Evidence map›Paper›PMID 27231000›Full record

Trial reportBMJ open2016

Effectiveness of a biopsychosocial e-learning intervention on the clinical judgements of medical students and GP trainees regarding future risk of disability in patients with chronic lower back pain: study protocol for a randomised controlled trial.

Christopher P Dwyer, Hannah Durand, Pádraig MacNeela, Bronagh Reynolds, Robert M Hamm, Christopher J Main, Laura L O'Connor, Sinéad Conneely, Darragh Taheny, Brian W Slattery and 5 more

Open access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 25% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

15 authors at 3 institutions in 3 countries.

Christopher P DwyerCentre for Pain Research, National University of Ireland, Galway, Ireland School of Psychology, National University of Ireland, Galway, Ireland.
Hannah DurandCentre for Pain Research, National University of Ireland, Galway, Ireland School of Psychology, National University of Ireland, Galway, Ireland.ORCID 0000-0002-8761-0519
Pádraig MacNeelaSchool of Psychology, National University of Ireland, Galway, Ireland.
Bronagh ReynoldsCentre for Pain Research, National University of Ireland, Galway, Ireland.
Robert M HammDepartment of Family & Preventive Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.
Christopher J MainDepartment of Behavioural Medicine, Keele University, Staffordshire, England.
Laura L O'ConnorCentre for Pain Research, National University of Ireland, Galway, Ireland.
Sinéad ConneelySchool of Psychology, National University of Ireland, Galway, Ireland.
Darragh TahenyCentre for Pain Research, National University of Ireland, Galway, Ireland.
Brian W SlatteryCentre for Pain Research, National University of Ireland, Galway, Ireland School of Psychology, National University of Ireland, Galway, Ireland.
Ciaran O'NeillDiscipline of Economics, National University of Ireland, Galway, Ireland.
Saoirse NicGabhainnDiscipline of Health Promotion, National University of Ireland, Galway, Ireland.
Andrew W MurphyDiscipline of General Practice, National University of Ireland, Galway, Ireland.
Thomas KropmansDiscipline of Medical Informatics and Education, National University of Ireland, Galway, Ireland.
Brian E McGuireCentre for Pain Research, National University of Ireland, Galway, Ireland School of Psychology, National University of Ireland, Galway, Ireland.
Ollscoil na Gaillimhe – University of Galway · IEKeele University · GBUniversity of Oklahoma Health Sciences Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionChronic lower back pain (CLBP) is a major healthcare problem with wide ranging effects. It is a priority for appropriate management of CLBP to get individuals back to work as early as possible. Interventions that identify biopsychosocial barriers to recovery have been observed to lead to successfully reduced pain-related work absences and increased return to work for individuals with CLBP. Modern conceptualisations of pain adopt a biopsychosocial approach, such as the flags approach. Biopsychosocial perspectives have been applied to judgements about future adjustment, recovery from pain and risk of long-term disability; and provide a helpful model for understanding the importance of contextual interactions between psychosocial and biological variables in the experience of pain. Medical students and general practitioner (GP) trainees are important groups to target with education about biopsychosocial conceptualisations of pain and related clinical implications.

aimThe current study will compare the effects of an e-learning intervention that focuses on a biopsychosocial model of pain, on the clinical judgements of medical students and trainees. METHODS AND ANALYSIS: Medical student and GP trainee participants will be randomised to 1 of 2 study conditions: (1) a 20 min e-learning intervention focused on the fundamentals of the flags approach to clinical judgement-making regarding risk of future pain-related disability; compared with a (2) wait-list control group on judgement accuracy and weighting (ie, primary outcomes); flags approach knowledge, attitudes and beliefs towards pain, judgement speed and empathy (ie, secondary outcomes). Participants will be assessed at preintervention and postintervention. ETHICS AND DISSEMINATION: The study will be performed in agreement with the Declaration of Helsinki and is approved by the National University of Ireland Galway Research Ethics Committee. The results of the trial will be published according to the CONSORT statement and will be presented at conferences and reported in peer-reviewed journals. TRIAL REGISTRATION NUMBER: ISRCTN53670726; Pre-results.

Indexed as

Clinical Decision-MakingChronic PainComputer-Assisted InstructionDisability EvaluationEducation, Medical, UndergraduateGeneral PracticeHealth Knowledge, Attitudes, PracticeHumansJudgmentLow Back PainMaleMiddle AgedPrognosisResearch DesignSingle-Blind MethodStudents, MedicalBiopsychosocial ModelChronic Lower Back PainClinical Judgement Making

Identifiers

PMID27231000
PMCPMC4885315
OpenAlexW2398387954

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.