlled trials: systematic review of studies published between 2010 and 2014.Trials · 2015Pooled it
- Implementation and evaluation of the WHO maternity care model: a convergent parallel mixed-methods study protocol.Frontiers in global women's health · 2024Article
- Clinical yarning education: development and pilot evaluation of an education program to improve clinical communication in Aboriginal health care - participant, and health manager perspectives.BMC medical education · 2023Article
- Strategies to improve interpersonal communication along the continuum of maternal and newborn care: A scoping review and narrative synthesis.PLOS global public health · 2023Article
- The effect of physician training and patient education on the discussion of care decisions at the internal medicine outpatient clinic.BMC health services research · 2022Article
- The impact of effective communication-based care on the childbirth experience and satisfaction among primiparous women: an experimental study.The Journal of the Egyptian Public Health Association · 2022Article
- Response adaptive intervention allocation in stepped-wedge cluster randomized trials.Statistics in medicine · 2022Article
- Woman's Needs and Satisfaction Regarding the Communication with Doctors and Midwives during Labour, Delivery and Early Postpartum.Healthcare (Basel, Switzerland) · 2021Article
- Childbirth Experiences and Delivery Care During Times of War: Testimonies of Syrian Women and Doctors.Frontiers in global women's health · 2021Article
- Power calculation for cross-sectional stepped wedge cluster randomized trials with variable cluster sizes.Biometrics · 2020Article
- Providers' perceptions of communication and women's autonomy during childbirth: a mixed methods study in Kenya.Reproductive health · 2020Review
- Role of verbal and non-verbal communication of health care providers in general satisfaction with birth care: a cross-sectional study in government health settings of Erbil City, Iraq.Reproductive health · 2020Article
- Article
- Communication and patient safety in gynecology and obstetrics - study protocol of an intervention study.BMC health services research · 2019Article
- Blinded and unblinded sample size reestimation procedures for stepped-wedge cluster randomized trials.Biometrical journal. Biometrische Zeitschrift · 2018Article
- Sample size determinations for stepped-wedge clinical trials from a three-level data hierarchy perspective.Statistical methods in medical research · 2018Article
- Group sequential designs for stepped-wedge cluster randomised trials.Clinical trials (London, England) · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo determine the effect of training residents in interpersonal and communication skills on women's satisfaction with doctor-woman relationship in labour and delivery rooms.
designA stepped wedge cluster randomised trial.
setting4 tertiary care teaching maternity hospitals in Damascus, Syria.
participants2000 women who gave birth to a living baby in the four study hospitals and consented to participate in the intervention took part in the study. Women with difficult labour and high-risk pregnancies were excluded. All were interviewed at home after discharge.
interventionsA specially designed training package in communication skills was delivered to all resident doctors at the four hospitals. PRIMARY OUTCOME MEASURES: The main outcome measure was women's satisfaction with interpersonal relationships in labour and delivery rooms measured via a series of questions on a Likert scale modified from the Medical Interview Satisfaction Scale.
resultsAt the individual level, the mean for the average satisfaction score was 3.23 (SD 0.72) of a possible score of 5 in the control group and 3.42 (SD 0.73) in the intervention group. Using generalised linear mixed models, we were unable to detect a difference between the mean for the average satisfaction score of women in the intervention arm and that of women in the control arm; the 95% CI associated with the effect of the intervention ranged from -0.08 to 0.15.
conclusionsDespite slight changes in the observed residents' communication skills, the training package in communication skills does not seem to be associated with higher satisfaction scores of women. This raises the question of whether training individuals without further structural changes in the delivery of care and without further reinforcement of the training can have an impact on improving the quality of doctor-patient communication. TRIAL REGISTRATION NUMBER: ISRCTN80243969.
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.