Evidence map›Paper›PMID 24339441›Full record

ReviewArthritis care & research2014

Design and development of a decision support package for low back pain.

Shilpa Patel, Anne Ngunjiri, Harbinder Sandhu, Frances Griffiths, Jill Thistlewaite, Sally Brown, Tim Friede, Joanne Lord, Colin Tysall, Mark Woolvine and 1 more

Abstract readReview
In one paragraph

Review in Arthritis care & research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. 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

11 authors.

Shilpa PatelUniversity of Warwick, Coventry, West Midlands, UK.
Anne Ngunjiri
Harbinder Sandhu
Frances Griffiths
Jill Thistlewaite
Sally Brown
Tim Friede
Joanne Lord
Colin Tysall
Mark Woolvine
Martin Underwood

Funding

Department of Health PB-PG-0808-17039
6 · The paper itself

Abstract

objectiveTo develop a decision support package for people with low back pain (LBP) referred for physiotherapy.

methodsWe used a program of exploratory work, including literature reviews, a Delphi study, a nominal group with physiotherapists, focus groups with patients, and secondary analysis of existing interview data.

resultsWe developed an information booklet describing the evidence-based treatment modalities available in a physiotherapy department. This includes data on likely benefits and risks and how the intervention is delivered. The booklet specifically addresses questions identified as important in our exploratory work. Space is provided for patients to note down the pros and cons of each treatment and what matters to them when choosing treatments. The patient is subsequently directed to a section that explores any gaps in knowledge, values, support, and choice before finally clarifying if a treatment decision is possible. At this stage they are encouraged to note down any questions or concerns they have to be discussed at the first physiotherapy consultation. This overall package includes patient material in the form of a booklet posted prior to their consultation, plus the enhanced consultation with the specially trained physiotherapist. Patients then receive their chosen treatment. In addition we developed a training package for physiotherapists that explains the content of the booklet and supports them in using informed, shared decision making in their consultation.

conclusionThis package has the potential to improve effectiveness of treatments and patient satisfaction for LBP by facilitating patient choice and therefore matching patients more effectively to different treatments.

Indexed as

Choice BehaviorDecision Support TechniquesDelphi TechniqueEvidence-Based MedicineHumansLow Back PainRandomized Controlled Trials as Topic

Identifiers

PMID24339441
PMCPMC4153953

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.