Evidence map›Paper›PMID 27423177›Full record

ArticlePatient education and counseling2016

Physician training in self-efficacy enhancing interviewing techniques (SEE IT): Effects on patient psychological health behavior change mediators.

Anthony Jerant, Melissa Lichte, Richard L Kravitz, Daniel J Tancredi, Elizabeth M Magnan, Andrew Hudnut, Peter Franks

Abstract read
In one paragraph

Article in Patient education and counseling, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

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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

7 authors.

Anthony JerantDepartment of Family and Community Medicine, University of California Davis, Sacramento, USA. Electronic address: afjerant@ucdavis.edu.
Melissa LichteDepartment of Family and Community Medicine, University of California Davis, Sacramento, USA. Electronic address: mlichte@ucdavis.edu.
Richard L KravitzDepartment of Internal Medicine, University of California Davis, Sacramento, USA. Electronic address: rlkravitz@ucdavis.edu.
Daniel J TancrediDepartment of Pediatrics and Center for Healthcare Policy and Research, University of California Davis, Sacramento, USA. Electronic address: djtancredi@ucdavis.edu.
Elizabeth M MagnanDepartment of Family and Community Medicine, University of California Davis, Sacramento, USA. Electronic address: emagnan@ucdavis.edu.
Andrew HudnutSutter Medical Foundation, Sacramento, USA. Electronic address: HudnutA@Sutterhealth.org.
Peter FranksDepartment of Family and Community Medicine, University of California Davis, Sacramento, USA. Electronic address: pfranks@ucdavis.edu.

Funding

UC Davis Clinical and Translational Science CenterUL1TR000002 · NCATS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI BERGLUND, LARS F · 2012 to 2015
$12.2M
UC Davis Clinical and Translational Science CenterKL2TR000134 · NCATS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI BERGLUND, LARS F · 2012 to 2015
$3.1M
Provider Training to Support Patient Self-Efficacy for Depression CareR34MH095893 · NIMH · UNIVERSITY OF CALIFORNIA AT DAVIS · PI JERANT, ANTHONY FRANCIS · 2012 to 2013
$686k
NCATS NIH HHS KL2 TR000134NCATS NIH HHS UL1 TR000002NIMH NIH HHS R34 MH095893
6 · The paper itself

Abstract

objectiveTo explore how physician training in self-efficacy enhancing interviewing techniques (SEE IT) affects patient psychological health behavior change mediators (HBCMs).

methodsWe analyzed data from 131 patients visiting primary care physicians ≥4 months after the physicians participated in a randomized controlled trial. Experimental arm physicians (N=27) received SEE IT training during three ≤20min standardized patient instructor (SPI) visits. Control physicians (N=23) viewed a diabetes medications video during one SPI visit. Physicians were blinded to patient participation. Outcomes were self-care self-efficacy, readiness, and health locus of control (Internal, Chance, Powerful Others), examined as a summary HBCM score (average of standardized means) and individually. Analyses adjusted for pre-visit values of the dependent variables.

resultsPatients visiting SEE IT-trained physicians had higher summary HBCM scores (+0.42, 95% CI 0.07-0.77; p=0.021). They also had greater self-care readiness (AOR 3.04, 95% CI 1.02-9.03, p=0.046) and less Chance health locus of control (-0.27 points, 95% CI -0.50-0.04, p=0.023), with no significant differences in other HBCMs versus controls.

conclusionImprovement in psychological HBCMs occurred among patients visiting SEE IT-trained physicians, PRACTICE IMPLICATIONS: If further research shows the observed HBCM effects improve health behaviors and outcomes, SEE IT training might be offered widely to physicians.

Indexed as

Education, Medical, ContinuingPhysician-Patient RelationsSelf EfficacyAdultFemaleHealth BehaviorHumansMaleMental HealthMotivational InterviewingOutcome and Process Assessment, Health CarePhysicians, Primary CarePrimary Health CareSelf CareYoung AdultContinuing professional developmentHealth behaviorInterviews as topicLocus of controlMotivationPatient engagementPrimary careSelf-efficacyStages of change

Identifiers

PMID27423177
PMCPMC5069145

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Registered trials

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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.