Evidence map›Paper›PMID 27578271›Full record

Trial reportPatient education and counseling2017

Detecting the effects of physician training in self-care interviewing skills: Coding of standardized patient (SP) visit recordings versus SP post-visit ratings.

Anthony Jerant, Brent Hanson, Richard L Kravitz, Daniel J Tancredi, Emily Hanes, Sanjeet Grewal, Rimaben Cabrera, Peter Franks

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Patient education and counseling, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Trial
  3. 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

8 authors.

Anthony JerantDepartment of Family and Community Medicine, University of California Davis, Sacramento, USA. Electronic address: afjerant@ucdavis.edu.
Brent HansonDepartment of Family and Community Medicine, University of California Davis, Sacramento, USA. Electronic address: bwhanson@ucdavis.edu.
Richard L KravitzDepartment of Internal Medicine, University of California Davis, Sacramento, USA. Electronic address: rlkravitz@ucdavis.edu.
Daniel J TancrediCenter for Healthcare Policy and Research, University of California Davis, Sacramento, USA. Electronic address: djtancredi@ucdavis.edu.
Emily HanesCenter for Healthcare Policy and Research, University of California Davis, Sacramento, USA. Electronic address: enhess@ucdavis.edu.
Sanjeet GrewalCenter for Healthcare Policy and Research, University of California Davis, Sacramento, USA.
Rimaben CabreraCenter for Healthcare Policy and Research, University of California Davis, Sacramento, USA. Electronic address: rpcabrera@ucdavis.edu.
Peter FranksDepartment of Family and Community Medicine, University of California Davis, Sacramento, USA. Electronic address: pfranks@ucdavis.edu.

Funding

Staff InvestigatorsP30CA093373 · NCI · UNIVERSITY OF CALIFORNIA DAVIS · PI Gina M Dayton · 2002 to 2026
$84.9M
Provider Training to Support Patient Self-Efficacy for Depression CareR34MH095893 · NIMH · UNIVERSITY OF CALIFORNIA AT DAVIS · PI JERANT, ANTHONY FRANCIS · 2012 to 2013
$686k
NCI NIH HHS P30 CA093373NIMH NIH HHS R34 MH095893
6 · The paper itself

Abstract

objectiveTo compare how coder ratings of standardized patient (SP) visit recordings and SP ratings of the visits detect primary care physician (PCP) training in self-efficacy enhancing interviewing techniques (SEE IT).

methodsAnalyses of data from 50 PCPs who participated in a randomized controlled trial of SEE IT training, which led to increased SEE IT use during three SP visits 1-3 months post-intervention. Untrained SPs rated SEE IT use post-visit. Subsequently, three trained coders generated a consensus SEE IT rating from visit audio recordings. SPs and coders were blinded to provider study arm, and coders to SP ratings.

resultsSP and coder ratings were correlated (r=0.62). In detecting the intervention effect, the areas under the receiver operating characteristic curve were 0.80 (95% CI 0.74-0.87) and 0.76 (95% CI 0.69-0.84) for consensus coder and SP ratings, respectively (difference 0.04, 95% CI -0.04-0.11; z=1.04, p=0.30).

conclusionSP ratings were not significantly different from coder ratings of SP visit recordings in detecting PCP SEE IT training. PRACTICE IMPLICATIONS: If similar findings are observed in larger studies, it would suggest a greater role for SP ratings in detecting provider interviewing skills training, given the relative simplicity, low cost, and non-intrusiveness of the approach.

Indexed as

Interviews as TopicPatient Education as TopicPatient SimulationSelf EfficacyFemaleHumansMaleMotivationPhysicians, Primary CarePredictive Value of TestsPrimary Health CareSelf CareTape RecordingArea under curveAudio recordingInterviews as topicMotivationPredictive validityPrimary careSelf-efficacyStandardized patients

Identifiers

PMID27578271
PMCPMC5318274

What OpenQuestion holds

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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.